应用鼓室穿刺及注药对分泌性中耳炎治疗的效果分析

Analysis of the Effect of Tympanostomy and Injection on the Treatment of Secretory Otitis Media

目的观察应用鼓室穿刺及注药对分泌性中耳炎治疗的效果。方法从2017年1月—2018年8月该院耳鼻喉科门诊接收的分泌性中耳炎患者中方便抽取106例,随机将其分为对照组与观察组,均53例。对照组实施鼓室穿刺进行治疗,观察组在此治疗基础上增加注射药物进行治疗,观察两组患者治疗效果、并发症发生情况和两组者患者术后前术后听力。结果观察组治疗总有效率96.23%显著高于对照组60.38%(χ~2=37.826,P=0.000),且并发症发生率5.66%显著低于对照组28.30%(χ~2=18.180,P=0.000);气骨导差较对照组改善显著(t=6.120,P=0.000)、气导听阈较对照组改善显著(t=6.260,P=0.000)。结论在分泌性中耳炎患者治疗中应用鼓室穿刺联合注药治疗能够有效改善患者临床症状、气骨导差、气导听阈,促进听力恢复,提高治疗效果、降低并发症发生率,值得推广。

Objective To observe the effect of tympanic puncture and drug injection on the treatment of secretory otitis media.Methods From January 2017 to August 2018,we received 106 patients with secretory otitis media from our hospital ENT clinics,and convenient randomly divided it into control group and observation group,all 53 cases.The control group was treated with tympanic cavity puncture,and the observation group increased the injection drug on the basis of treatment,and observed the treatment effect and complication of the two groups of patients and two groups of patients before and after hearing.Results The total effective rate of the observation group was 96.23%significantly higher than that of the control group 60.38%(χ^2=37.826,P=0.000),and the incidence of complications was 5.66%significantly lower than that of the control group 28.30%(χ^2=18.180,P=0.000);the air-bone conduction difference was significantly improved(t=6.120,P=0.000),and the air-conduction hearing threshold was significantly improved compared with the control group(t=6.260,P=0.000).Conclusion In the treatment of secretory otitis media,tympanocentesis combined with drug injection can effectively improve the clinical symptoms,air-bone conduction,air-conduction hearing threshold,promote hearing recovery,improve the treatment effect,reduce the incidence of complications,and is worth promoting.