微波联合碳酸氢钠注射液浸泡及外耳道冲洗治疗真菌性外耳道炎的效果  

Auditory Canal Washing in the Treatment of Fungal Otitis Externa

作　　者：陈朝荣 Chen Chaorong(Qiannan Buyi and Miao Autonomous Prefecture Weng'an County Hospital of Traditional Chinese Medicine,Qiannan Buyi and Miao Autonomous Prefecture 550400,Guizhou Province,China)

机构地区：[1]黔南布依族苗族自治州瓮安县中医院,贵州黔南布依族苗族自治州550400

出　　处：《中外医药研究》2024年第5期3-5,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探究微波联合碳酸氢钠注射液浸泡及外耳道冲洗治疗真菌性外耳道炎的效果。方法:选取2022年1月—2023年6月黔南布依族苗族自治州瓮安县中医院收治的真菌性外耳道炎患者70例为研究对象,采用单双号法将患者分为观察组和对照组,各35例。对照组采用碳酸氢钠注射液浸泡联合外耳道冲洗治疗,观察组采用微波联合碳酸氢钠注射液浸泡及外耳道冲洗治疗。比较两组治疗前后白细胞介素-6(IL-6)、C反应蛋白(CRP)水平、治疗总有效率及不良反应发生率。结果:治疗前,两组IL-6、CRP水平比较,差异无统计学意义(P>0.05);治疗后,两组IL-6、CRP水平降低,观察组IL-6、CRP水平低于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P=0.023)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:应用碳酸氢钠注射液浸泡、冲洗外耳道联合微波治疗真菌性外耳道炎效果较好,可有效改善机体内炎性因子水平。Objective:To explore the effect of microwave combined with sodium bicarbonate injection soaking and external auditory canal washing on fungal otitis externa.Methods:Seventy patients with fungal otitis externa treated in Qiannan Buyi and Miao Autonomous Prefecture Weng'an County Hospital of Traditional Chinese Medicine from January 2022 to June 2023 were selected as the study objects.The patients were divided into observation group and control group by odd-even number method,with thirty-five cases in each group.The control group was treated with sodium bicarbonate injection soaking combined with external auditory canal washing,and the observation group was treated with microwave combined with sodium bicarbonate injection soaking and external auditory canal washing.The levels of interleukin-6(IL-6),C-reactive protein(CRP),the total effective rate and the incidence of adverse reactions were compared between the two groups before and after treatment.Results:Before treatment,there was no significant difference in IL-6 and CRP levels between the two groups(P>0.05);after treatment,the levels of IL-6 and CRP in the two groups were decreased,and the levels of IL-6 and CRP in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P=0.023).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The treatment of fungal otitis externa with sodium bicarbonate injection soaking the external auditory canal,washing the external auditory canal combined with microwave is effective,which can effectively improve the level of inflammatory factors in the body.

关 键 词：真菌性外耳道炎 碳酸氢钠注射液 外耳道冲洗 微波治疗 

分 类 号：R764.11[医药卫生—耳鼻咽喉科]