气压流咽鼓管吹张法治疗小儿分泌性中耳炎的效果研究  

Study on the Effect of Pressure Flow Eustachian Tube Insufflation to Treat Pediatric Secretory Otitis Media

作　　者：谢骏[1] 陈飞翔[2] 王敏[1] 吴雄辉[1] 敬云龙[1] 赵斯君[1] 彭湘粤[1] 周娟[1] 

机构地区：[1]湖南省儿童医院耳鼻喉科,湖南长沙410007 [2]中南大学湘雅三医院肾内科,湖南长沙410007

出　　处：《临床医学工程》2017年第2期165-166,共2页Clinical Medicine & Engineering

摘　　要：目的探讨气压流咽鼓管吹张法对小儿分泌性中耳炎的治疗效果。方法选取分泌性中耳炎患儿300例,随机分为两组各150例。对照组采取传统波氏球咽鼓管吹张法联合药物治疗,观察组采取气压流咽鼓管吹张法联合药物治疗,观察并记录两组的治疗效果、听力阈值变化。结果观察组的总有效率为92.7%,显著高于对照组的74.7%,差异有统计学意义(P<0.05)。两组患儿治疗后听阈均比治疗前显著下降,且观察组的听阈显著低于对照组,差异均有统计学意义(P<0.05)。结论气压流咽鼓管吹张法治疗小儿分泌性中耳炎具有显著的效果,可明显改善患儿的听力阈值。Objective To explore the curative effect of pressure flow eustachian tube insuffiation for children with secretory otitis media. Methods 300 cases of children with secretory otitis media were randomly divided into two groups, with 150 cases in each group. The control group was treated with eustachian tube insuffiation with Politzer＇s bag combined with medicine, while the observation group was treated with pressure flow eustachian tube insuffiation combined with medicine. The curative effect and change of heating threshold were compared between two groups. Results The total effective rate of observation group was 92.7%, significantly higher than 74.7% of control group （P〈0.05）. After treatment, both groups had significantly decreased heating threshold （both P 〈0.05）, and the heating threshold of the observation group was significantly lower than that in the control group （P〈0.05）. Conclusions Pressure flow eustachian tube insuffiation for the treatment of children with secretory otitis media has significant efficacy, which can effectively improve children＇s heating threshold.

关 键 词：气压流 咽鼓管吹张法 分泌性中耳炎 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]