局部糖皮质激素联合氦氖激光对急性化脓性中耳炎的疗效观察

发布时间：2018-11-06 16:20

【摘要】：目的:观察局部糖皮质激素联合氦氖激光治疗急性化脓性中耳炎的临床疗效。方法:将临床确诊的81例(81耳)急性化脓性中耳炎患者随机分成实验组和对照组。其中,实验组(40例)在给予左氧氟沙星滴耳液5ml+与布地奈德混悬液2ml混合均匀后滴耳的同时配合氦氖激光局部照射及全身抗生素治疗;对照组(41例)则仅给予左氧氟沙星滴耳液滴耳并联合氦氖激光局部照射及全身抗生素(同实验组)治疗。10日为一疗程,观察两组疗效。结果:1、实验组总有效率为95%,对照组总有效率为82.8%,两组间有统计学意义。2、两组治愈时间分别是7.6±1.5天和10.6±1.6天,经统计学分析,两组间有统计学意义(P0.05)。结论:局部糖皮质激素联合氦氖激光治疗急性化脓性中耳炎较常规治疗方法有更好的疗效,且可明显缩短病程。该治疗方法简单可行,疗效高,值得推广和应用。
[Abstract]:Objective: to observe the clinical effect of local glucocorticoid combined with He-Ne laser in the treatment of acute suppurative otitis media. Methods: 81 patients (81 ears) with acute suppurative otitis media were randomly divided into experimental group and control group. The experimental group (n = 40) was given levofloxacin ear drops (5ml) and budesonide suspension (2ml), while receiving local He-Ne laser irradiation and systemic antibiotic therapy. The control group (41 cases) was treated with levofloxacin ear drops combined with local He-Ne laser irradiation and systemic antibiotics (the same as the experimental group). Results: 1. The total effective rate of the experimental group was 95 and that of the control group was 82.8. There was statistical significance between the two groups. The cure time of the two groups was 7.6 卤1.5 days and 10.6 卤1.6 days, respectively. There was statistical significance between the two groups (P0.05). Conclusion: local glucocorticoid combined with He-Ne laser in the treatment of acute suppurative otitis media is more effective than conventional treatment, and can significantly shorten the course of disease. This method is simple and feasible, and has high curative effect. It is worth popularizing and applying.
【作者单位】：吉林大学第二临床医院耳鼻喉科;
【分类号】：R764.21

【共引文献】