耳道吹风机联合咪康唑给药治疗外耳道真菌病

发布时间：2018-06-08 21:44

本文选题：外耳道吹风机 + 咪康唑　；参考：《现代医院》2016年11期

【摘要】：目的探究治疗外耳道真菌病时使用耳道吹风机联合咪康唑的治疗效果,为临床治疗提供参考依据。方法将2013年5月-2016年5月于我院就诊的132例外耳道真菌病患者随机分为两组,观察组(66例)实施外耳道吹风机联合咪康唑的治疗,对照组(66例)实施单纯咪康唑治疗,同时对两组患者耳部患处组织进行病原学检测,并对两组患者治疗后进行随访。比较两组患者痊愈率、好转率、无效率、总有效率、复发率等参数情况,评价两组方法的临床疗效。结果经过2 w的治疗后,对照组总有效率为90.1%;观察组总有效率为96.9%。随访后,发现对照组复发10例,复发率为15.2%;观察组复发4例,复发率为6.1%。治疗后观察组总有效率较对照组高,复发率较对照组明显降低,差异具有统计学意义(P0.05)。结论与常规的治疗手段相比,外耳道吹风机联合咪康唑在治疗外耳道真菌病时,更能缩短用药时间,提高患者疗效,值得推广运用。
[Abstract]:Objective to explore the therapeutic effect of meatus hairdryer combined with miconazole in the treatment of mycosis of external auditory meatus, and to provide reference for clinical treatment. Methods 132 cases of mycosis of external auditory meatus from May 2013 to May 2016 in our hospital were randomly divided into two groups: the observation group (n = 66) was treated with external auditory canal hairdryer combined with miconazole, and the control group (n = 66) was treated with miconazole alone. At the same time, the aetiology of the affected ear tissue of the two groups was detected and followed up after treatment. The recovery rate, improvement rate, inefficiency, total effective rate and recurrence rate were compared between the two groups, and the clinical effects of the two groups were evaluated. Results after 2 weeks of treatment, the total effective rate of the control group was 90.1 and that of the observation group was 96.9. After follow-up, 10 cases of recurrence were found in the control group, with a recurrence rate of 15.2and 4 cases in the observation group with a recurrence rate of 6.1%. After treatment, the total effective rate in the observation group was higher than that in the control group, and the recurrence rate was significantly lower than that in the control group, and the difference was statistically significant (P 0.05). Conclusion compared with the conventional treatment, the external auditory canal hairdryer combined with miconazole in the treatment of external auditory meatus mycosis, can shorten the drug use time, improve the curative effect of patients, it is worth popularizing.
【作者单位】：赣州市人民医院;
【分类号】：R764.1

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