中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
10期
71-75
,共5页
分泌性中耳炎%咽鼓管%鼻内镜%吹张注药
分泌性中耳炎%嚥鼓管%鼻內鏡%吹張註藥
분비성중이염%인고관%비내경%취장주약
Secretory otitis media (SOM)%Eustachian tube insufflation%Nasal endoscopy%Insufflation
目的：探讨在分泌性中耳炎（SOM）治疗中，鼻内镜下咽鼓管吹张注药联合激素、抗生素用药的临床效果。方法选取我院2013年1月~2014年10月接诊的SOM患者65例，根据患者病情将其分为观察组（33例）与对照组（32例）；观察组采用鼻内镜下咽鼓管吹张注药联合口服用药治疗，对照组采用口服用药治疗。经1个月治疗，观测两组临床效果、鼓室图变化、纯音听阀测试气道平均阀值、并发症及不良反应。结果两组总有效率比较（90. 24%vs62. 16%）差异有统计学意义（P<0. 05）；两组鼓室图A型恢复比例比较（53. 66%vs29. 73%）差异有统计学意义（P<0. 05）；治疗后，两组纯音听阀测试结果比较（20. 63±2. 52vs26. 92±2. 95）差异有统计学意义（P<0. 05）；观察组1例一过性眩晕；两组复发率比较（4. 88%vs13. 51%）差异无统计学意义（P>0. 05）。结论鼻内镜下咽鼓管吹张注药联合常规治疗方法，对分泌性中耳炎具有明确的临床治疗效果，值得临床推广。
目的：探討在分泌性中耳炎（SOM）治療中，鼻內鏡下嚥鼓管吹張註藥聯閤激素、抗生素用藥的臨床效果。方法選取我院2013年1月~2014年10月接診的SOM患者65例，根據患者病情將其分為觀察組（33例）與對照組（32例）；觀察組採用鼻內鏡下嚥鼓管吹張註藥聯閤口服用藥治療，對照組採用口服用藥治療。經1箇月治療，觀測兩組臨床效果、鼓室圖變化、純音聽閥測試氣道平均閥值、併髮癥及不良反應。結果兩組總有效率比較（90. 24%vs62. 16%）差異有統計學意義（P<0. 05）；兩組鼓室圖A型恢複比例比較（53. 66%vs29. 73%）差異有統計學意義（P<0. 05）；治療後，兩組純音聽閥測試結果比較（20. 63±2. 52vs26. 92±2. 95）差異有統計學意義（P<0. 05）；觀察組1例一過性眩暈；兩組複髮率比較（4. 88%vs13. 51%）差異無統計學意義（P>0. 05）。結論鼻內鏡下嚥鼓管吹張註藥聯閤常規治療方法，對分泌性中耳炎具有明確的臨床治療效果，值得臨床推廣。
목적：탐토재분비성중이염（SOM）치료중，비내경하인고관취장주약연합격소、항생소용약적림상효과。방법선취아원2013년1월~2014년10월접진적SOM환자65례，근거환자병정장기분위관찰조（33례）여대조조（32례）；관찰조채용비내경하인고관취장주약연합구복용약치료，대조조채용구복용약치료。경1개월치료，관측량조림상효과、고실도변화、순음은벌측시기도평균벌치、병발증급불량반응。결과량조총유효솔비교（90. 24%vs62. 16%）차이유통계학의의（P<0. 05）；량조고실도A형회복비례비교（53. 66%vs29. 73%）차이유통계학의의（P<0. 05）；치료후，량조순음은벌측시결과비교（20. 63±2. 52vs26. 92±2. 95）차이유통계학의의（P<0. 05）；관찰조1례일과성현훈；량조복발솔비교（4. 88%vs13. 51%）차이무통계학의의（P>0. 05）。결론비내경하인고관취장주약연합상규치료방법，대분비성중이염구유명학적림상치료효과，치득림상추엄。
Objective To explore the clinical effects of eustachian tube insufflation via nasal endoscopy combined with administration of hormone and antibiotics in treating secretory otitis media (SOM). Methods A total of 65 patients with SOM who were admitted to our hospital from January 2013 to October 2014 were selected. They were randomly allocat-ed to an observation group (33 patients) and a control group (32 patients) according to their conditions. The observation group was given eustachian tube insufflation via nasal endoscopy combined with oral administration, while the control group was given oral administration. After one-month treatment, clinical effects, changes of tympanogram, airway aver-age threshold measured by pure tone audiometry testing, complications and adverse events between the two groups were observed. Results The difference of total effective rate in the two groups (90.24%vs 62.16%) was statistically significant (P<0.05);proportion of type A recovery of tympanogram in the two groups was compared (53.66% vs 29.73%), and the difference was statistically significant (P<0.05); after the treatment, results of pure tone audiometry testing in the two groups (20.63±2.52 vs 26.92±2.95) were statistically significant (P<0.05);one case of one-time dizziness was seen in the observation group;relapse rates in the two groups (4.88%vs 13.51%) were not statistically significant (P>0.05). Conclu-sion Eustachian tube insufflation via nasal endoscopy combined with oral administration has definite clinical effects on SOM, which is worthy of clinical promotion.
