新型颈托式受水器在外耳道冲洗中的临床应用效果研究

doi:10.6040/j.issn.1673-3770.0.2022.165

摘要/Abstract

摘要： 目的设计、制做颈托式受水器,并探讨其在外耳道冲洗中的应用效果。方法将201例耵聍栓塞、真菌性外耳炎需外耳道冲洗的门诊患者,按照随机数字表格法分为观察组(101例)和对照组(100例)。观察组采用新型颈托式受水器行外耳道冲洗,对照组采用传统的金属弯盘受水行外耳道冲洗。结果观察组冲洗时间(P<0.001)、患者的舒适程度(P<0.001)、患者遵医配合度(P=0.013)、患者的满意度(P=0.017),以上4项观察指标观察组均高于对照组。漏水量对照组与观察组比较差异无统计学意义(P=0.78)。结论采用新型颈托式受水器进行外耳道冲洗盛水,可提高工作效率、增加患者的舒适感,使患者满意,增加患者的依从性,尤其适合患儿使用,值得临床推广。

关键词: 外耳道, 冲洗, 新型, 受水器, 临床应用

Abstract: Objective To design and manufacture a neck brace water receiver and discuss its effect on external auditory canal irrigation. Methods A total of 201 outpatients with cerumen embolism and external auditory canal infection needing external auditory canal irrigation were randomly divided into an observation group(101 cases)and a control group(100 cases). In the observation group, the external auditory canal was irrigated with a new neck brace. However, the external auditory canal was irrigated with a metal bent plate in the control group. Results The flushing time(P<0.001), patient comfort(P<0.001), compliance degree(P=0.013), satisfaction(P=0.017). in the observation group were all higher than in the control group. The difference in water leakage was not statistically significant between both groups(P=0.78). Conclusion The new neck support water receiver for external auditory canal flushing water can improve work efficiency, increase patient comfort and satisfaction, and increase patient compliance; it is especially suitable for children and worthy of clinical promotion.

Key words: External auditory canal, Irrigation, New type, Water receiver, Clinical application

中图分类号:

R764.1

张华秀,刘琴,罗五根,杨健, 陈灵云. 新型颈托式受水器在外耳道冲洗中的临床应用效果研究[J]. 山东大学耳鼻喉眼学报, 2023, 37(3): 7-10.

ZHANG Huaxiu, LIU Qin, LUO Wugen, YANG Jian, CHEN Lingyun. Clinical effect of new neck brace receiver in external auditory canal irrigation[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 7-10.

参考文献

[1] 陈晓霞, 黄宇娟, 陈泽华, 等. 新式耳道冲洗器在耵聍栓塞需外耳道冲洗的门诊患者中的应用[J]. 护理实践与研究, 2017, 14(23): 77-78. doi: 10.3969/j.issn.1672-9676.2017.23.031 CHEN Xiaoxia, HUANG Yujuan, CHEN Zehua, et al. The application of new type acoustic meatus irrigator in out-patients with ceruminal impaction requiring external acoustic meatus irrigation[J]. Nursing Practice and Research, 2017, 14(23): 77-78. doi: 10.3969/j.issn.1672-9676.2017.23.031
[2] 赵黎阳. 外耳道冲洗联合派瑞松布药治疗霉菌性外耳道炎效果观察[J]. 中国现代药物应用, 2018, 12(22): 99-100. doi:10.14164/j.cnki.cn11-5581/r.2018.22.055 ZHAO Liyang. Effect of external auditory canal irrigation combined with Pevisone in the treatment of mycotic otitis externa[J]. Chinese Journal of Modern Drug Application, 2018, 12(22): 99-100. doi:10.14164/j.cnki.cn11-5581/r.2018.22.055
[3] 操润琴, 李颖芳. 改良式冲洗器治疗外耳道狭窄耵聍栓塞患者的临床效果[J]. 中国当代医药, 2018, 25(23): 145-147. doi: 10.3969/j.issn.1674-4721.2018.23.043 CAO Runqin, LI Yingfang. Clinical effect of modified irrigator in the treatment of patients with ceruminal embolism due to Stenosis of external auditory canal[J]. China Modern Medicine, 2018, 25(23): 145-147. doi: 10.3969/j.issn.1674-4721.2018.23.043
[4] 张靖华, 吴丽萍, 陈英武. 自制外耳道冲洗器在外耳道疾病诊治中的应用[J]. 中国耳鼻咽喉头颈外科, 2017, 24(1): 44-45. doi:10.16066/j.1672-7002.2017.01.011
[5] 黄敏, 彭明先, 周密, 等. 可照明外耳道冲洗器的设计与应用[J]. 护理学杂志, 2015, 30(18): 98-100. doi: 10.3870/hlxzz.2015.18.098 HUANG Min, PENG Mingxian, ZHOU Mi, et al. Design and application of a lighting ear irrigation device[J]. Journal of Nursing Science, 2015, 30(18): 98-100. doi: 10.3870/hlxzz.2015.18.098
[6] 张华秀, 张达颖, 曹新添, 等. 简易颈椎枕在三叉神经半月节射频热凝术中的应用研究[J]. 实用临床医学, 2020, 21(9): 60-62. doi:10.13764/j.cnki.lcsy.2020.09.020 ZHANG Huaxiu, ZHANG Daying, CAO Xintian, et al. Application of simple cervical pillow in radiofrequency thermocoagulation of trigeminal semilunar ganglion[J]. Practical Clinical Medicine, 2020, 21(9): 60-62. doi:10.13764/j.cnki.lcsy.2020.09.020
[7] 陈凤明, 曾国庆, 苏怡, 等. 改良式外耳道冲洗器的临床价值研究[J]. 齐齐哈尔医学院学报, 2020, 41(8): 986-988. doi: 10.3969/j.issn.1002-1256.2020.08.023 CHEN Fengming, Zeng Guoqing, Su Yi, et al. Study on the clinical value of modified external auditory canal irrigator[J]. Journal of Qiqihar Medical University, 2020, 41(8): 986-988. doi: 10.3969/j.issn.1002-1256.2020.08.023
[8] Bechraoui Rim, Dhaha Mohamed, Chahed Houda, et al. Epidemiology and predictive factors of fungal malignant otitis externa[J]. Indian J Otol, 2019, 25(1): 1-5. doi: 10.4103/indianjotol.INDIANJOTOL_76_18
[9] 李希曼, 柳炯, 陈红胜. 面对面环抱式坐姿在小儿外耳道冲洗中的效果分析[J]. 中国实用护理杂志, 2020, 36(4): 280-283. doi:10.3760/cma.j.issn.1672-7088.2020.04.009 LI Ximan, LIU Jiong, CHEN Hongsheng. Analysis of the effect of face-to-face embracing posture in the washing of external auditory canal in children[J]. Chinese Journal of Practical Nursing, 2020, 36(4): 280-283. doi:10.3760/cma.j.issn.1672-7088.2020.04.009
[10] 王露. 霉菌性外耳道炎患者接受耳内镜下外耳道冲洗联合酮康唑纱条治疗的临床效果[J]. 当代医学, 2022, 28(3): 30-32. doi: 10.3969/j.issn.1009-4393.2022.03.012 WANG Lu. Clinical observation of patients with fungal otitis externa receiving combined treatment of external ear canal irrigation and ketoconazole gauze under otoscope[J]. Contemporary Medicine, 2022, 28(3): 30-32. doi: 10.3969/j.issn.1009-4393.2022.03.012
[11] 潘洁红. 耳内镜下外耳道冲洗联合派瑞松布药治疗霉菌性外耳道炎疗效观察[J]. 中国社区医师(医学专业), 2011, 13(9): 149-150. doi:10.3969/j.issn.1007-614x.2011.09.146
[12] 林颖. 耳内镜下外耳道冲洗联合醋酸曲安奈德益康唑乳膏治疗真菌性外耳道炎的临床效果[J]. 临床合理用药杂志, 2021, 14(17): 33-35. doi:10.15887/j.cnki.13-1389/r.2021.17.012 LIN Ying. Clinical effect of external ear canal irrigation under otoscope combined with triamcinolone acetonide and econazole cream in the treatment of fungal otitis externa[J]. Chinese Journal of Clinical Rational Drug Use, 2021, 14(17): 33-35. doi:10.15887/j.cnki.13-1389/r.2021.17.012
[13] 董燕. 超短波并药物治疗外耳道炎疗效观察[J]. 山东大学耳鼻喉眼学报, 2006, 20(5): 473. doi: 10.3969/j.issn.1673-3770.2006.05.034
[14] 骆小青, 卢文, 潘杰慈. 眼科受水器在外耳道冲洗中的应用[J]. 当代操作者(中旬刊), 2013(3): 133-134.
[15] 佟欣, 王咏丽, 袁建军, 等. 小儿外耳道耵聍栓塞取出的临床体会[J]. 中国耳鼻咽喉颅底外科杂志, 2014, 20(5): 458. doi: 10.11798/j.issn.1007-1520.201405022

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