改良咽鼓管吹张治疗儿童分泌性中耳炎的短期疗效评估

发布时间：2018-03-18 08:38

  本文选题：吹张　切入点：中耳炎　出处：《中华耳科学杂志》2016年05期 　论文类型：期刊论文

【摘要】：目的评估改良咽鼓管吹张治疗儿童分泌性中耳炎的可行性、安全性、有效性。方法将我科门诊确诊为分泌性中耳炎的患儿随机分为四组,对照组不接受任何处理,观察等待3个月,药物治疗组使用鼻喷剂+口服抗组胺药+口服粘液促排剂治疗1个月后继续观察2个月,咽鼓管吹张组使用改良咽鼓管吹张器治疗1个月后继续观察2个月,药物+咽鼓管吹张组同时使用药物+咽鼓管吹张治疗1个月后继续观察2个月。结果治疗过程中接受咽鼓管吹张的患儿均能配合完成治疗,无严重的不良反应和不适。治疗1个月后四组的疗效差异有统计学意义,吹张组和药物+吹张组有效率高于对照组和药物治疗组,继续观察2个月后这种差异仍然存在。吹张组和药物+吹张组之间疗效无统计学差异。治疗后吹张组和药物+吹张组气骨导差值明显下降,观察组和药物组治疗前后气骨导差值无变化。结论改良咽鼓管吹张治疗儿童分泌性中耳炎是可行的安全的有效的,在观察等待的3个月中可有效清除中耳积液,降低需要手术的机率。
[Abstract]:Objective to evaluate the feasibility of modified eustachian tube in treatment of secretory otitis media in children's safety, effectiveness. Methods in our department diagnosed patients were randomly divided into secretory otitis media in four groups, the control group did not receive any treatment, observation wait 3 months, drug treatment group using nasal spray + oral antihistamines oral mucous + eccritic after treatment for 1 months to 2 months of observation, the eustachian tube group using modified eustachian tube for 1 months after treatment to observe for 2 months, the drug + eustachian tube group and drug + eustachian tube after treatment for 1 months to 2 months of observation. The treatment results in the process of acceptance of the eustachian tube in children are in line with the completion of treatment, no serious adverse reactions and discomfort. There was statistical significance after 1 months of treatment effect differences between the four groups, blowing group and drug + blowing group effective rate higher than that of control group and treatment group, following the Continue to observe this difference after 2 months still exist. The curative effect between the group and a blowing drug + blowing group no significant difference. After treatment, blowing group and drug group + blowing air bone difference decreased, observed before and after treatment group and drug group air bone difference change. Conclusion eustachian tube treatment secretory otitis media in children is feasible and safe and effective, can effectively remove the middle ear effusion in 3 months were waiting, reducing the probability of surgery.

【作者单位】： 广州市妇女儿童医疗中心耳鼻咽喉科;
【分类号】：R764.21
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本文编号：1628844