导管法咽鼓管吹张联合鼓膜按摩治疗分泌性中耳炎患者的疗效观察

Comprehensive Evaluation of Eustachian tube Insufflation with Catheterization Method and Auditory Massage in Treatment of Secretory Otitis Media

目的探讨导管法咽鼓管吹张联合鼓膜按摩治疗分泌性中耳炎患者的临床效果。方法将65例分泌性中耳炎患者作为研究对象,采用随机数字表法分为两组,对照组30例患者给予咽鼓管吹张术治疗,观察组35例患者接受导管法咽鼓管吹张联合鼓膜按摩治疗。观察两组患者的临床疗效和不良反应情况。结果观察组患者总有效率为91.4%,对照组患者总有效率为73.3%,差异有统计学意义(P<0.05);两组患者治疗后听阈较治疗前均明显下降,且观察组听阈明显低于对照组(P<0.05);两组患者治疗过程中均无严重不良反应发生。结论导管法咽鼓管吹张联合鼓膜按摩治疗分泌性中耳炎准确率及成功率高,且不易破坏鼓膜解剖生理结构,患者无明显不适感,不良反应少。

Objective To analyze the clinical efficacy of Eustachian tube insufflation using catheterization method combined with auditory massage in treatment of secretory otitis media.Methods 65 patients with secretory otitis media patients as research subjects were randomly assigned into two groups,a control group of 30 patients were given the treatment eustachian observed group of 35 patients underwent catheterization joint eardrum eustachian massage therapy.Clinical efficacy and adverse reactions in the two groups of patients.Results The effective rate was 91.4% in the observation group and 73.3% in the control group,with significant differences between the two groups（P 〈0.05）. Compared with before treatment,the audible threshold of patients in the two groups was obviously decreased after treatment,and the audible threshold in the observation group was obviously lower than that in the control group（P 〈0.05）. No serious adverse reactions were found in the two groups during treatment.Conclusion Eustachian tube insufflation using catheterization method combined with auditory massage is an accurate treatment of secretory otitis media, with high success rate and less adverse reaction,it cannot damage the anatomical structure of tympanic membrane or induce obvious discomfort.