手术治疗与常规治疗相比对儿童分泌性中耳炎的临床疗效观察

Clinical observation of comparative curative effects on surgical treatment and conventional treatment for children with secretory otitis media

目的通过本院收治的120例儿童中耳炎患者来探究儿童患中耳炎的发病机制以及最佳的临床治疗方式。方法将120例患者分为治疗组与对照组,对照组63例,主要是采用全身应用抗生素与激素,局部使用减充血剂以及类胆固醇激素喷雾,耳正负压鼓膜按摩等多种常规性治疗方式;治疗组57例,患者需要进行鼓膜穿刺抽液以及常规性的手术治疗。结果治疗组治疗的总有效率为100.0%,对照组治疗的总有效率为87.3%,差异有统计学意义(P<0.05)。结论通过多种方式结合治疗分泌性中耳炎能取得良好的成效,降低患儿因病情加重引起的并发症。

Objective To investigate the pathogenesis and the optimal clinical treatment of children secretory otitis media through 120 children with secretory otitis media admitted and treated in our hospital.Methods 120 patients were divided into the treatment group and the control group.The 63 patients of the control group mainly received a variety of conventional treatments,such as the systemic administration of antibiotics and hormones,the local administration of decongestants and cholesterol-like hormones spray,and the ear positive-negative pressure drum massage.57 patients of the treatment group received the eardrum paracentesis and the conventional treatment.Results The total effective rate was 100.0% for the treatment group and 87.3% for the control group,with statistical significance（P 0.05）.Conclusion The combination of a variety of methods for the treatment of secretory otitis media achieves favourable effectiveness and reduces the complications caused by exacerbated conditions.