鼓膜穿刺鼓室加压吸引对分泌性中耳炎患者干耳率等疗效指标的影响

Influence of tympanic membrane puncture and tympanum pressure suction on dry ear rate and other indicators in patients with secretory otitis media

目的分析讨论对分泌性中耳炎患者使用鼓膜穿刺鼓室加压吸引的具体效果和临床价值。方法选取本院2017年1~10月分泌性中耳炎患者60例,利用随机数字表法将其平分为两组,每组30例,对照组使用鼓室常规灌洗术;观察组使用鼓膜穿刺鼓室加压吸引。比较两组患者干耳率和总有效率。结果观察组和对照组3、6、12个月的干耳率依次为(86.67%、90.00%、96.67%)和(46.67%、56.67%、73.33%),观察组显著高于对照组,差异有统计学意义(P<0.05);观察组和对照组总有效率依次为96.66%和76.67%,观察组显著高于对照组,差异有统计学意义(P<0.05)。结论鼓膜穿刺鼓室加压吸引能显著提升分泌性中耳炎患者在3、6、12个月内的干耳率,并且能显著提升治疗效率,可在各大医院进行推广使用。

Objective To analyze the clinical effect and value of tympanic membrane puncture and tympanum pressure suction on dry ear rate and other indicators in patients with secretory otitis media（SOM）. Methods From January 2017 to October 2017,60 SOM patients treated in our hospital were selected.And all them were divided into two groups by random digital table method, 30 cases each group.The patients of control group were treated with conventional tympanic lavage,the patients of observation group were treated with tympanic membrane puncture and tympanum pressure suction.The dry ear rate and total effective rate of two groups were observed. Results After 3 m,6 m and 12 m,the dry ear rate of observation group（86.67%,90.00%,96.67%） was significantly higher than those of control group（46.67%,56.67%,73.33%）（P〈0.05）;The total effective rate of observation group（96.66%） was significantly higher than that of control group（76.67%）（P〈0.05）. Conclusion The tympanic membrane puncture and tympanum pressure suction can significantly increase the dry ear rate of the patients with secretory otitis media within 3,6 and 12 months,and can significantly improve the efficiency of treatment.It can be used in various major hospitals.