激光杂志
激光雜誌
격광잡지
LASER JOURNAL
2014年
7期
108-110
,共3页
鹿艳青%管国芳%张德军%于多娇%曹弘薇%赵炎
鹿豔青%管國芳%張德軍%于多嬌%曹弘薇%趙炎
록염청%관국방%장덕군%우다교%조홍미%조염
急性化脓性中耳炎%氦氖激光%糖皮质激素
急性化膿性中耳炎%氦氖激光%糖皮質激素
급성화농성중이염%양내격광%당피질격소
Acute suppurative otitis media%He-Ne laser%Corticosteroid
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（P<0.05）。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。
目的：觀察跼部糖皮質激素聯閤氦氖激光治療急性化膿性中耳炎的臨床療效。方法：將臨床確診的81例（81耳）急性化膿性中耳炎患者隨機分成實驗組和對照組。其中，實驗組（40例）在給予左氧氟沙星滴耳液5ml+與佈地奈德混懸液2ml混閤均勻後滴耳的同時配閤氦氖激光跼部照射及全身抗生素治療；對照組（41例）則僅給予左氧氟沙星滴耳液滴耳併聯閤氦氖激光跼部照射及全身抗生素（同實驗組）治療。10日為一療程，觀察兩組療效。結果：1、實驗組總有效率為95%，對照組總有效率為82.8%，兩組間有統計學意義。2、兩組治愈時間分彆是7.6±1.5天和10.6±1.6天，經統計學分析，兩組間有統計學意義（P<0.05）。結論：跼部糖皮質激素聯閤氦氖激光治療急性化膿性中耳炎較常規治療方法有更好的療效，且可明顯縮短病程。該治療方法簡單可行，療效高，值得推廣和應用。
목적：관찰국부당피질격소연합양내격광치료급성화농성중이염적림상료효。방법：장림상학진적81례（81이）급성화농성중이염환자수궤분성실험조화대조조。기중，실험조（40례）재급여좌양불사성적이액5ml+여포지내덕혼현액2ml혼합균균후적이적동시배합양내격광국부조사급전신항생소치료；대조조（41례）칙부급여좌양불사성적이액적이병연합양내격광국부조사급전신항생소（동실험조）치료。10일위일료정，관찰량조료효。결과：1、실험조총유효솔위95%，대조조총유효솔위82.8%，량조간유통계학의의。2、량조치유시간분별시7.6±1.5천화10.6±1.6천，경통계학분석，량조간유통계학의의（P<0.05）。결론：국부당피질격소연합양내격광치료급성화농성중이염교상규치료방법유경호적료효，차가명현축단병정。해치료방법간단가행，료효고，치득추엄화응용。
Objective:To observe the clinical efficacy of topical corticosteroidcombined with He-Ne laser in the treatment of acute suppurative otitis media. Methods:81 cases (81 ears) of the patients with acutesuppurative otitis media were divided into experimental group and control grouprandomly . The experimental group (40 cases) were given the levofloxacin+ budesonide mixed eardrops , He-Ne laser irradiation and systemic antibiotic therapy; the control group (41 cases) were given levofloxacineardrops,He-Ne laser irradiation and systemic antibiotic(the same to theexperimental group)therapy only, 10 days for a course of treatment. The effect of two groups were observedaft-er treatment. Results:1、The total effective rate was 95% in experimental group, and 82.8% in the control group. There was statistically significant (P<0.05)between the two groups.2、The healing time in the healing group was 7.6±1.5 and 10.6±1.6days respectively.There was statistically significant (P<0.05)between the two groups .Conclu-sion:The topical corticosteroid combined with He-Ne laser in the treatment of acute suppurative otitis media shows better curative effect than conventional treatment method and can shorten the course of treatment. The treatment method is simple and feasible, high curative effect ,worth popularizing and application.
