鼓膜按摩联合鼻负压置换疗法治疗慢性分泌性中耳炎临床研究

Clinical research about treatment of chronic secretory otitis media with tympanic membrane massage combined with displacement method

目的探讨鼓膜按摩联合鼻负压置换疗法治疗慢性分泌性中耳炎疗效。方法将河北省保定市第二医院耳鼻咽喉科就诊的慢性分泌性中耳炎患者80例随机分为两组:对照组41例(49耳),行鼓膜按摩治疗;治疗组39例(49耳),行鼓膜按摩联合鼻负压置换治疗。7 d为1个疗程,比较两组疗效。结果治疗组总有效率91.8﹪,对照组总有效率77.6﹪,治疗组有效率高于对照组(P<0.05)。结论鼓膜按摩联合鼻负压置换疗法应用于慢性分泌性中耳炎患者进行治疗,取得较好疗效,可减少手术机率及并发症,减轻患者痛苦,降低医疗费用,值得临床推广应用。

Objective To investigate the effect of the treatment of chronic secretory otitis media with the tympanic membrane massage combined with displacement method. Methods Eighty patients with chronic secretory otitis media were randomly divided into 2 groups. The control group had 41 cases（49 ears）, and was treated with the tympanic membrane massage. The treatment group had 39 cases（49 ears）, and was treated with the tympanic membrane massage combined with displacement method. After 7 days for a course of treatment, the efficacy of two groups were compared at last. Results The total effective rate of the treatment group was 91.8%, and the total effective rate of the control group was 77.6%. The efficiency of the treatment group was higher than that of the control group（P〈0.05）. Conclusions The treatment of chronic secretory otitis media with tympanic membrane massage combined with displacement method is effective. It can reduce the operation rate, other complications rate, the pain of patients and the medical expenses, and it is worthy of clinical application.