简易鼻气球在儿童分泌性中耳炎治疗中的应用  

The application of the simple nasal balloon in the treatment of otitis media with effusion in children

作　　者：景艳[1] 彭璐[1] 陈睿春[1] 梁建平[1] 

机构地区：[1]广西壮族自治区人民医院耳鼻咽喉科,南宁530021

出　　处：《中国临床新医学》2016年第6期478-480,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西卫计委科研课题(编号:Z2014619)

摘　　要：目的探讨简易鼻气球在治疗儿童分泌性中耳炎中的临床效果。方法选取40例3-12岁儿童分泌性中耳炎患者,将其分为两组：对照组20例38耳,采用传统Valsava法进行咽鼓管自行吹张和药物对症治疗。治疗组20例36耳,采用鼻气球吹张和药物对症治疗,每天吹张3次。治疗2-3个月后检测患者鼓室图,对比两组患者疗效。结果对照组治愈20耳,好转10耳,无效8耳。治疗组治愈27耳,好转5耳,无效4耳。两组疗效差异无统计学意义（Z=1.929,P〉0.05）,但治疗组治愈率75.00%（27/36）高于对照组的52.63%（20/38）（χ^2=5.129,P〈0.05）。结论简易鼻气球辅助治疗儿童分泌性中耳炎,简单方便,儿童容易接受和完成,治愈率高,无不良反应。Objective To study the clinical effect of the simple nasal balloon on otitis media with effusion( OME) in children. Methods Forty children aged from 3 to 12 years with OME were divided into two groups. Thecontrol group( n = 20,38 ears) received traditional Valsava maneuvers and medication. The nasal balloon assistant treatment group( n = 20,36 ears) received insufflation of the eustachian tube by nasal balloon and medication. The tymanometry and curative efficacy were compared between the two groups 2 ~ 3 months after the treatment. Results In the control group,20 ears completely recovered,10 ears improved,and 8 ears invalid,with a curative rate of52. 63% and an efficacious rate of 78. 95%. In the nasal balloon assistant treatment group,27 ears recovered completely,5 ears improved,and 4 ears invalid,with a curative rate of 75. 00% and an efficacious rate of 88. 89%.There was a significant difference in the curative rate between the two groups( P < 0. 05). Conclusion The simple nasal balloon assistant treatment is a safe and effective therapy for children with secretory otitis media.

关 键 词：分泌性中耳炎 咽鼓管吹张治疗 鼻气球 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]