鼓室内注射盐酸氨溴索联合地塞米松治疗分泌性中耳炎的临床效果(1)
【摘要】 目的：探讨鼓室内注射盐酸氨溴索联合地塞米松治疗分泌性中耳炎的临床效果。方法：选取笔者所在医院78例分泌性中耳炎患者为研究对象，选取时间为2017年8月-2018年8月。按照随机数字表法将患者分为对照组和探究组，各39例。对照组鼓膜穿刺抽液后注射地塞米松治疗，探究组鼓膜穿刺抽液后注射盐酸氨溴索联合地塞米松治疗。比较两组治疗效果、患者满意度;随访6个月，比较两组复发率。结果：探究组患者治疗总有效率、满意度评分及6个月复发率均明显优于对照组，差异有统计学意义(P<0.05)。结论：在分泌性中耳炎患者的治疗中，采用鼓室内注射盐酸氨溴索联合地塞米松的方式，可显著提高治疗效果，且具有较好的远期疗效，有助于提升患者满意度。
【关键词】 鼓室; 注射; 盐酸氨溴索; 地塞米松; 分泌性中耳炎; 疗效
doi：10.14033/j.cnki.cfmr.2019.27.020 文献标识码 B 文章编号 1674-6805(2019)27-00-03
Clinical Efficacy of Intratympanic Injection of Ambroxol Hydrochloride Combined with Dexamethasone in the Treatment of Secretory Otitis Media/LIU Cong.//Chinese and Foreign Medical Research，2019，17(27)：-48
【Abstract】 Objective：To investigate the clinical effect of intratympanic injection Ambroxol Hydrochloride combined with Dexamethasone in the treatment of secretory otitis media.Method：A total of 78 patients with secretory otitis media in our hospital were selected as the study subjects from August 2017 to August 2018.According to the random number table method，the patients were divided into control group and inquiry group，with 39 cases in each group.In the control group，Dexamethasone was injected after tympanic puncture and drainage，and in the inquiry group，Ambroxol Hydrochloride and Dexamethasone were injected after tympanic puncture and drainage.The curative effect and patient satisfaction were compared between the two groups，and the recurrence rate was compared between the two groups after 6 months of follow-up.Result：The total effective rate，satisfaction score and 6 months recurrence rate in the inquiry group were significantly better than those in the control group，the differences were statistically significant(P<0.05).Conclusion：In the treatment of secretory otitis media patients，intratympanic injection of Ambroxol Hydrochloride combined with Dexamethasone can significantly improve the curative effect，and has a better long-term effect，help to improve patient satisfaction.
【Key words】 Tympanic cavity; Injection; Ambroxol Hydrochloride; Dexamethasone; Secretory otitis media; Curative effect
First-author’s address：Daye People’s Hospital，Daye 435100，China
分泌性中耳炎是以中耳積液及听力下降为特征的中耳非化脓性炎性疾病，又称渗出性中耳炎、非化脓性中耳炎、黏液性中耳炎、卡他性中耳炎、鼓室积液、浆液性中耳炎、浆液—黏液性中耳炎、无菌性中耳炎[1-2]。分泌性中耳炎是耳鼻喉科较为常见的疾病，临床症状主要为中耳积液、耳闷、听力下降，有明显的耳鸣情况，病情严重者可能会导致鼓膜穿孔及颅内外并发症，对患者的生命健康造成严重威胁[3]。本文针对2017年8月-2018年8月笔者所在医院收治的78例分泌性中耳炎患者为研究对象展开研究，按照随机数字表法将患者分为对照组和探究组;对照组采用地塞米松单药治疗，探究组在地塞米松的基础上结合盐酸氨溴索治疗，比较两组治疗效果、满意度及6个月内复发率，分析并探讨鼓室内注射盐酸氨溴索联合地塞米松治疗分泌性中耳炎的临床效果，现报道如下。, http://www.100md.com(刘聪)
【关键词】 鼓室; 注射; 盐酸氨溴索; 地塞米松; 分泌性中耳炎; 疗效
doi：10.14033/j.cnki.cfmr.2019.27.020 文献标识码 B 文章编号 1674-6805(2019)27-00-03
Clinical Efficacy of Intratympanic Injection of Ambroxol Hydrochloride Combined with Dexamethasone in the Treatment of Secretory Otitis Media/LIU Cong.//Chinese and Foreign Medical Research，2019，17(27)：-48
【Abstract】 Objective：To investigate the clinical effect of intratympanic injection Ambroxol Hydrochloride combined with Dexamethasone in the treatment of secretory otitis media.Method：A total of 78 patients with secretory otitis media in our hospital were selected as the study subjects from August 2017 to August 2018.According to the random number table method，the patients were divided into control group and inquiry group，with 39 cases in each group.In the control group，Dexamethasone was injected after tympanic puncture and drainage，and in the inquiry group，Ambroxol Hydrochloride and Dexamethasone were injected after tympanic puncture and drainage.The curative effect and patient satisfaction were compared between the two groups，and the recurrence rate was compared between the two groups after 6 months of follow-up.Result：The total effective rate，satisfaction score and 6 months recurrence rate in the inquiry group were significantly better than those in the control group，the differences were statistically significant(P<0.05).Conclusion：In the treatment of secretory otitis media patients，intratympanic injection of Ambroxol Hydrochloride combined with Dexamethasone can significantly improve the curative effect，and has a better long-term effect，help to improve patient satisfaction.
【Key words】 Tympanic cavity; Injection; Ambroxol Hydrochloride; Dexamethasone; Secretory otitis media; Curative effect
First-author’s address：Daye People’s Hospital，Daye 435100，China
分泌性中耳炎是以中耳積液及听力下降为特征的中耳非化脓性炎性疾病，又称渗出性中耳炎、非化脓性中耳炎、黏液性中耳炎、卡他性中耳炎、鼓室积液、浆液性中耳炎、浆液—黏液性中耳炎、无菌性中耳炎[1-2]。分泌性中耳炎是耳鼻喉科较为常见的疾病，临床症状主要为中耳积液、耳闷、听力下降，有明显的耳鸣情况，病情严重者可能会导致鼓膜穿孔及颅内外并发症，对患者的生命健康造成严重威胁[3]。本文针对2017年8月-2018年8月笔者所在医院收治的78例分泌性中耳炎患者为研究对象展开研究，按照随机数字表法将患者分为对照组和探究组;对照组采用地塞米松单药治疗，探究组在地塞米松的基础上结合盐酸氨溴索治疗，比较两组治疗效果、满意度及6个月内复发率，分析并探讨鼓室内注射盐酸氨溴索联合地塞米松治疗分泌性中耳炎的临床效果，现报道如下。, http://www.100md.com(刘聪)
参见：首页 > 医疗版 > 疾病专题 > 耳鼻喉科 > 耳疾病 > 中耳疾病 > 中耳炎 > 分泌性中耳炎