陈贤忠

[摘要] 目的 探讨双孔鼓膜穿刺鼓室注药法对急性分泌性中耳炎的治疗效果。 方法 选取我院于2010年5月～2015年5月收治的100例急性分泌性中耳炎患者，将其随机分为观察组与对照组，观察组（50例，64耳）采用双孔鼓膜穿刺鼓室注药法进行治疗，对照组（50例，67耳）采用单孔鼓膜穿刺鼓室注药法进行治疗。治疗结束后，对两组患者的治疗效果与并发症发生情况进行对比分析。 结果 观察组的治疗总有效率为92.19%，对照组的治疗总有效率为51.05%，两组结果比较差异有统计学意义（P<0.05）；观察组的并发症总发生率为6.25%，对照组的并发症总发生率为26.87%，两组结果比较差异有统计学意义（P<0.01）。 结论 采用双孔鼓膜穿刺鼓室注药法对急性分泌性中耳炎进行治疗，其临床效果显著，安全可靠，值得临床推广与应用。

[关键词] 双孔鼓膜穿刺；单孔鼓膜穿刺；鼓室注药；急性分泌性中耳炎

[中图分类号] R764.21 [文献标识码] A [文章编号] 1674-4721（2016）03（b）-0114-03

[Abstract] Objective To explore the effect of double orifice tympanic membrane puncture tympanic cavity medicine injection method in treating acute secretory otitis media. Methods 100 acute secretory otitis media patients from May 2010 to May 2015 in our hospital were selected.Patients were randomly divided into observation group and control group.Patients in observation group （50 cases，64 ears） were used double orifice tympanic membrane puncture tympanic cavity medicine injection method.Patients in control group （50 cases，67 ears） were used single orifice tympanic membrane puncture tympanic cavity medicine injection method.After treatment，the treatment effect and complication in two groups were compared. Results The total effective rate in observation group and control group were respectively 92.19% and 51.05%，the difference was statistical significance when compared between two groups （P<0.05）；the incidence rate of complications in observation group and control group were respectively 6.25% and 26.87%，the difference was statistical significance when compared between two groups （P<0.01）. Conclusion Using double orifice tympanic membrane puncture tympanic cavity medicine injection method in treating acute secretory otitis media has obvious clinical effects and safety.It is worth to popularize in clinical.

[Key words] Double orifice tympanic membrane puncture；Single orifice tympanic membrane puncture；Tympanic cavity medicine injection；Acute secretory otitis media

分泌性中耳炎为中耳非化脓性的一种炎性疾病，其主要临床症状为中耳积液和听力下降，该病的发病原因为咽鼓管发生顺应性增加导致持续性的咽鼓管塌陷与无效主动开放从而引起分泌性中耳炎[1]。该病会对患者的听力造成较大影响，给患者的生活也带来严重影响。分泌性中耳炎的主要治疗方法为控制中耳黏膜的感染与变态反应，还要对患者的咽鼓管功能进行改善[2-3]。本研究对我院收治的100例分泌性中耳炎患者采用双孔鼓膜穿刺鼓室注药法进行治疗，并与单孔鼓膜穿刺鼓室注药法的治疗效果进行比较。

1 资料与方法

1.1 一般资料

选取我院于2010年5月～2015年5月收治的100例急性分泌性中耳炎患者，将其随机分为观察组与对照组。观察组50例，男27例，女23例，平均年龄（42.8±4.6）岁；患耳64只，其中左耳35只，右耳29只。……