美宝湿润烧伤膏棉片贴补治疗外伤性鼓膜穿孔的临床观察

发布时间：2018-03-28 20:25

本文选题：美宝湿润烧伤膏（MEBO）　切入点：鼓膜穿孔　出处：《大连医科大学》2014年硕士论文

【摘要】：目的：探寻一种治疗外伤性鼓膜穿孔的贴补材料和简便方法，观察美宝湿润烧伤膏（MEBO）棉片贴补治疗外伤性鼓膜穿孔的临床疗效。方法：将149例（149耳）外伤性鼓膜穿孔患者随机分为两组，治疗组80例（80耳）行美宝湿润烧伤膏棉片贴补治疗，对照组69例（69耳）行红霉素眼膏棉片贴补治疗，比较两组治疗效果（愈合率、平均愈合时间、感染率）。结果：穿孔愈合情况比较：治疗组80耳，穿孔愈合78耳（包括中耳感染抗炎治疗干耳后，再次贴补愈合3耳），愈合率97.5%，对照组69耳，60耳愈合（包括中耳感染抗炎治疗干耳后，再次贴补愈合2耳），愈合率为86.9%，经卡方检验，P0.05，差异有统计学意义（P=0.014）；各型穿孔平均愈合时间比较：治疗组平均愈合时间11.1d，对照组各型穿孔平均愈合时间13.9d，经t检验，t=-3.273，P0.05，差异有统计学意义（P=0.002）；中耳感染情况比较，治疗组中耳感染3例，，感染率3.7%；对照组感染2例，感染率2.9%，经卡方检验，x2=0.083，P0.05，差异无统计学意义（P=0.774）。结论：美宝湿润烧伤膏棉片贴补治疗外伤性鼓膜穿孔，可以有效地提高穿孔愈合率，缩短愈合时间，降低贴补治疗的感染率，愈合后鼓膜形态自然。再者取材方便，成本低，操作简单，愈合率高，值得临床推广。
[Abstract]:Objective: to explore a simple and convenient method for the treatment of traumatic tympanic membrane perforation, and to observe the clinical effect of MEBO cotton patch on traumatic tympanic membrane perforation. Methods: 149 patients with traumatic tympanic membrane perforation were randomly divided into two groups: the treatment group (n = 80) was treated with MEBO MEBO plaster cotton plaster, and the control group (n = 69) was treated with erythromycin eye plaster plaster patch. The curative effect (healing rate, average healing time and infection rate) were compared between the two groups. Results: comparison of perforation healing: treatment group 80 ears, perforation healing 78 ears (including middle ear infection and anti-inflammatory treatment dry ear, 3 ears healing again, healing rate 97.5%, control group 69 ears 60 ears healing (including middle ear infection and anti-inflammatory treatment dry ear, after treatment), The healing rate was 86.9%. The difference was statistically significant (P 0.014). The average healing time of perforation in treatment group was 11.1 days, and that in control group was 13.9 days. T test showed that the average healing time of perforation was 11.1d in the treatment group and 13.9 days in the control group. The difference was statistically significant (P = 0.002). There were 3 cases of middle ear infection in the treatment group and 2 cases in the control group, the infection rate was 2.9%. The difference was not statistically significant (P = 0.774) after chi-square test. Conclusion: the treatment of traumatic tympanic membrane perforation with MEBO MEBO and cotton plaster can effectively improve the healing rate, shorten the healing time, reduce the infection rate of the patch therapy, and make the tympanic membrane form natural after healing. Furthermore, the material is convenient and the cost is low. Simple operation, high healing rate, worthy of clinical promotion.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R764.92

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