中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
1期
61-62
,共2页
中耳炎,伴渗出液%中耳通气%腺样体切除术
中耳炎,伴滲齣液%中耳通氣%腺樣體切除術
중이염,반삼출액%중이통기%선양체절제술
Otitis media with effusion%Middle ear ventilation%Adenoidectomy
目的 探讨鼓膜置管术并腺样体切除在儿童分泌性中耳炎治疗中的应用效果.方法 64例分泌性中耳炎患儿按照数字表法随机分为两组,观察组32例,对照组32例.对照组采用单纯鼓膜置管术治疗,观察组采用鼓膜置管术并腺样体切除治疗,随访6个月观察疗效.结果 对照组、观察组治疗后骨气传导差分别为(12.1±1.9) db、(4.5±1.2)db,两组骨气传导差均较治疗前明显降低(t=4.432、5.357,均P＜0.05),与对照组比较,观察组降低更明显(t=10.299,P＜0.05).对照组、观察组咽鼓管功能恢复率分别为25.0%、68.8%,两组差异有统计学意义(x2=3.96,P＜0.05).观察组总有效率为93.8%,高于对照组的71.9%(x2 =5.42,P＜0.05).结论 鼓膜置管术并腺样体切除治疗儿童分泌性中耳炎疗效显著.
目的 探討鼓膜置管術併腺樣體切除在兒童分泌性中耳炎治療中的應用效果.方法 64例分泌性中耳炎患兒按照數字錶法隨機分為兩組,觀察組32例,對照組32例.對照組採用單純鼓膜置管術治療,觀察組採用鼓膜置管術併腺樣體切除治療,隨訪6箇月觀察療效.結果 對照組、觀察組治療後骨氣傳導差分彆為(12.1±1.9) db、(4.5±1.2)db,兩組骨氣傳導差均較治療前明顯降低(t=4.432、5.357,均P＜0.05),與對照組比較,觀察組降低更明顯(t=10.299,P＜0.05).對照組、觀察組嚥鼓管功能恢複率分彆為25.0%、68.8%,兩組差異有統計學意義(x2=3.96,P＜0.05).觀察組總有效率為93.8%,高于對照組的71.9%(x2 =5.42,P＜0.05).結論 鼓膜置管術併腺樣體切除治療兒童分泌性中耳炎療效顯著.
목적 탐토고막치관술병선양체절제재인동분비성중이염치료중적응용효과.방법 64례분비성중이염환인안조수자표법수궤분위량조,관찰조32례,대조조32례.대조조채용단순고막치관술치료,관찰조채용고막치관술병선양체절제치료,수방6개월관찰료효.결과 대조조、관찰조치료후골기전도차분별위(12.1±1.9) db、(4.5±1.2)db,량조골기전도차균교치료전명현강저(t=4.432、5.357,균P＜0.05),여대조조비교,관찰조강저경명현(t=10.299,P＜0.05).대조조、관찰조인고관공능회복솔분별위25.0%、68.8%,량조차이유통계학의의(x2=3.96,P＜0.05).관찰조총유효솔위93.8%,고우대조조적71.9%(x2 =5.42,P＜0.05).결론 고막치관술병선양체절제치료인동분비성중이염료효현저.
Objective To explore the application effect of grommet insertion and adenoidectomy application effect in the treatment of children with secretory otitis media.Methods 64 children with secretory otitis media were randomly divided into two groups,32 cases in the observation group,32 cases in the control group.The control group used a simple tympanic membrane in the treatment of catheter,the observation group was treated with grommet insertion and adenoidectomy,follow-up 6 months curative effect were observed.Results The control group,the observation group after treatment backbone transmission difference were (12.1 ± 1.9)dB,(4.5 ± 1.2)db,two groups of backbone transmission errors were significantly lower than that before treatment (t =4.432,5.357,all P ＜ 0.05),compared with the control group,the observation group was significantly lower (t =10.299,P ＜ 0.05).The control group,the observation group of eustachian tube function recovery rate were 25.0%,68.8%,there was significant difference between two groups (x2 =3.96,P ＜ 0.05).Total effective rate in the observation group was 93.8 %,which was higher than 71.9% in the control group(x2 =5.42,P ＜ 0.05).Conclusion Tympanic membrane and adenoidectomy in the treatment of children with secretoryotitis media has significant effect.
