※ 引述《cychine (来自非洲大草原)》之铭言：
: okay
: 事情是这样的
: 城武刚刚看完苍澜鸽水管影片
: 有位中医仔居然质疑西医的中耳积水开孔是无稽之谈
那位是高医医学系(或者是高医后西医系)毕业的，修西学中45学分拿中医执照，
质疑西医中耳积水开洞，根本是西西大战，
影片的内容也没提到什么中医的内容，
中耳积水开洞，苍蓝鸽自己引的第二篇论文中引用的reference再看看
装通气管的complication，装到底有没有比不装好?
可能还是得请鸽自己再比较看看
Cochrane Database of Systematic Reviews Review - Intervention
Grommets (ventilation tubes) for hearing loss associated with otitis media
with effusion in children
Version published: 06 October 2010 Version history
https://doi-org.lib3.cgmh.org.tw:30443/10.1002/14651858.CD001801.pub3
Main results
We included 10 trials (1728 participants). Some trials randomised children
(grommets versus no grommets), others ears (grommet one ear only). The
severity of OME in children varied between trials. Only one 'by child' study
(MRC: TARGET) had particularly stringent audiometric entry criteria. No trial
was identified that used long‐term grommets.
Grommets were mainly beneficial in the first six months by which time natural
resolution lead to improved hearing in the non‐surgically treated children
also. Only one high quality trial that randomised children (N = 211) reported
results at three months; the mean hearing level was 12 dB better (95% CI 10
to 14 dB) in those treated with grommets as compared to the controls. Meta‐
analyses of three high quality trials (N = 523) showed a benefit of 4 dB (95%
CI 2 to 6 dB) at six to nine months. At 12 and 18 months follow up no
differences in mean hearing levels were found.
Data from three trials that randomised ears (N = 230 ears) showed similar
effects to the trials that randomised children. At four to six months mean
hearing level was 10 dB better in the grommet ear (95% CI 5 to 16 dB), and at
7 to 12 months and 18 to 24 months was 6 dB (95% CI 2 to 10 dB) and 5 dB (95%
CI 3 to 8 dB) dB better.
No effect was found on language or speech development or for behaviour,
cognitive or quality of life outcomes.
Tympanosclerosis was seen in about a third of ears that received grommets.
在接受通气管手术的患耳，约1/3会有鼓膜硬化(钙化)
Otorrhoea was common in infants, but in older children (three to seven years)
occurred in < 2% of grommet ears over two years of follow up.
要是没时间慢慢看，那就看作者结论
Authors' conclusions
In children with OME the effect of grommets on hearing, as measured by
standard tests, appears small and diminishes after six to nine months by
which time natural resolution also leads to improved hearing in the non‐
surgically treated children.
装通气管对术后6-9个月后听力改善效果看起来是不高(small) 并且会逐渐减少
因为即使不开刀治疗的小孩也会自然改善
No effect was found on other child outcomes but
data on these were sparse. No study has been performed in children with
established speech, language, learning or developmental problems so no
conclusions can be made regarding treatment of such children.
: 这位老兄中医仔根本是开地图砲跟112医学院开战了吧
: 苍澜鸽好歹是合太酱料栽培毕业的主治
高医且读过112医学院(检验科系?) vs 台大医
: 话说回来中医仔如果那么神
: 欧美医学与各大药材医材大厂早就全面采用了
: 中医的学理要大数据没大数据
: 要实验对照组也生不出什么东西来
大数据没大数据其实这句话已经不完全正确了，实验对照组也不是没有东西
严格的说起来，只是这样的资料逐渐再增加，但是还不多。
但只要提到中医大抵上很多人就没办法理性讨论，
所以最终是一种大家各自拥护各自信仰的状况
今天林如果真的有办法做到
3个月内显著改善耳膜积水，并且比随机分配的natural course的
好，或者与同时间装通气管的结果类似，我想也没什么好说。
这个才一锤定音。
: 有没有中医仔目中无人的八卦
: 在线等
目中无人，只有自己的，很多人都如此
齐人攫金，
只是比看看谁比较不贪一点而已。