摘要
目的解析急性化脓性中耳炎合并慢性鼻窦炎的有效治疗措施。方法选取我院2020年6月至2021年6月我科收治60例急性化脓性中耳炎合并慢性鼻窦炎患者作为研究对象,根据治疗方法的不同将其分成常规组(n=30,采取常规局部治疗)和实验组(n=30,采取综合治疗),对比两组疗效、并发症发生率及生活质量。结果两组患者治疗过程出现鼓膜穿孔率存在均衡性(P>0.05),但实验组疗效高于常规组(P<0.05),并发症发生率低于常规组(P<0.05);两组患者治疗前SNOT-20总积分、格条目积分变化及鼻部症状积分变化存在均衡性(P>0.05);治疗后,实验组SNOT-20总积分、格条目积分变化及鼻部症状积分变化均优于常规组,组间存在差异性(P<0.05)。结论相较于常规治疗,综合治疗方案对急性化脓性中耳炎合并慢性鼻窦炎疗效更优,能够促进患者早日康复,复发率低,以此提高患者生活质量。
Objective To analyze the effective treatment of acute suppurative otitis media complicated with chronic sinusitis.Methods 60 patients with acute suppurative otitis media complicated with chronic sinusitis treated in our hospital from June 2020 to June 2021 were selected as the research object.According to different treatment methods,they were divided into routine group(n=30,conventional local treatment)and experimental group(n=30,comprehensive treatment).The curative effects,incidence of complications and quality of life of the two groups were compared.Results The rate of tympanic membrane perforation in the two groups was balanced(P>0.05),but the curative effect of the experimental group was higher than that of the routine group(P<0.05),and the incidence of complications was lower than that of the routine group(P<0.05);There was a balance between the two groups in the changes of total score of SNOT-20,grid item score and nasal symptom score before treatment(P>0.05);After treatment,the changes of total score,grid item score and nasal symptom score in the experimental group were better than those in the conventional group(P<0.05).Conclusion Compared with routine treatment,comprehensive treatment is more effective in the treatment of acute suppurative otitis media complicated with chronic sinusitis.It can promote the early recovery of patients with low recurrence rate,so as to improve the quality of life of patients.
作者
罗雪丽
Luo Xueli(Department of Otolaryngology,Hanzhong People's Hospital,Hanzhong,Shaanxi,723000,China)
出处
《中国医学文摘（耳鼻咽喉科学）》
2023年第5期75-77,共3页
Chinese Medical Digest(Otorhinolaryngology)
关键词
慢性化脓性中耳炎
慢性鼻窦炎
效果
生活质量
Chronic suppurative otitis media
Chronic sinusitis
Effect
Quality of life
