山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (1): 65-67.doi: 10.6040/j.issn.1673-3770.0.2017.377

• ·论著· • 上一篇    下一篇

布地奈德体位滴鼻治疗伴腺样体肥大的小儿分泌性中耳炎31例

谢日林,张志平   

  1. 阳高县人民医院耳鼻喉科, 山西 阳高 038100
  • 收稿日期:2017-09-06 出版日期:2018-01-20 发布日期:2018-01-20
  • 通讯作者: 张志平. E-mail:Kouxuegong@163.com

Budesonide nasal drops in head extension position improve otitis media with effusion in children with adenoid hypertrophy: a case-study of 31 patients

XIE Rilin, ZHANG Zhiping   

  1. Department of Otolaryngology, The Peoples Hospital of Yanggao, Yanggao 038100, Shanxi, China
  • Received:2017-09-06 Online:2018-01-20 Published:2018-01-20

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摘要： 目的 探讨布地奈德体位滴鼻治疗伴有腺样体肥大的小儿分泌性中耳炎的疗效。 方法 选取伴腺样体肥大的分泌性中耳炎患儿62例作为研究对象,按治疗方法不同分为治疗组和对照组,每组各31例,治疗组予布地奈德体位滴鼻,对照组行等待观察,对两组临床效果进行分析比较。 结果 治疗组有效率为83.87%,对照组有效率为61.29%,差异有统计学意义(P<0.05)。 结论 布地奈德体位滴鼻在治疗伴有腺样体肥大的小儿分泌性中耳炎中疗效显著,局部应用不良反应小。

关键词: 分泌性中耳炎, 腺样体肥大, 体位滴鼻, 布地奈德

Abstract: Objective To evaluate the efficacy of budesonide nasal drops administered in the head extension position for the treatment of otitis media with effusion(OME)in children with adenoid hypertrophy. Methods Sixty-two patients with OME accompanied by adenoid hypertrophy were included in this study and were divided into a treatment and a control group. The 31 patients in the treatment group received budesonide nasal drops in the head extension position while the 31 patients in the control group underwent watchful waiting. Electro-otoscopy and acoustic impedance audiometry were performed every 2 weeks. The efficacy of treatment was compared between the groups. Results The efficacy of budesonide nasal drops was 83.87% while that of the control group treatment was 61.29%, with a significant difference between the two management approaches(P<0.05). Conclusion It is highly efficient to administer budesonide nasal drops in the head extension position to treat OME in children with adenoid hypertrophy.

Key words: Otitis media with effusion, Adenoid hypertrophy, Nasal drops in head extension position, Budesonide

中图分类号: 

  • R764.21
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