咽鼓管球囊扩张术对分泌性中耳炎的疗效及睡眠质量的影响

ffect of Eustachian Tube Balloon Dilation on Secretory Otitis Media and Sleep Quality

目的:探讨咽鼓管球囊扩张术对分泌性中耳炎的疗效及睡眠质量的影响。方法:选取2022年1月至2022年12月福建医科大学附属泉州第一医院收治的分泌性中耳炎患者76例作为研究对象,按照随机数字表法分为对照组和观察组,每组38例。对照组行鼓膜置管术治疗,观察组行咽鼓管球囊扩张术治疗。比较2组治疗疗效、术后7项咽鼓管功能障碍症状评分量表(ETDQ-7)、并发症率、睡眠质量、生命质量评分。结果:观察组治疗总有效率(94.74%)高于对照组(76.32%),差异有统计学意义(P<0.05)。术前2组ETDQ-7比较差异无统计学意义(P>0.05);术后3个月、6个月观察组ETDQ-7评分低于对照组,差异均有统计学意义(均P<0.05)。观察组并发症发生率(7.89%)低于对照组(15.79%),但比较差异无统计学意义(P>0.05)。术前2组患者阿森斯睡眠质量量表(AIS)比较差异无统计学意义(P>0.05);术后观察组AIS评分低于对照组,差异有统计学意义(P<0.05)。术前2组世卫组织生命质量评分(WHOQOL)比较,差异无统计学意义(P>0.05);术后观察组WHOQOL评分高于对照组,差异有统计学意义(P<0.05)。结论:咽鼓管球囊扩张术在治疗分泌性中耳炎中取得理想的治疗效果,能够改善患者的咽鼓管功能,同时控制并发症的发生,使患者的睡眠质量、生命质量得到改善。

Objective:To explore the effect of eustachian tube balloon dilation on secretory otitis media and the influence of sleep quality.Methods:A total of 76 cases of secretory otitis media were selected and divided into groups according to the random number table method.The patients who underwent eustachian tube balloon dilation(n=38)were assigned to the observation group.Patients who underwent tympanic membrane catheterization(n=38)were assigned to the control group.The therapeutic effect,postoperative Seven-item Eustachian Tube Dysfunction Questionnaire(ETDQ-7),complication rate,sleep quality and quality of life score were compared between the two groups.Results:The total effective rate of the observation group(94.74%)was higher than that of the control group(76.32%),with statistical significance(P<0.05).There was no significant difference in ETDQ-7 between the two groups before surgery(P>0.05).The ETDQ-7 scores in the observation group were lower than those in the control group at 3 and 6 months after surgery(P s<0.05).The incidence of complications in the observation group(7.89%)was lower than that in the control group(15.79%),but the difference was not significant(P>0.05).There was no significant difference(P>0.05)in the comparison of the Athens Insomnia Scale(AIS)between the two groups of patients before surgery.The AIS score of the postoperative observation group was lower than that of the control group(P<0.05).There was no statistically significant difference in the WHO Quality Of Life(WHOQOL)scores between the two groups before surgery(P>0.05).The WHOQOL score in the postoperative observation group was higher than that in the control group(P<0.05).Conclusion:Balloon dilation of eustachian tube has an ideal therapeutic effect in the treatment of secretory otitis media,which can improve the eustachian tube function of patients,control the occurrence of complications,and improve the quality of sleep and life of patients.