难治性分泌性中耳炎患者联合采用鼓膜置管与药物灌注治疗的效果观察

Observation of the effect of tympanic membrane catheterization combined with drug perfusion in the treatment of refractory secretory otitis media

目的:探讨鼓膜置管联合药物灌注治疗难治性分泌性中耳炎的效果。方法:收治难治性分泌性中耳炎患者60例,随机分为观察组(鼓膜置管+药物灌注)与对照组(单纯鼓膜切开置管)。结果:观察组临床治疗总有效率高于对照组(P<0.05);治疗后,两组患者的静态声顺值、耳峰压值均有不同程度提高,言语频率平均听阈均有不同程度降低,观察组显著优于对照组(P<0.05)。结论:鼓膜置管联合药物灌注治疗难治性分泌性中耳炎效果显著,能够在很大程度上改善患者听力。

Objective:To investigate the effect of tympanic membrane catheterization combined with drug perfusion in the treatment of refractory secretory otitis media.Methods:60patients with refractory secretory otitis media were selected.They were randomly divided into the observation group(tympanic tube+drug perfusion)and the control group(simple tympanic tube).Results:The clinical treatment efficiency of observation group was higher than that of control group(P<0.05);after the treatment,two groups of patients with static compliance value,ear peak pressure were increased in different degrees,the speech frequency average hearing threshold decreased in different degrees,and the observation group was significantly better than the control group(P<0.05).Conclusion:The effect of tympanic membrane catheterization combined with drug perfusion in the treatment of refractory secretory otitis media is significant,which can greatly improve the hearing of patients.