中耳治疗仪自动咽鼓管吹张加高渗盐水鼻腔冲洗联合治疗儿童分泌性中耳炎

发布时间：2018-03-02 18:25

本文选题：分泌性中耳炎　切入点：儿童　出处：《听力学及言语疾病杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨中耳治疗仪自动咽鼓管吹张加鼻腔冲洗联合治疗病程较长的儿童分泌性中耳炎(OME)的疗效。方法选择病程6~10周、年龄3~7岁的28例OME患儿,随机分为治疗组(17例34耳)及对照组(11例22耳),对照组予以糠酸莫米松喷鼻、口服沐舒坦糖浆及开瑞坦糖浆治疗4周,治疗组给予上述相同药物治疗的同时,以中耳治疗仪自动咽鼓管吹张并给予高渗盐水鼻腔冲洗治疗,每天两次,连续四周;两组治疗前后均进行声导抗、纯音测听、耳内镜检查,比较两组疗效。结果治疗组治愈19耳,好转9耳,总有效率82.35%(28/34);对照组治愈5耳,好转7耳,总有效率54.55%(12/22);前者高于后者,差异有统计学意义(P0.05)。结论中耳治疗仪自动咽鼓管吹张与高渗盐水鼻腔冲洗联合治疗病程较长的儿童OME患者疗效较好。
[Abstract]:Objective to explore the treatment of middle ear automatic eustachian tube and nasal lavage combined treatment duration of children with secretory otitis media (OME). Methods the effect of duration of 6~10 weeks, 28 children with OME aged 3~7 years, were randomly divided into treatment group (17 cases, 34 ears) and the control group (11 cases, 22 ears) the control group received mometasone furoate nasal spray treatment, oral ambroxol syrup and loratadine syrup for 4 weeks, the treatment group was given the same drug treatment at the same time, the middle ear eustachian tube and automatic treatment instrument given hypertonic saline nasal irrigation treatment, two times a day for 4 weeks; the two groups before and after treatment were tympanometry, pure tone audiometry, ear endoscopy, compare the efficacy of two groups. The treatment group cured 19 ears, 9 ears improved, the total efficiency of 82.35% (28/34); control group: 5 ears were cured, 7 were improved, the total efficiency of 54.55% (12/22); the former is higher than the latter, the difference was statistically significant (P0.05) conclusion. The combination of automatic eustachian tube blowing and hypertonic saline nasal irrigation in the treatment of OME patients with longer course of disease is better.

【作者单位】：天津新世纪妇儿医院耳鼻咽喉科;
【分类号】：R764.21

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