摘要
目的探讨鼻腔冲洗对婴幼儿分泌性中耳炎的临床疗效。方法选择2013年2月至2014年2月期间我院门诊确诊分泌性中耳炎患儿128例180耳为研究对象,将其随机分为对照组和观察组两组各64例患儿(各90耳),对照组采取常规治疗,观察组给予高渗盐水200 m L(清诺,内含3%高渗盐水)喷鼻腔,3次/日,连续4周,同时辅以桉柠蒎及鼻炎合剂口服;治疗4周后,分别检查鼓膜情况并行声导抗、纯音听力检测及纤维鼻咽镜检查,分析比较两组患儿的临床疗效。结果 4周后,每组各有9例患儿未能坚持治疗失去随访。观察组患儿中总有效率为93.59%,对照组总有效率为73.08%,观察组总有效率高于对照组,差异具有统计学意义(P<0.05)。结论鼻腔冲洗能改善鼻咽部局部环境,促进咽鼓管功能恢复,可有效治疗婴幼儿分泌性中耳炎。
Objective To explore the clinical efficacy of nasal cavity irrigation for treatment of secretory otitis media in infants. Methods 128 cases of infants with secretory otitis media （180 ears） in our hospital from February 2013 to February 2014 were selected and randomly divided into two groups, with 64 cases （90 ears） in each group. The control group was given routine therapy, while the observation group was given nasal cavity irrigation. After 4 weeks of therapy, the eardrum examination, tympanometry test, pure tone hearing test and fiber nasopharyngoscopy were taken, and the clinical effects of two groups were compared. Results After 4 weeks, follow-up of 9 cases of control group and 9 cases of observation group were discontinued. The total effective rate of observation group was 93.59%, significantly higher than 73.08% of control group （P 〈0.05）. Conclusions Nasal cavity irrigation has significant efficacy for the treatment of secretory otitis media in infants, which can effectively improve local environment of nasopharynx, and promote recovery of eustachian tube function.
出处
《临床医学工程》
2015年第5期584-585,共2页
Clinical Medicine & Engineering
关键词
鼻腔冲洗
婴幼儿
分泌性中耳炎
疗效分析
Nasal cavity irrigation
Infant
Secretory otitis media
Efficacy analysis
