操润琴 李颖芳

[摘要]目的 觀察改良式冲洗器治疗外耳道狭窄耵聍栓塞患者的临床效果。方法 选取我科2016年11月～2017年11月收治的90例外耳道狭窄耵聍栓塞患者作为研究对象，将其根据随机数字表法分为对照组（n=45），观察组（n=45）。对照组患者给予传统洗耳球的方法治疗，观察组给予改良式冲洗器治疗，比较两组的治疗效果。结果 观察组治疗效果的总有效率为93.3%，明显高于对照组的77.8%，差异有统计学意义（P<0.05）。观察组耳部舒适度的优良率为95.6%，明显高于对照组的82.2%，差异有统计学意义（P<0.05）。观察组患者的不良反应总发生率为6.7%，明显低于对照组的17.7%，差异有统计学意义（P<0.05）。结论 改良式冲洗器治疗外耳道狭窄耵聍可明显提高治疗效果和耳部舒适度，降低不良反应发生率，值得临床推广应用。

[关键词]改良式冲洗器；外耳道狭窄；耵聍栓塞

[中图分类号] R764.1+2 [文献标识码] A [文章编号] 1674-4721（2018）8（b）-0145-03

Clinical effect of modified irrigator in the treatment of patients with ceruminal embolism due to stenosis of external auditory canal

CAO Run-qin LI Ying-fang

Department of Otolaryngology， Integrated Traditional Chinese and Western Medicine Hospital of Jiangxi Province， Nanchang 330003， China

[Abstract] Objective To observe the clinical effect of modified irrigator in the treatment of patients with ceruminal embolism due to stenosis of external auditory canal. Methods A total of 90 patients with ceruminal embolism due to stenosis of external auditory canal treated in our department from November 2016 to November 2017 were selected as study objects. The patients were divided into the control group （n=45） and observation group （n=45） according to the random number table method. Patients in the control group were treated with traditional washing ear bulb， while patients in the observation group were given modified irrigator. The therapeutic effect between the two groups was compared. Results The total effective rate of treatment effect in the observation group was 93.3%， which was significantly higher than that of the control group （77.8%）， and the difference was statistically significant （P<0.05）. The excellent and good rate of ear comfort in the observation group was 95.6%， which was significantly higher than that in the control group （82.2%）， and the difference was statistically significant （P<0.05）. The total incidence of adverse reactions in the observation group was 6.7%， which was significantly lower than that in the control group （17.7%）， and the difference was statistically significant （P<0.05）. Conclusion Modified irrigator in the treatment of patients with ceruminal embolism due to stenosis of external auditory canal can significantly improve the treatment effect and ear comfort， reduce the incidence of adverse reactions， and it is worthy of clinical promotion and application.

[Key words] Modified irrigator； Stenosis of external auditory canal； Ceruminal embolism

耵聍栓塞是耵聍腺分泌过多或排出受阻，可出现耳痛、耳鸣、听力减退、甚至眩晕等症状，还可刺激外耳道迷走神经耳支引起反射性咳嗽[1]，影响患者的生活质量。传统洗耳球橡胶管径粗、硬，外耳道狭窄患者耳部直径小，容易引起外耳道壁疼痛和耵聍冲出困难，有时需要来院冲洗数次，引起患者对治疗效果不满意；临床上耵聍钩直接取耵聍也是治疗方法之一，由于外耳道狭窄视野不好，用耵聍钩取出耵聍比较困难，容易损伤外耳道引起黏膜膜出血，同时操作过程中引起的耳部疼痛，让患者感到恐惧，不配合治疗；对冲洗器进行改良后，头皮针软管管径小、柔软，冲洗时患者耳部舒适度好，耵聍基本被一次性冲洗干净，可提高对外耳道狭窄耵聍栓塞患者的治疗效果，提高其听力和生活质量，本研究就此展开探讨，现报道如下。

1资料与方法

1.1一般资料

选取本科室2016年11月～2017年11月收治的90例外耳道狭窄耵聍栓塞患者作为研究对象，均需进行外耳道冲洗。……