叶勇

摘要：目的 研究分泌性中耳炎临床治疗方法和治疗疗效。方法 回顾分析2014年12月～2016年8月在我院治疗的128例分泌性中耳炎患者临床资料，将其随机分为对照组和观察组，每组64例患者。对照组采用常规治疗，观察组在常规治疗基础上采用鼓膜穿刺后高负压吸引加药物灌洗方法治疗，观察两组临床治疗疗效。结果 观察组治疗总有效率95.31%，明显高于对照组的73.43%，差异有统计学意义（P<0.05）；随访6个月，观察组复发率明显低于对照组，差异有统计学意义（P<0.05）。结论 分泌性中耳炎患者采用鼓膜穿刺后高负压吸引加药物灌洗法治疗，临床效果理想，复发率低，具有临床推广的重要价值。

关键词：分泌性；中耳炎；临床治疗

中图分類号：R764.21 文献标识码：A 文章编号：1006-1959（2017）14-0084-02

Clinical Study of Dexamethasone Combined with Tympanic Membrane Puncture in the Treatment of Secretory Otitis Media

YE Yong

（Department of Otorhinolaryngology，Longchang County Traditional Chinese Medicine Hospital，Neijiang 642150，Sichuan，China）

Abstract：Objective To study the clinical treatment and therapeutic effect of secretory otitis media.Methods The clinical data of 128 patients with secretory otitis media were analyzed retrospectively from December 2014 to August 2016 in our hospital.They were randomly divided into control group and observation group，64 patients in each group.The control group was treated by routine treatment.The observation group was treated with high negative pressure suction and drug lavage after tympanaginal puncture on the basis of routine treatment.The clinical curative effect of the two groups was observed.Results The total effective rate was 95.31% in the observation group and 73.43% higher than that in the control group（P<0.05）.The recurrence rate of the observation group was significantly lower than that of the control group at 6 months follow-up，the difference was statistically significant（P<0.05）.Conclusion The patients with secretory otitis media are treated with high pressure suction and drug lavage after tympanic membrane puncture.The clinical effect is ideal and the recurrence rate is low，which is of great value in clinical promotion.

Key words：Secretory；Otitis media；Clinical treatment

分泌性中耳炎临床又称为非化脓性中耳炎、渗出性中耳炎等，主要是以中耳积液、听力下降为主要特征的中耳性疾病[1-3]。临床患者病情严重程度不同，临床症状也存在差异，且随着体位的变化会发生改变。轻微患者会出现耳鸣、耳痛、闷塞、耳闷胀等症状，同时鼓膜活动显著降低，鼓膜内陷且颜色暗淡。临床若不及时治疗，随着病情的发展，持久的分泌性中耳炎会引起中耳粘连等严重并发症，进一步导致听力损害、语言障碍以及增加中耳炎急性发作的风险[4-6]。因此，临床给予积极有效的治疗具有重要的临床意义。本文选取2014年12月～2016年8月在我院治疗的128例分泌性中耳炎患者临床资料，分析分泌性中耳炎临床治疗疗效，现报告如下：

1资料与方法

1.1一般资料

回顾分析2014年12月～2016年8月在我院治疗的128例分泌性中耳炎患者临床资料，将其随机分为对照组和观察组，每组64例患者。患者均伴有不同程度的耳鸣、耳痛、听力下降以及内耳有闷塞感等症状。……