目的：探讨在分泌性中耳炎（SOM）治疗中，鼻内镜下咽鼓管吹张注药联合激素、抗生素用药的临床效果。方法选取我院2013年1月~2014年10月接诊的SOM患者65例，根据患者病情将其分为观察组（33例）与对照组（32例）；观察组采用鼻内镜下咽鼓管吹张注药联合口服用药治疗，对照组采用口服用药治疗。经1个月治疗，观测两组临床效果、鼓室图变化、纯音听阀测试气道平均阀值、并发症及不良反应。结果两组总有效率比较（90. 24%vs62. 16%）差异有统计学意义（P<0. 05）；两组鼓室图A型恢复比例比较（53. 66%vs29. 73%）差异有统计学意义（P<0. 05）；治疗后，两组纯音听阀测试结果比较（20. 63±2. 52vs26. 92±2. 95）差异有统计学意义（P<0. 05）；观察组1例一过性眩晕；两组复发率比较（4. 88%vs13. 51%）差异无统计学意义（P>0. 05）。结论鼻内镜下咽鼓管吹张注药联合常规治疗方法，对分泌性中耳炎具有明确的临床治疗效果，值得临床推广。%Objective To explore the clinical effects of eustachian tube insufflation via nasal endoscopy combined with administration of hormone and antibiotics in treating secretory otitis media (SOM). Methods A total of 65 patients with SOM who were admitted to our hospital from January 2013 to October 2014 were selected. They were randomly allocat-ed to an observation group (33 patients) and a control group (32 patients) according to their conditions. The observation group was given eustachian tube insufflation via nasal endoscopy combined with oral administration, while the control group was given oral administration. After one-month treatment, clinical effects, changes of tympanogram, airway aver-age threshold measured by pure tone audiometry testing, complications and adverse events between the two groups were observed. Results The difference of total effective rate in the two groups (90.24%vs 62.16%) was statistically significant (P<0.05);proportion of type A recovery of tympanogram in the two groups was compared (53.66% vs 29.73%), and the difference was statistically significant (P<0.05); after the treatment, results of pure tone audiometry testing in the two groups (20.63±2.52 vs 26.92±2.95) were statistically significant (P<0.05);one case of one-time dizziness was seen in the observation group;relapse rates in the two groups (4.88%vs 13.51%) were not statistically significant (P>0.05). Conclu-sion Eustachian tube insufflation via nasal endoscopy combined with oral administration has definite clinical effects on SOM, which is worthy of clinical promotion.
展开▼
