咽鼓管吹张注入地塞米松结合口服药物治疗复发性分泌性中耳炎的临床观察  

Clinical observation on the treatment of recurrent secretory otitis media by eustachian tube insufflation injection of dexamethasone combined with oral drugs

作　　者：陆雪 王鑫霞 肖楚志 Lu Xue;Wang Xinxia;Xiao Chuzhi(Department of Otolaryngology-Head and Neck Surgery ^the People7s Hospital {Group') ofYantian District,Shenzhen 518083 ,Guangdong, China)

机构地区：[1]广东省深圳市盐田区人民医院(集团)耳鼻咽喉头颈外科,广东深圳518083

出　　处：《右江民族医学院学报》2018年第6期563-565,573,共4页Journal of Youjiang Medical University for Nationalities

摘　　要：目的探究复发性分泌性中耳炎患者患者采用咽鼓管吹张注入地塞米松结合口服药物进行治疗的临床效果。方法本研究选取2014年1月—2016年6月期间在本院进行治疗的65例复发性分泌性中耳炎患者作为研究对象,根据给予患者临床治疗方案的不同,将所有患者分为对照组和实验组。其中对照组(32例,37耳)患者仅采用口服用药治疗法进行治疗,实验组(33例,41耳)患者采用咽鼓管吹张注入地塞米松结合口服药物治疗法进行治疗。治疗结束后,对比两组患者的临床治疗效果、患者的鼓室图变化以及纯音听阈测试气导平均阈值。结果实验组患者的临床治疗有效率(87.80%)显著高于对照组(64.86%),差异有统计学意义(P <0.05)。治疗后,实验组患者的鼓室图A型恢复比例(53.66%)高于对照组(29.73%);实验组患者的纯音听阈测试气导平均阈值的改善程度显著优于对照组,且其治疗后的复发率显著低于对照组患者,差异均具有统计学意义(P <0.05)。结论对复发性分泌性中耳炎患者采用咽鼓管吹张注入地塞米松结合口服药物治疗能显著提高患者的临床治疗效果,并降低患者治疗后的复发率,值得临床推广应用。Objective To investigate the clinical effects of eustachian tube insufflation injection of dexamethasone combined with oral drugs in treating recurrent secretory otitis media. Methods In this study,65 patients with recurrent secretory otitis media treated in our hospital from January 2014 to June 2016 were selected as subjects.All patients were randomly divided into the control group(32 cases,37 ears)and the experimental group(33 cases,41 ears)according to the different clinical treatment scheme that patients received.Patients in the control group were treated with oral drugs only,while patients in the experimental group were treated with eustachian tube insufflation and with injection of dexamethasone combined with oral drugs.The clinical treatment effect,tympanogram changes and the mean value of pure tone hearing threshold in pure tone test were compared between the two groups after treatment. Results The clinical treatment effect of the experimental group(87.80%)was significantly higher than that of the control group(64.86%),and the difference was statistically significant(P <0.05).The recovery rate of tympanogram type A was 53.66%in the experimental group and 29.73%in the control group after treatment.In the experimental group,the improvement degree of the average gas conductivity threshold measured by pure tone auditory threshold test was significantly better than that of the control group,the recurrence rate after treatment was significantly lower than that of the control group,and the differences were statistically significant(P <0.05). Conclusion The treatment of recurrent secretory otitis media patients with eustachian tube insufflation injection of dexamethasone combined with oral drugs can significantly improve the clinical treatment effects and reduce the recurrence rate of patients after treatment and it is worthy of clinical wide application.

关 键 词：伴渗出液中耳炎 咽鼓管吹张术 地塞米松 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]