不同方法治疗成人分泌性中耳炎对比评价86例

山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (1): 58-59.

不同方法治疗成人分泌性中耳炎对比评价86例

孙丽华1,赵新涛2

1.大连大学门诊部耳鼻喉科，辽宁大连 116622; 2.中共山东省委机关医院，济南 250001

收稿日期:2011-07-10 出版日期:2012-02-16 发布日期:2012-02-16
作者简介:孙丽华。 Email:slh-slh@163.com

Comparison of different methods in the treatment of adult secretory otitis media (86 cases report)

SUN Li-hua2, ZHAO Xin-tao2.

1. Department of Otolaryngology of Outpatient Department, Dalian University, Dalian 116622, China; 2. Hospital of Shandong Provincial Party Committee, Jinan 250001, China

Received:2011-07-10 Online:2012-02-16 Published:2012-02-16

摘要/Abstract

摘要：

目的探讨不同方案治疗成人分泌性中耳炎（SOM）的疗效差异，并分别进行评价。方法对成人SOM患者86例（92耳）随机分成2组，研究组46例（49耳）采用综合方法治疗，口服头孢他美酯、糖皮质激素、稀化黏素等药物，1%呋麻滴鼻液滴鼻，鼓膜穿刺抽液并注入（地塞米松+ɑ糜蛋白酶），咽鼓管吹张术治疗。对照组40例（43耳）采用常规治疗，口服头孢氨苄、糖皮质激素、稀化黏素等药物，1%呋麻滴鼻液滴鼻，鼓膜穿刺抽液治疗。结果研究组总有效率98%，对照组总有效率81.4%，两组比较差异有统计学意义（P＜0.05），两组患者治疗中均无不良反应。结论综合方案治疗成人SOM疗效显著，值得推广。

关键词: 分泌性中耳炎;综合治疗;鼓膜穿刺术;鼓室注药;咽鼓管吹张

Abstract:

Objective To explore and evaluate the efficacy of different treatments in adult secretory otitis media (SOM). Method The 86 adult SOM patients（92 ears）were divided into two groups randomly. We used an integrated approach for 46 patietns in the experiment group, including oral cefetamet pivoxil hydrchloride tablets, glucocorticoids, Myrtol Standardized, 1% ephedrine furacilline solution nasal drops, tympanic drainning with the injection of dexamethasone plus ɑ-chymotrypsin, and eustachian tube insufflation. The control group，in which 40 patients (43ears) enrolled, was treated with conventional therapy, such as oral cephalexin,glucocorticoids,Myrtol Standardized, 1% ephedrine furacilline solution nasal drops, paracentesis treatment of tympanum. Results Total efficiency of the experiment group was 98%, while that of the control was 81.4% (P<0.05). There was no adverse reaction in both groups. Conclusion Comprehensive treatment of adult SOM effect is significant, which is worth promotion.

Key words: Secretory otitis media; Integrated treatment; Paracentesis of tympanum; Intratympanic injection administration; Eustachian tube insufflation

中图分类号:

R764.2

孙丽华1,赵新涛2. 不同方法治疗成人分泌性中耳炎对比评价86例[J]. 山东大学耳鼻喉眼学报, 2012, 26(1): 58-59.

SUN Li-hua2, ZHAO Xin-tao2. . Comparison of different methods in the treatment of adult secretory otitis media (86 cases report)[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(1): 58-59.

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