鼻内镜下咽鼓管吹张联合仙璐贝氧驱动雾化治疗分泌性中耳炎  

Nasal endoscopic Eustachian tube insufflation and Sinupret oxygen atomizing inhalation for the treatment of secretory otitis media

作　　者：林文彪[1] 陆升[1] 张龙城[1] 莫宣忠 

机构地区：[1]解放军第303医院耳鼻咽喉头颈外科,广西南宁530021 [2]解放军第303医院药剂科,广西南宁530021

出　　处：《中国耳鼻咽喉颅底外科杂志》2013年第6期537-539,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的观察鼻内镜下咽鼓管吹张联合仙璐贝氧驱动雾化吸入治疗分泌性中耳炎的疗效。方法将76例患者随机分为对照组与治疗组,对照组给予常规药物治疗,治疗组采取鼻内镜下咽鼓管咽口检查、负压吸引、咽鼓管吹张及同步仙璐贝氧驱动雾化吸入治疗,并进行疗效评价。结果单个疗程对照组总有效率72.1%,治疗组总有效率93.2%,两组总有效率差异具有统计学意义(P<0.01)。两个疗程对照组总有效率86.8%,治疗组95.4%,两组差异无统计学意义(P>0.05)。结论鼻内镜下咽鼓管吹张联合仙璐贝氧驱动雾化治疗有利于咽鼓管功能恢复,早期改善症状,提高听力,是治疗分泌性中耳炎的有效方法。ObjectiveTo observe the therapeutic effect of nasal endoscopic Eustachian tube insufflation and Sinupret oxygen atomizing inhalation for the treatment of secretory otitis media（SOM）.Methods76 patients were randomly divided into control group and treatment group. The control group was given routine drug treatment, endoscopic examination of Eustachian orifice, vacuum aspiration and insufflation of Eustachian tube with simultaneous Sinupret oxygen atomizing inhalation were applied to the treatment group. The therapeutic effect was evaluated.ResultsWith the single course of treatment, the control group’s total efficiency is 72.1%, the total effective rate of treatment group is 93.2%, the two groups have significant differences in the total efficiency（P〈0.01）. The clinical curative effect with the double treat, the control group’s total efficiency is 86.8%, the treatment group’s total efficiency is 95.4%, the two groups haven’t significant differences in the total efficiency（P〉0.05）.ConclusionWith advantages of function recovery of Eustachian tube, early symptom relief and hearing improvement, endoscopic Eustachian tube insufflation combined with Sinupret oxygen atomizing inhalation is effective for the treatment of SOM.

关 键 词：分泌性中耳炎 鼻内镜 咽鼓管吹张 仙璐贝 氧驱动雾化治疗 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]