大理大学学报 ›› 2021, Vol. 6 ›› Issue (4): 59-61.

• 临床医学 • 上一篇    下一篇

单纯鼻腔吹气球法治疗儿童分泌性中耳炎78例临床分析

高起巧,杨 聪,刘文波,蓝彩娟,李志祥   

  1. (文山壮族苗族自治州人民医院,云南文山 663000)
  • 收稿日期:2019-01-02 修回日期:2020-11-26 出版日期:2021-04-15 发布日期:2021-05-19
  • 通讯作者: 李志祥,主任医师,E-mail:ynwsent@163.com。
  • 作者简介:高起巧,主治医师,主要从事临床听力学及耳鼻咽喉科常见疾病诊治研究。

Clinical Analysis of 78 kids of Otitis Media with Effusion Treated by Nasal Balloon Autoinflation

Gao Qiqiao, Yang Cong, Liu Wenbo, Lan Caijuan, Li Zhixiang   

  1. (People′s Hospital of Wenshan Zhuang and Miao Autonomous Prefecture, Wenshan, Yunnan 663000, China)
  • Received:2019-01-02 Revised:2020-11-26 Online:2021-04-15 Published:2021-05-19

摘要: [摘要]目的:探讨单纯鼻腔吹气球法治疗儿童分泌性中耳炎的临床疗效。方法:选择云南省文山壮族苗族自治州人民医院
2015年1月至2018年1月门诊诊治的不伴慢性鼻-鼻窦炎、急性扁桃体炎及腺样体肥大的儿童分泌性中耳炎患儿78例(126只
患耳),年龄3~14岁,分为急性组34例(60只患耳)和慢性组44例(66只患耳),采用单纯鼻腔吹气球法治疗,2~3次/d,每周复诊
1次,观察疗效,最长疗程不超过3个月。结果:急性组48只患耳治愈(治愈率为80.0%),8只患耳好转(好转率为13.3%),4只
患耳无效(无效率为6.7%);慢性组47只患耳治愈(治愈率为71.2%),12只患耳好转(好转率为18.2%),7只患耳无效(无效率
为10.6%)。急性组中15只患耳于治疗1月后达到治愈标准,24只患耳于治疗2月后达到治愈标准,9只患耳于治疗3月后达到
治愈标准;8只患耳于治疗3月后达到好转标准;慢性组中8只患耳于治疗1月后达到治愈标准,14只患耳于治疗2月后达到治
愈标准,25只患耳于治疗3月后达到治愈标准;12只患耳于治疗3月后达到好转标准。结论:单纯鼻腔吹气球法治疗儿童分泌
性中耳炎是较为有效的一种间接咽鼓管吹张法,且对急性、慢性儿童分泌性中耳炎都具有较好的临床疗效。

关键词: [关键词]儿童, 分泌性中耳炎, 单纯鼻腔吹气球法, 临床研究

Abstract: 〔Abstract〕Objective: To examine the clinical efficacy of nasal balloon autoinflation in the treatment of children with OME(otitis
media with effusion). Methods: We selected 78 kids(126 ears), aged from 3-14, who were diagnosed with OME but without chronic
rhinosinusitis, acute tonsillitis or adenoid hypertrophy in the outpatient department of People′s Hospital of Wenshan Zhuang and Miao
Autonomous Prefecture from January 2015 to January 2018. They were divided into the acute group with 34 kids(60 ears)and the
chronic group with 44 kids(66 ears). All of the patients were treated with the method of nasal balloon autoinflation by asking them to
blow balloons through the nasal cavity twice or three times a day. Check-up was performed once a week to observe the curative effect,
and the maximum course of treatment was no more than 3 months. Results: In the acute group, 48 ears were cured(80.0% cure rate),
8 ears got improvements(13.3% improvement rate), and the treatment of 4 ears failed(6.7% ineffective rate). In the chronic group, 47
ears were cured(71.2% cure rate), 12 ears got improvements(18.2% improvement rate), and the treatment of 7 ears failed(10.6%
ineffective rate). In the acute group, 15 ears reached the standard of cure after 1-month treatment, 24 ears reached the standard of cure
after 2-month treatment, and 9 ears reached the standard of cure after 3-month treatment; 8 ears reached the improvement standard
after 3-month treatment. In the chronic group, 8 ears reached the healing standard after 1-month treatment, 14 ears reached the healing
standard after 2-month treatment, and 25 ears reached the healing standard after 3-month treatment; 12 ears reached the improvement
standard after 3-month treatment. Conclusion: Nasal balloon autoinflation is an effective indirect eustachian tube inflation method for
the treatment of OME in children, and has good clinical efficacy in the treatment of kids with acute and chronic OME.

Key words: 〔Key words〕kids, OME, nasal balloon autoinflation, clinical studies

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