咽喉反流相关中耳炎1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2024.052

摘要/Abstract

摘要： 目的探讨反流相关中耳炎的临床特点及诊治方案。方法回顾1例反流相关中耳炎患者病历资料,患者因咳嗽、左耳闷院就诊,行量表评估、pH检测提示咽喉反流,鼓膜穿刺液检测出胃蛋白酶,予以抑酸、改善胃动力、抗过敏、稳定气道、鼻喷激素、促排以及雾化吸入等治疗。结果 3个月后患者症状消失,检测结果正常。检索相关国内外文献分析其发病原因、咽喉反流对气道影响等。结论在反复发作的分泌性中耳炎、鼻窦炎及慢性肺部疾病中,咽喉反流可能参与其发病过程。

关键词: 分泌性中耳炎, 咽喉反流性疾病, 胃蛋白酶, 胃食管反流, pH监测

Abstract: Objective To investigate the clinical characteristics, diagnosis and treatment of reflux-associated otitis media. Methods A case of reflux-associated otitis media was reviewed. The patient presented to our hospital with cough and left ear fullness. Laryngopharyngeal reflux was suggested by scale evaluation, pH monitoring, and pepsin was detected in tympanic puncture fluid. The patient was treated with acid inhibition, gastric motility improvement, antiallergics, airway stabilisation, nasal hormone spray, evacuation and atomised inhalation. Results Three months later, the patient's symptoms had disappeared and the test results were normal. The relevant national and international literature was searched to analyse the causes of the disease and the effect of laryngopharyngeal reflux on the airway. Conclusion Laryngopharyngeal reflux may be involved in the pathogenesis of recurrent secretory otitis media, sinusitis and chronic lung disease.

Key words: Secretory otitis media, Pharyngeal reflux disease, Pepsin, Gastro-oesophageal reflux, pH monitoring

中图分类号:

R766.5

周莹,王刚,王磊,张晓丽,韩浩伦,李保卫,孙喆喆,吴玮. 咽喉反流相关中耳炎1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(6): 131-135.

ZHOU Ying, WANG Gang, WANG Lei, ZHANG Xiaoli, HAN Haolun, LI Baowei, SUN Zhezhe, WU Wei. A case of otitis media associated with pharyngeal reflux with literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(6): 131-135.

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