分泌性中耳炎采用地塞米松鼓室灌注治疗对听力的改善效果  

Effect of dexamethasone tympanic perfusion on hearing improvement in secretory otitis media

作　　者：叶继才 陈秋恒 李琴 金焕庭 Ye Jicai;Chen Qiuheng;Li Qin;Jin Huanting(Department of ENT,People’s Hospital of Gaoyao District,Zhaoqing City.Zhaoqing,Guangdong,526040,China)

机构地区：[1]肇庆市高要区人民医院,广东肇庆526040

出　　处：《中国医学文摘（耳鼻咽喉科学）》2021年第4期42-43,55,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的探究地塞米松鼓室灌注治疗分泌性中耳炎对听力改善的影响。方法选择我院收治的80例分泌性中耳炎患者作为研究对象,病例收集时间为2018年9月至2020年9月,随机分成两组,一组接受鼓膜穿刺治疗纳入对照组,另一组在鼓膜穿刺治疗基础上采用地塞米松鼓室灌注治疗,对比两组临床治疗效果以及对患者听力改善的情况。结果两组临床治疗效果比较,观察组治疗有效率为95.00%,相比于对照组治疗有效率80.00%差异显著,具有统计学意义,P<0.05。观察组与对照组患者治疗后不同频率听阈值相比,观察组0.5kHz、1.0kHz、2.0kHz频率下听阈值均优于对照组,数据差异显著,存在统计学意义,P<0.05。结论在分泌性中耳炎临床治疗中采用地塞米松鼓室灌注治疗可以提高鼓膜穿刺治疗的整体疗效,同时对改善患者听力水平有明显促进作用,应该在临床上进行推广与普及应用。Objective To investigate the effect of dexamethasone tympanic perfusion on hearing improvement of secretory otitis media. Methods From September 2018 to September 2020,80 patients with secretory otitis media were randomly divided into two groups, one group was treated with tympanic membrane puncture and the other group was treated with dexamethasone tympanic perfusion on the basis of tympanic membrane puncture. Results Compared with the control group, the effective rate of treatment in the observation group was 95.00, which was significantly different from that in the control group, with statistical significance, P<0.05. The hearing threshold of 0.5 kHz、1.0 kHz、2.0 kHz frequency in the observation group was better than that in the control group, and the data difference was significant, P<0.05. Conclusion The application of dexamethasone tympanic perfusion in the clinical treatment of secretory otitis media can improve the overall curative effect of tympanic membrane puncture and improve the hearing level of patients. It should be popularized and popularized in clinic.

关 键 词：分泌性中耳炎 鼓膜穿刺 地塞米松 鼓室灌注 听力 疗效 

分 类 号：R76[医药卫生—耳鼻咽喉科]