中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
15期
81-81,83
,共2页
综合治疗%儿童%鼻-鼻咽部病变%分泌性中耳炎
綜閤治療%兒童%鼻-鼻嚥部病變%分泌性中耳炎
종합치료%인동%비-비인부병변%분비성중이염
Comprehensive treatment%Children%Nasal and nasopharyngeal lesions%Secretory otitis media
目的：探讨综合治疗儿童鼻-鼻咽部病变相关性分泌性中耳炎的临床效果。方法：2013年1月-2014年1月收治儿童鼻-鼻咽部病变相关性分泌性中耳炎患儿60例。根据病情给予0.9%氯化钠注射液冲洗、抗生素滴鼻、羟甲唑林喷鼻、扁桃体切除术、腺样体切除术等综合治疗方法进行治疗。观察其疗效。结果：治疗前听阈(35.6±11.3)db，治疗后听阈(20.2±8.1)db，听阈明显降低，与治疗前比较差异有统计学意义(P＜0.05)。本组60例，治愈24例(40.0%)，显效12例(20.0%)，有效18例(30.0%)，无效6例(10.0%)，总有效率90.0%。结论：综合治疗儿童鼻-鼻咽部病变相关性分泌性中耳炎疗效显著。
目的：探討綜閤治療兒童鼻-鼻嚥部病變相關性分泌性中耳炎的臨床效果。方法：2013年1月-2014年1月收治兒童鼻-鼻嚥部病變相關性分泌性中耳炎患兒60例。根據病情給予0.9%氯化鈉註射液遲洗、抗生素滴鼻、羥甲唑林噴鼻、扁桃體切除術、腺樣體切除術等綜閤治療方法進行治療。觀察其療效。結果：治療前聽閾(35.6±11.3)db，治療後聽閾(20.2±8.1)db，聽閾明顯降低，與治療前比較差異有統計學意義(P＜0.05)。本組60例，治愈24例(40.0%)，顯效12例(20.0%)，有效18例(30.0%)，無效6例(10.0%)，總有效率90.0%。結論：綜閤治療兒童鼻-鼻嚥部病變相關性分泌性中耳炎療效顯著。
목적：탐토종합치료인동비-비인부병변상관성분비성중이염적림상효과。방법：2013년1월-2014년1월수치인동비-비인부병변상관성분비성중이염환인60례。근거병정급여0.9%록화납주사액충세、항생소적비、간갑서림분비、편도체절제술、선양체절제술등종합치료방법진행치료。관찰기료효。결과：치료전은역(35.6±11.3)db，치료후은역(20.2±8.1)db，은역명현강저，여치료전비교차이유통계학의의(P＜0.05)。본조60례，치유24례(40.0%)，현효12례(20.0%)，유효18례(30.0%)，무효6례(10.0%)，총유효솔90.0%。결론：종합치료인동비-비인부병변상관성분비성중이염료효현저。
Objective:To explore the clinical effect of comprehensive treatment on secretory otitis media associated with nasal and nasopharyngeal lesions in children.Methods:60 cases with secretory otitis media associated with nasal and nasopharyngeal diseases were selected from January 2013 to January 2014.All patients received comprehensive treatment according to the illness, such as NS flushing,dripping antibiotics into the nose,spraying hydroxymethyl cefazolin into the nose,tonsillectomy,adenoidectomy and so on.Observe the effect.Results:Before treatment,the hearing threshold was 35.6 ± 11.3db.After treatment,the hearing threshold was 20.2 ± 8.1db.The hearing threshold was significantly reduced.Compared with that before treatment,there was statistically significant(P<0.05).In 60 patients,24 cases(40%) were cured. 12 cases(20%) were excellent.18 cases(30.0%) were effective.6 cases(10.0%) were ineffective.The total efficiency was 90%.Conclusion:The clinical effect of comprehensive treatment on secretory otitis media associated with nasal and nasopharyngeal lesions in children is significant.
