儿童鼻-鼻咽部病变相关性分泌性中耳炎的综合治疗

Comprehensive treatment on secretory otitis media associated with nasal and nasopharyngeal lesions in children

目的:探讨综合治疗儿童鼻-鼻咽部病变相关性分泌性中耳炎的临床效果。方法:2013年1月-2014年1月收治儿童鼻-鼻咽部病变相关性分泌性中耳炎患儿60例。根据病情给予0.9%氯化钠注射液冲洗、抗生素滴鼻、羟甲唑林喷鼻、扁桃体切除术、腺样体切除术等综合治疗方法进行治疗。观察其疗效。结果:治疗前听阈(35.6±11.3)db,治疗后听阈(20.2±8.1)db,听阈明显降低,与治疗前比较差异有统计学意义(P<0.05)。本组60例,治愈24例(40.0%),显效12例(20.0%),有效18例(30.0%),无效6例(10.0%),总有效率90.0%。结论:综合治疗儿童鼻-鼻咽部病变相关性分泌性中耳炎疗效显著。

Objective:To explore the clinical effect of comprehensive treatment on secretory otitis media associated with nasal and nasopharyngeal lesions in children.Methods:60 cases with secretory otitis media associated with nasal and nasopharyngeal diseases were selected from January 2013 to January 2014.All patients received comprehensive treatment according to the illness, such as NS flushing,dripping antibiotics into the nose,spraying hydroxymethyl cefazolin into the nose,tonsillectomy,adenoidectomy and so on.Observe the effect.Results:Before treatment,the hearing threshold was 35.6 ± 11.3db.After treatment,the hearing threshold was 20.2 ± 8.1db.The hearing threshold was significantly reduced.Compared with that before treatment,there was statistically significant(P<0.05).In 60 patients,24 cases(40%) were cured. 12 cases(20%) were excellent.18 cases(30.0%) were effective.6 cases(10.0%) were ineffective.The total efficiency was 90%.Conclusion:The clinical effect of comprehensive treatment on secretory otitis media associated with nasal and nasopharyngeal lesions in children is significant.