老年分泌性中耳炎患者鼓室内注射甲泼尼龙和盐酸氨溴索的研究

Study of Methylprednisolone and Ambroxol in the Treatment of Elderly Patients with Secretory Otitis Media Intratympanic

目的:研究鼓室内注射甲泼尼龙和盐酸氨溴索治疗老年分泌性中耳炎患者的临床疗效。方法:选择接受治疗的老年分泌性中耳炎患者90例为研究对象,采用数字表法随机分为接受鼓室内注射甲泼尼龙和盐酸氨溴索治疗的观察组及接受单纯鼓室内注射甲泼尼龙的对照组患者,比较两组患者的治疗后疗效及鼓室压及听阈值差异。结果:观察组治愈率(73.33%)、治疗总有效率(95.56%)明显高于对照组,鼓室压(-84.21±7.45)dapa、听阈值(48.26±6.84)dB明显优于对照组,差异有统计学意义(P<0.05)。结论:鼓室内注射甲泼尼龙和盐酸氨溴索可以显著提高老年分泌性中耳炎患者的治疗效果。

Objective To study the clinical efficacy of intratympanic injection with methylprednisolone and ambroxol in elderly patients with secretory otitis media.Methods 90 elderly patients with secretory otitis media in our hospital was as study objects,and were divided into observation group received intratympanic injection with methylprednisolone and ambroxol treatment and control group received only Intratympanic prednisolone.The efficacy and the difference of tympanic pressure and hearing threshold were compared.Results The cure rate was 73.33%,the total effective rate was 95~56% in the observation group,was significantly higher than that in the control group,tympanic pressure was（-84.21 ＋ 7.45） dapa,hearing threshold value was （48.26 ~ 6.84） Db,higher than that in the control group,there were statistically significant （P〈0.05）.Conelusion Intratympanic injection with methylprednisolone and ambroxol can significantly improve the treatment effects of elderly patients with secretory otitis media.