改良式冲洗器治疗外耳道狭窄耵聍栓塞患者的临床效果

Clinical effect of modified irrigator in the treatment of patients with ceruminal embolism due to stenosis of external auditory canal

目的观察改良式冲洗器治疗外耳道狭窄耵聍栓塞患者的临床效果。方法选取我科2016年11月~2017年11月收治的90例外耳道狭窄耵聍栓塞患者作为研究对象,将其根据随机数字表法分为对照组(n=45),观察组(n=45)。对照组患者给予传统洗耳球的方法治疗,观察组给予改良式冲洗器治疗,比较两组的治疗效果。结果观察组治疗效果的总有效率为93.3%,明显高于对照组的77.8%,差异有统计学意义(P<0.05)。观察组耳部舒适度的优良率为95.6%,明显高于对照组的82.2%,差异有统计学意义(P<0.05)。观察组患者的不良反应总发生率为6.7%,明显低于对照组的17.7%,差异有统计学意义(P<0.05)。结论改良式冲洗器治疗外耳道狭窄耵聍可明显提高治疗效果和耳部舒适度,降低不良反应发生率,值得临床推广应用。

Objective To observe the clinical effect of modified irrigator in the treatment of patients with ceruminal embolism due to stenosis of external auditory canal. Methods A total of 90 patients with ceruminal embolism due to stenosis of external auditory canal treated in our department from November 2016 to November 2017 were selected as study objects. The patients were divided into the control group（n=45） and observation group（n=45） according to the random number table method. Patients in the control group were treated with traditional washing ear bulb, while patients in the observation group were given modified irrigator. The therapeutic effect between the two groups was compared. Results The total effective rate of treatment effect in the observation group was 93.3%, which was significantly higher than that of the control group（77.8%）, and the difference was statistically significant（P〈0.05）. The excellent and good rate of ear comfort in the observation group was 95.6%, which was significantly higher than that in the control group（82.2%）, and the difference was statistically significant（P〈0.05）. The total incidence of adverse reactions in the observation group was 6.7%, which was significantly lower than that in the control group（17.7%）, and the difference was statistically significant（P〈0.05）. Conclusion Modified irrigator in the treatment of patients with ceruminal embolism due to stenosis of external auditory canal can significantly improve the treatment effect and ear comfort, reduce the incidence of adverse reactions, and it is worthy of clinical promotion and application.