鼻用激素类药物治疗儿童急性分泌性中耳炎治疗的效果分析  

Analysis of the effect of nasal hormonal drugs in the treatment of acute secretory otitis media in children

作　　者：董辉 袁林 Dong Hui;Yuan Lin(Liaocheng Dongchangfu People's Hospital,Shandong,Liaocheng,252000,China)

机构地区：[1]聊城市东昌府人民医院,山东聊城252000

出　　处：《中国医学文摘(耳鼻咽喉科学)》2025年第1期18-20,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的分析儿童急性分泌性中耳炎临床治疗中鼻用激素类药物的应用效果。方法纳入医院接诊急性分泌性中耳炎儿童患者76例为研究对象,于2020年5月~2022年11月研究时间段内行临床治疗研究,选择随机数字表法划分组别为参照组、观察组,各组38例。参照组行药物口服治疗,观察组行药物口服+鼻用激素治疗。比较治疗期间患儿中耳炎症状转归用时,治疗有效率,气导平均听阈值数据差异。结果(1)观察组治疗期间耳闷、耳鸣、鼓室积液、听力障碍转归用时较参照组缩短,差异显著,P<0.05。(2)观察组临床治疗有效率高于参照组,治疗后6月内复发率低于参照组,差异显著,P<0.05。(3)观察组治疗7d后4.0kHz、2.0kHZ、1.0kHz、0.5kHz频率上气导平均听阈值较参照组降低,差异显著,P<0.05。结论儿童急性分泌性中耳炎临床治疗中配合鼻用激素类药物干预,可快速纠正患儿临床症状表现,促进听力阈值恢复,并在优化临床治疗效果同时控制疾病远期复发风险,效果显著。Objective To analyze the application effect of nasal hormonal drugs in the clinical treatment of acute secretory otitis media in children.Methods A total of 76 children with acute secretory otitis media were enrolled in the hospital,and clinical treatment was carried out during the study period from May 2020~November 2022,and the random number table method was selected to divide the groups into reference group and observation group,with 38 cases in each group.The reference group was treated with oral drug therapy,and the observation group was treated with oral drug+nasal hormone therapy.When otitis media symptoms were converted during treatment,the treatment response rate and the difference in air conduction mean hearing threshold data were compared.Results(1)The time of conversion of ear stuffiness,tinnitus,tympanic effusion and hearing impairment during the treatment period in the observation group was shortened compared with the reference group,and the difference was significant,P<0.05.(2)The clinical treatment response rate of the observation group was higher than that of the reference group,and the recurrence rate within 6 months after treatment was lower than that of the reference group,and the difference was significant,P<0.05.(3)After 7 days of treatment in the observation group,the average hearing threshold of air conduction at 4.0kHz,2.0kHZ,1.0kHz and 0.5kHz frequencies was lower than that of the reference group,and the difference was significant,P<0.05.Conclusion In the clinical treatment of acute secretory otitis media in children,combined with nasal hormonal drug intervention,it can quickly correct the clinical symptoms of children,promote the recovery of hearing threshold,and control the long-term recurrence risk of disease while optimizing the clinical treatment effect.

关 键 词：鼻用激素 儿童 急性分泌性中耳炎 听力恢复 

分 类 号：R76[医药卫生—耳鼻咽喉科]