咽鼓管压力雾化吹张治疗成年人急性分泌性中耳炎的临床疗效评估  

Clinical efficacy of eustachian tube pressure nebulization and insufflation system in the treatment of acute otitis media with effusion in adults

作　　者：杨静 陈默 王梓敬 来佑青 杨阳 彭本刚 YANG Jing;CHEN Mo;WANG Zijing;LAI Youqing;YANG Yang;PENG Bengang(Department of Otolaryngology,Beijing Jishuitan Hospital,Capital Medical University,Beijing,102200,China)

机构地区：[1]首都医科大学附属北京积水潭医院耳鼻咽喉科,北京102200

出　　处：《中国耳鼻咽喉头颈外科》2024年第9期565-568,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的比较咽鼓管压力雾化吹张及常规药物对成年人急性分泌性中耳炎(OME)的治疗效果。方法纳入60耳成年人急性OME患者,平均分为口服药物组和药物联合雾化组。口服药物组口服抗菌药物、黏液促排剂、抗过敏药物及鼻喷激素、鼻腔黏膜收缩剂治疗,药物联合雾化组予以克林霉素+地塞米松咽鼓管压力雾化吹张联合药物治疗。疗程7 d,比较治疗前后咽鼓管评分、咽鼓管功能障碍问卷及相关听力检查结果评估疗效。结果口服药物组治愈6耳,好转10耳,总有效率53.3%;药物联合雾化组治愈17耳,好转9耳,总有效率86.7%。两组患者均未见并发症或不良反应。结论咽鼓管压力雾化吹张联合药物治疗的有效率明显高于单纯药物治疗,可以作为有效治疗成年人急性OME的新选择。OBJECTIVE To compare t he efficacy of Eustachian t ube pressure nebulization a nd i nsufflation system and conventional drugs on acute otitis media of effusion in adults.METHODS Sixty ears of acute otitis media of effusion in our hospital were selected as the research objects.All patients were divided into two groups according to the treatment,which received drug therapy alone and received drug therapy and nebulizer therapy.The course lasted for 7 days.ETS,ETDQ-7,related hearing tests(acoustic immitance and pure tone threshold),and the therapeutic effect were compared among the three groups.RESULTS In drug therapy alone group,6 ears were cured,10 ears were improved,and the total effective rate was 53.3%.In drug therapy and nebulizer therapy group,17 ears were cured,9 ears were improved,and the total effective rate was 86.7%.There were no complications or adverse reactions in all patients.CONCLUSION The effective rate of the patients treated with Eustachian tube pressure nebulization and insufflation system combined drug therapy was significantly higher than that of drug therapy alone.On the basis of conventional drug therapy combined with eustachian tube pressure nebulization and insufflation system might can be a new effective choice for acute otitis media of effusion in adults.

关 键 词：中耳炎 咽鼓管 分泌性中耳炎 咽鼓管功能障碍 咽鼓管吹张 雾化治疗 

分 类 号：R764.21[医药卫生—耳鼻咽喉科]