摘要
目的:探讨单纯鼻腔吹气球法治疗儿童分泌性中耳炎的临床疗效。方法:选择云南省文山壮族苗族自治州人民医院2015年1月至2018年1月门诊诊治的不伴慢性鼻-鼻窦炎、急性扁桃体炎及腺样体肥大的儿童分泌性中耳炎患儿78例(126只患耳),年龄3~14岁,分为急性组34例(60只患耳)和慢性组44例(66只患耳),采用单纯鼻腔吹气球法治疗,2~3次/d,每周复诊1次,观察疗效,最长疗程不超过3个月。结果:急性组48只患耳治愈(治愈率为80.0%),8只患耳好转(好转率为13.3%),4只患耳无效(无效率为6.7%);慢性组47只患耳治愈(治愈率为71.2%),12只患耳好转(好转率为18.2%),7只患耳无效(无效率为10.6%)。急性组中15只患耳于治疗1月后达到治愈标准,24只患耳于治疗2月后达到治愈标准,9只患耳于治疗3月后达到治愈标准;8只患耳于治疗3月后达到好转标准;慢性组中8只患耳于治疗1月后达到治愈标准,14只患耳于治疗2月后达到治愈标准,25只患耳于治疗3月后达到治愈标准;12只患耳于治疗3月后达到好转标准。结论:单纯鼻腔吹气球法治疗儿童分泌性中耳炎是较为有效的一种间接咽鼓管吹张法,且对急性、慢性儿童分泌性中耳炎都具有较好的临床疗效。
Objective:To examine the clinical efficacy of nasal balloon autoinflation in the treatment of children with OME(otitis media with effusion).Methods:We selected 78 kids(126 ears),aged from 3-14,who were diagnosed with OME but without chronic rhinosinusitis,acute tonsillitis or adenoid hypertrophy in the outpatient department of People′s Hospital of Wenshan Zhuang and Miao Autonomous Prefecture from January 2015 to January 2018.They were divided into the acute group with 34 kids(60 ears)and the chronic group with 44 kids(66 ears).All of the patients were treated with the method of nasal balloon autoinflation by asking them to blow balloons through the nasal cavity twice or three times a day.Check-up was performed once a week to observe the curative effect,and the maximum course of treatment was no more than 3 months.Results:In the acute group,48 ears were cured(80.0%cure rate),8 ears got improvements(13.3%improvement rate),and the treatment of 4 ears failed(6.7%ineffective rate).In the chronic group,47 ears were cured(71.2%cure rate),12 ears got improvements(18.2%improvement rate),and the treatment of 7 ears failed(10.6%ineffective rate).In the acute group,15 ears reached the standard of cure after 1-month treatment,24 ears reached the standard of cure after 2-month treatment,and 9 ears reached the standard of cure after 3-month treatment;8 ears reached the improvement standard after 3-month treatment.In the chronic group,8 ears reached the healing standard after 1-month treatment,14 ears reached the healing standard after 2-month treatment,and 25 ears reached the healing standard after 3-month treatment;12 ears reached the improvement standard after 3-month treatment.Conclusion:Nasal balloon autoinflation is an effective indirect eustachian tube inflation method for the treatment of OME in children,and has good clinical efficacy in the treatment of kids with acute and chronic OME.
作者
高起巧
杨聪
刘文波
蓝彩娟
李志祥
Gao Qiqiao;Yang Cong;Liu Wenbo;Lan Caijuan;Li Zhixiang(People′s Hospital of Wenshan Zhuang and Miao Autonomous Prefecture,Wenshan,Yunnan 663000,China)
出处
《大理大学学报》
CAS
2021年第4期59-61,共3页
Journal of Dali University
