外耳道吹氧法治疗胶耳的疗效观察

Trans-external ear cannal blow oxygen method

目的 :探讨一种新的治疗胶耳以及其他耳病的方法。方法 :对 2 2例 2 8耳胶耳患者在行鼓膜置管后 ,行外耳道吹氧治疗 ,并与同期用常规方法治疗的 19例 2 0耳胶耳进行比较 ;此外还比较了乳突根治术后用外耳道吹氧法治疗对干耳的影响。结果 :胶耳吹氧组平均恢复时间为 1.2 0± 0 .4 2d ,胶耳对照组则为 3.5 0± 0 .87d ,两组比较 ,差异有显著性意义 (P <0 .0 5 )。乳突术后吹氧组平均干耳时间为 3.92± 0 .77周 ,乳突术后对照组则为 5 .82± 2 .0 3周 ,两组比较 ,差异有显著性意义 (P <0 .0 5 )。结论 :外耳道吹氧法是一种治疗胶耳的较好方法 ,还可用于乳突开放术后 ,以缩短干耳时间 ,值得推广。

Objective:To study a new method for the treatment of the glue ear and the other out and middle ear diseases. Method:28 ears of the glue ear were treatment with blow oxygen method trans external ear cannel after myringotomy with grommet insertion. The results were compared with that of only tube insertion group of 20 ears in same period. This method were also used to treatment the patients with otitis media after mastoidectomy to compared the effect on dry ear time.Result:The therapy time of the blow oxygen group for glue ear were 1.20 ± 0.42 days, and the controll group were 3.50 ± 0.87 days. The blow oxygen group need only 3.92 ± 0.77 weeks for dry ear after mastoidectomy. And the controll group need 5.82 ± 2.03 weeks. The results are statistic significant between this two groups. Conclusion:The blow oxygen method is a good way for the treatment of glue ear, and can short the time for dry ear after mastoidectomy.