导管输氧咽鼓管吹张在鼓室成形术后的应用效果  

Clinical effects of oxygen insuffiation through eustachian in post-tympanoplasty

作　　者：吴翠良[1] 范西惠[1] 赵明俊[1] 

机构地区：[1]江苏省扬州市第一人民医院耳鼻咽喉科,225001

出　　处：《中华现代护理杂志》2013年第12期1393-1395,共3页Chinese Journal of Modern Nursing

摘　　要：目的观察咽鼓管导管输氧吹张在鼓室成形术后的应用效果。方法选取2008年1月至2012年6月鼓室成形术患者98例，按照随机数字表法随机分为观察组和对照组，观察组进行咽鼓管吹张，对照组不进行咽鼓管吹张。术后2个月观察移植鼓膜的愈合情况，复查纯音测听，计算患耳语频气骨导差均值。结果术后2个月时，观察组移植鼓膜愈合率为87．93％，对照组为67．50％，两组比较差异有统计学意义（x2=6．009，P〈0．05）。术前，观察组和对照组气骨导差分别为（38．30±9．6），（36．78±10．4）dB，两组比较差异无统计学意义（t=0．001，P〉0．05）；术后，观察组和对照组气骨导差分别为（16．56±10．3），（22．32±8．6）dB，两组比较差异有统计学意义（t=5．912，P〈0．05）。结论鼓室成形术后准确地应用咽鼓管导管输氧吹张，有利于加速鼓膜的愈合和听力的改善。Objective To evaluate the curative effect of oxygen insufflation by eustachian on post- tympanoplasty. Methods Between January 2008 and June 2012, totals of 98 patients who underwent tympanoplasty due to chronic otitis media without otosclerosis were enrolled in the study. AU patients were divided into insuttlation group and non-insufflation group randomly. For each patient, clinical assessment included otoscopy and audiometry on a range 0.5, 1,2 kHz at the 3th month after tympanoplasty. The ABG gain was compared with preoperative values. Results In the insufflation group, the graft take rate was 87.93 %, and that in the non-insufflation group was 67.50% ,and the difference was statistically significant （X2 = 6. 009, P 〈 0.05 ）. No significant difference was found in the preoperative air-bone gaps between insufflation group and non- insufflation group [ （38.30 ± 9.6 ） vs （36.78 ±10.4） ; t = 0. 001, P 〉 0. 05 ], but significant difference was found in the postoperative air-bone gaps[（16.56 ± 10. 3）vs（22. 32 ±8. 6）;t =5. 912, P 〈0. 05]. Conclusions The postoperative accurate application of oxygen insufflation through eustachian can help accelerate the healing of the tympanic membrane, and improve the heating for tympanoplasty.

关 键 词：咽鼓管 鼓室成形术 输氧吹张 

分 类 号：R76[医药卫生—耳鼻咽喉科]