引用本文:景 艳,彭 璐,陈睿春,梁建平.简易鼻气球在儿童分泌性中耳炎治疗中的应用[J].中国临床新医学,2016,9(6):478-480.
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简易鼻气球在儿童分泌性中耳炎治疗中的应用
景 艳,彭 璐,陈睿春,梁建平
530021 南宁,广西壮族自治区人民医院耳鼻咽喉科
摘要:
[摘要] 目的 探讨简易鼻气球在治疗儿童分泌性中耳炎中的临床效果。方法 选取40例3~12岁儿童分泌性中耳炎患者,将其分为两组:对照组20例38耳,采用传统Valsava法进行咽鼓管自行吹张和药物对症治疗。治疗组20例36耳,采用鼻气球吹张和药物对症治疗,每天吹张3次。治疗2~3个月后检测患者鼓室图,对比两组患者疗效。结果 对照组治愈20耳,好转10耳,无效8耳。治疗组治愈27耳,好转5耳,无效4耳。两组疗效差异无统计学意义(Z=1.929,P>0.05),但治疗组治愈率75.00%(27/36)高于对照组的52.63%(20/38)(χ2=5.129,P<0.05)。结论 简易鼻气球辅助治疗儿童分泌性中耳炎,简单方便,儿童容易接受和完成,治愈率高,无不良反应。
关键词:  分泌性中耳炎  咽鼓管吹张治疗  鼻气球
DOI:10.3969/j.issn.1674-3806.2016.06.04
分类号:R 764.21
基金项目:广西卫计委科研课题(编号:Z2014619)
The application of the simple nasal balloon in the treatment of otitis media with effusion in children
JING Yan, PENG Lu, CHEN Rui-chun, et al.
Department of Otolaryngology, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:
[Abstract] Objective To study the clinical effect of the simple nasal balloon on otitis media with effusion(OME) in children.Methods Forty children aged from 3 to 12 years with OME were divided into two groups. The control group(n=20, 38 ears)received traditional Valsava maneuvers and medication. The nasal balloon assistant treatment group(n=20, 36 ears) received insufflation of the eustachian tube by nasal balloon and medication. The tymanometry and curative efficacy were compared between the two groups 2~3 months after the treatment.Results In the control group, 20 ears completely recovered, 10 ears improved, and 8 ears invalid, with a curative rate of 52.63% and an efficacious rate of 78.95%. In the nasal balloon assistant treatment group, 27 ears recovered completely, 5 ears improved, and 4 ears invalid, with a curative rate of 75.00% and an efficacious rate of 88.89%. There was a significant difference in the curative rate between the two groups(P<0.05).Conclusion The simple nasal balloon assistant treatment is a safe and effective therapy for children with secretory otitis media.
Key words:  Otitis media with effusion(OME)  Insufflation of the eustachian tube  Nasal balloon