综合康复治疗对分泌性中耳炎致小儿听力损伤的临床效果

Clinical Effect of Comprehensive Rehabilitation Therapy on Children with Secretory Otitis Media-Induced Hearing Damage

目的:探讨综合康复治疗对分泌性中耳炎致小儿听力损伤的临床效果。方法:以88例2016年1月-2017年8月于我院诊治的分泌性中耳炎致听力损伤患儿为研究对象,将其随机分为综合组和对照组,每组44例。综合组采用综合康复治疗,对照组采用耳部按摩治疗,观察并比较两组临床疗效,治疗前后气导、骨导听阈值的变化。结果:治疗后,综合组有效率为79.55%,显著高于对照组(56.82%,P<0.05)。与治疗前相比,两组治疗后0.25-0.8 Hz各频率下气导听阈值及2.0和4.0 kHz下骨导听阈值均显著降低(P<0.05),且综合组患儿以上指标均显著低于对照组(P<0.05)。结论:综合康复治疗即联合感音训练、耳部按摩、音乐感知及运动训练对分泌性中耳炎致小儿听力损伤有较好的疗效,能改善患儿气导、骨导听阈水平。

Objective:To explore the clinical effect of comprehensive rehabilitation treatment on hearing impairment in children with secretory otitis media.Methods:88 children with hearing loss caused by secretory otitis media diagnosed in our hospital from January 2016 to August 2017 were studied.All children were randomly divided into the comprehensive group and the control group,with 44 cases in each group.The comprehensive treatment group was given comprehensive rehabilitation,the control group was given ear massage.The curative effect,changes of air conduction and bone conduction threshold before and after treatment were observed and compared between two groups.Results:The effective rate of combined group(79.55%)was significantly higher than that of the control group(56.82%,P<0.05).Compared with those before treatment,the air conduction threshold at 0.25-0.8 Hz and the bone conduction threshold at 2.0 and 4.0 kHz were significantly decreased after treatment in both groups(P<0.05).The above indicators were significantly lower in the comprehensive group than those in the control group(P<0.05).Conclusions:Comprehensive rehabilitation therapy,that is,joint sensory training,ear massage,music perception and exercise training,had a good effect on children with hearing loss caused by secretory otitis media,and could improve the children’s air conduction and bone conduction threshold levels.