[摘要] 目的 探讨氦氖激光照射治疗儿童单纯型慢性化脓性中耳炎的效果。 方法 分析清远市妇幼保健院耳鼻喉科2015年2～12月收治的68例单纯型慢性化脓性中耳炎患儿的临床资料，依据治疗措施的不同将其分为对照组34例和研究组34例。观察两组单纯型慢性化脓性中耳炎患儿治疗前后听阈检测值的变化和临床治疗效果。 结果 对照组和研究组治疗前气导听阈均值[（26.8±4.4）dB和（27.1±4.6）dB]、骨导听阈均值[（23.3±5.2）dB和（24.1±5.6）dB]、气-骨导听阈均值[（18.5±5.3）dB和（18.7±5.6）dB]差异均无统计学意义（t=0.27、0.61、0.15，P>0.05）；对照组治疗后气导听阈均值[（7.9±3.1）dB]、骨导听阈均值[（5.6±2.4）dB]、气-骨导听阈均值[（4.8±1.6）dB]均优于治疗前（t=20.48、18.02、14.43，P<0.05），研究组治疗后气导听阈均值[（5.2±2.0）dB]、骨导听阈均值[（3.6±2.1）dB]、气-骨导听阈均值[（3.3±1.4）dB]均优于治疗前（t=25.46、19.99、15.56，P<0.05），且研究组治疗后气导听阈均值、骨导听阈均值、气-骨导听阈均值均优于对照组（t=4.27、3.66、4.11，P<0.05）；研究组单纯型慢性化脓性中耳炎患儿临床治疗总有效率（97.1%）高于对照组（85.3%），差异有统计学意义（χ2=8.67，P<0.05）。 结论 氦氖激光照射治疗儿童单纯型慢性化脓性中耳炎，临床效果良好，值得临床推广应用。

[关键词] 氦氖激光；单纯型慢性化脓性中耳炎；儿童；效果

[中图分类号] R764.21 [文献标识码] A [文章编号] 1674-4721（2016）03（b）-0123-03

[Abstract] Objective To approach result of treatment of children simple type chronic suppurative otitis media by He-Ne lasers irradiation. Methods 68 cases clinical data of simple type chronic suppurative otitis media in the E.N.T. Department of Maternal and Child Care Service Centre in Qingyuan City from February to December 2015 were analyzed，which were to be divided into two groups for control group of 34 cases and research group of 34 cases by different treatment methods.The threshold values change of two groups children simple type chronic suppurative otitis media before treatment and after treatment and clinical curative effect were detected. Results The mean air conduction audibility threshold [（26.8±4.4） dB and （27.1±4.6） dB]，mean bone conduction audibility threshold [（23.3±5.2） dB and （24.1±5.6） dB]，mean air- bone conduction audibility threshold [（18.5±5.3） dB and （18.7±5.6） dB] of control group and research group before treatment were no differences （t=0.27，0.61，0.15，P>0.05）.The mean air conduction audibility threshold [（7.9±3.1） dB]，mean bone conduction audibility threshold [（5.6±2.4） dB]，mean air- bone conduction audibility threshold [（4.8±1.6） dB] of control group after treatment were better than before treatment （t=20.48，18.02，14.43，P<0.05），the mean air conduction audibility threshold [（5.2±2.0） dB]，mean bone conduction audibility threshold [（3.6±2.1） dB]，mean air- bone conduction audibility threshold[（3.3±1.4） dB] of research group after treatment were better than before treatment （t=25.46，19.99，15.56，P<0.05），the mean air conduction audibility threshold，mean bone conduction audibility threshold，mean air- bone conduction audibility threshold of research group after treatment were better than those of control group （t=4.27，3.66，4.11，P<0.05）.The total effective rate of clinical treatment of 97.1% in research group for children simple type chronic suppurative otitis media was higher than that of control group of 85.3%，the difference was statistical significant （χ2=8.67，P<0.05）. Conclusion The clinical result of the treatment for children simple type chronic suppurative otitis media by He-Ne lasers irradiation is good，which is to be used in clinic.

[Key words] He-Ne lasers；Simple type chronic suppurative otitis media；Children；Effect

化脓性中耳炎属于耳鼻喉科常见疾病，其主要是因全身慢性疾病和邻近组织病灶疾病诱发所引起的，如急慢性扁桃体炎、鼻窦炎、腺样体肥大、上呼吸道感染等，儿童发生化脓性中耳炎的比例较高[1-2]。一般情况下，急性化脓性中耳炎的病程>8周会转变为慢性化脓性中耳炎，炎性病变随着病程的延长会侵犯中耳黏膜、骨膜，甚至可以深达骨质，出现反复耳流脓、鼓膜穿孔，严重影响儿童的听力[3-4]。选择合适的治疗方法，提高儿童单纯型慢性化脓性中耳炎的治疗效果是目前该领域研究的热点问题。本研究通过对清远市妇幼保健院耳鼻喉科收治的68例儿童单纯型慢性化脓性中耳炎的病例资料进行分析，探讨氦氖激光照射治疗儿童单纯型慢性化脓性中耳炎的效果。