两种治疗方法对分泌性中耳炎患儿的疗效分析  

Analysis of curative effect of two therapeutic methods on children with secretory otitis media

作　　者：徐春爽 白文忠 李艳[1] XU Chun-shuang;BAI Wen-zhong;LI Yan(Tangshan Gongren Hospital,Tangshan,Heibei 063000,China)

机构地区：[1]唐山市工人医院门诊部,河北唐山063000

出　　处：《中华医院感染学杂志》2020年第4期596-599,共4页Chinese Journal of Nosocomiology

基　　金：河北省卫健委医学重点基金资助项目(20191573)。

摘　　要：目的探讨并比较常规和优化两种方式治疗儿童分泌性中耳炎的临床效果,为临床儿童分泌性中耳炎的有效治疗提供参考。方法按照两种治疗干预方式,回顾性1∶1随机选取2017年1月-2018年12月唐山市工人医院收治的分泌性中耳炎患儿104例为研究对象,分为治疗A组和治疗B组,各52例。两组均予以常规护理干预,A组采用常规治疗手段,单纯给予鼓膜置管术进行治疗,B组采用优化治疗手段,给予腺样体切除联合鼓膜置管术进行治疗。以治疗有效率、术后手术切口感染率、术后复发率为评价指标,比较分析两组临床治疗效果。结果治疗B组疗效优于治疗A组(P=0.029),术后感染率(0%,0/52)低于A组(11.54%,6/52),差异有统计学意义(P=0.012)。两组术后3个月复发率差异无统计学意义(P=0.310),但治疗B组术后6个月、12个月的复发率均低于治疗A组(P<0.05)。结论与常规治疗方式相比,腺样体切除联合鼓膜置管术治疗儿童分泌性中耳炎的临床效果较好,治疗有效率较高,且可有效减少术后感染和复发情况,具有一定的临床价值。OBJECTIVE To explore and compare the clinical effect of two ways of treatment:conventional and optimized treatment in children with secretory otitis media,so as to provide reference for the effective treatment of children with secretory otitis media.METHODS In the two treatement interventions,a total of 104 children with secretory otitis media admitted to Tangshan workers’hospital from Jan.2017 to Dec.2018 were retrospective(1:1)randomly selected as the study objects,and divided into treatment group A and treatment group B,with 52 cases in each group.Both groups were given routine nursing intervention.Group A received conventional treatment,simply gave tympanic membrane catheterization.Group B received optimized treatment,adenoidectomy combined with tympanic membrane catheterization.The effective rate of treatment,postoperative infection rate of incision and postoperative recurrence rate were used as evaluation indexes to compare and analyze the clinical treatment effect of the two groups.RESULTS The total effective rate of group B was significantly better than that of group A(P=0.029),and the postoperative infection rate(0%,0/52)was significantly lower than that of the group A(11.54%,6/52),(P=0.012).There was no significant difference in the recurrence rate at 3 months after operation between the two groups(P=0.310),but the recurrence rate at 6 and 12 months after operation in group B was significantly lower than that in group A(P<0.05).CONCLUSION Compared with the conventional treatment(tympanic membrane catheterization and conventional nursing measures),adenoidectomy combined with tympanic membrane catheterization and targeted nursing measures had a better clinical effect on pediatric secretory otitis media,with a higher effective rate,and can effectively reduce the postoperative infection and recurrence in patients,which can be widely used in the future clinical treatment.

关 键 词：分泌性中耳炎 腺样体切除术 鼓膜置管术 复发 感染 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]