鼻内镜下咽鼓管置管联合鼓室清窍汤冲洗治疗慢性分泌性中耳炎临床研究  

Clinical Study of Eustachian Tube Indwelled Under Nasal Endoscopy Combined with Gushiqingqiao Decoction in Treating Chronic Secretory Otitis Media

作　　者：李建涛[1] 孙毓晗[1] 徐艳敏[1] 米光熙[1] Li Jiantao Sun Yuhan Xu Yanmin Mi Guangxi(Hongqi Hospital Affiliated to Mudanfiang Medical University, Mudanjiang, Heilongjiang, China 157011)

机构地区：[1]牡丹江医学院附属红旗医院,黑龙江牡丹江157011

出　　处：《中国药业》2017年第15期43-45,共3页China Pharmaceuticals

摘　　要：目的探讨鼻内镜下咽鼓管置管联合鼓室清窍汤冲洗治疗慢性分泌性中耳炎的临床疗效。方法选择2015年5月至2016年1月收治的慢性分泌性中耳炎患者80例,按随机数字表法分为两组,各40例。常规组患者行鼓膜切开置管手术治疗,治疗组患者行鼻内镜下咽鼓管置管联合鼓室清窍汤冲洗治疗。结果治疗组总有效率显著高于常规组(P<0.05),半年复发率低于常规组(P<0.05)。干预前,两组患者听力损失水平、生活质量(QOL)评分相近(P>0.05),出院时治疗组患者评分优于常规组患者(P<0.05)。结论鼻内镜下咽鼓管置管联合鼓室清窍汤冲洗治疗慢性分泌性中耳炎临床疗效确切,可有效改善患者的听力,降低复发率,促进患者生活质量改善,值得临床推广。Objective To investigate the clinical effect of eustachian tube indwelled under nasal endoscopy combined with Gushiqingqiao Decoction for treating chronic secretory otitis media.Methods A total of 80 patients with chronic secretory otitis media from May 2015 to January 2016 were randomly divided into two groups,40 cases in each group.The conventional group was treated with the operation of tympanic membrane incision and intubation,on this basis,the treatment group was rinsed with Gushiqingqiao Decoction.Results The total effective rate of the treatment group was significantly higher than that of the conventional group（P 〈 0.05）,and the recurrence rate of the treatment group was significantly lower than that of the conventional group in the half year（P 〈 0.05）.Before the intervention,the hearing loss level and QOL score in the two groups were similar（P 〉 0.05）.At the time of discharge,the QOL score of the treatment group were better than that of the conventional group（P 〈 0.05）.Conclusion Eustachian tube indwelled under nasal endoscopy combined with Gushiqingqiao Decoction for treating chronic secretory otitis media has good effect,it can effectively improve the hearing of patients,reduce the recurrence rate,promote the improvement of the patients’ quality of life,it is worthy of clinical promotion.

关 键 词：鼻内镜 咽鼓管置管 鼓室清窍汤冲洗 慢性分泌性中耳炎 

分 类 号：R285.6[医药卫生—中药学] R276.1[医药卫生—中医学]