老年分泌性中耳炎甲强龙鼓室内注射联合通气散方治疗的效果
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摘要
目的:观察老年分泌性中耳炎患者经通气散方联合甲强龙鼓室注射治疗的临床效果。方法:选择我院老年分泌性中耳炎患者进行此次研究,例数为100例,时间自2015年12月至2018年4月,将符合分泌性中耳炎诊断的老年患者,随机分为观察组(50例)和对照组(50例)。观察组使用甲强龙鼓室内注射联合通气散方治疗,对照组仅使用甲强龙鼓室内注射治疗,比较两组患者治疗效果。结果:观察组0.5kHz、1kHz、2kHz下气导听力显著优于对照组(P<0.05)。观察组语频气导听阀指标和鼓室内压力改善程度显著优于对照组(P<0.05)。对照组不良反应发生率为20.00%,观察组为6.00%(P<0.05)。结论:在老年分泌性中耳炎疾病治疗中,使用甲强龙鼓室内注射联合通气散方治疗,具有安全性强,治疗效果显著的特点,临床应用及推广价值极高。
Objective: To observe the clinical effect of ventilated prescription combined with methylprednisolone tympanic injection in elderly patients with secretory otitis media. Methods: The elderly patients with otitis media with effusion in our hospital were enrolled in this study. The number of cases was 100. From December 2015 to April 2018,elderly patients who were diagnosed with secretory otitis media were randomly divided into observation groups( 50 cases) and control group( 50 cases). The observation group was treated with Jiaqianglong drum indoor injection combined with ventilation and the treatment group. The control group was only treated with intrathyroid injection,and the treatment effect of the two groups was compared. Results: The air conduction hearing at 0.5 k Hz,1 k Hz and 2 k Hz in the observation group was significantly better than that in the control group( P<0.05). The improvement of the frequency-frequency air-induced hearing valve index and the tympanic pressure in the observation group was significantly better than that in the control group( P<0.05). The incidence of adverse reactions in the control group was 20.00%,and that in the observation group was 6.00%( P<0.05). Conclusion: In the treatment of effusion otitis media in the elderly,the use of Jiaqianglong Drum Indoor Injection Combined with Ventilation Powder has strong safety and remarkable therapeutic effect. The clinical application and promotion value are extremely high.
Objective: To observe the clinical effect of ventilated prescription combined with methylprednisolone tympanic injection in elderly patients with secretory otitis media. Methods: The elderly patients with otitis media with effusion in our hospital were enrolled in this study. The number of cases was 100. From December 2015 to April 2018,elderly patients who were diagnosed with secretory otitis media were randomly divided into observation groups( 50 cases) and control group( 50 cases). The observation group was treated with Jiaqianglong drum indoor injection combined with ventilation and the treatment group. The control group was only treated with intrathyroid injection,and the treatment effect of the two groups was compared. Results: The air conduction hearing at 0.5 k Hz,1 k Hz and 2 k Hz in the observation group was significantly better than that in the control group( P<0.05). The improvement of the frequency-frequency air-induced hearing valve index and the tympanic pressure in the observation group was significantly better than that in the control group( P<0.05). The incidence of adverse reactions in the control group was 20.00%,and that in the observation group was 6.00%( P<0.05). Conclusion: In the treatment of effusion otitis media in the elderly,the use of Jiaqianglong Drum Indoor Injection Combined with Ventilation Powder has strong safety and remarkable therapeutic effect. The clinical application and promotion value are extremely high.
引文
[1]胡璟,杨琼,刘飞.甲强龙鼓室内注射联合全身激素应用治疗全聋型突发性耳聋患者的听力恢复观察[J].中国实用医药,2016,11(19):156-157.
[2]王凯华.鼓室利多卡因注射配合颞骨筛区甲强龙注射治疗顽固性耳鸣的效果观察[J].临床医学研究与实践,2016,1(17):45+47.
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[4]霍炳杰,常靓,刘羽,等.耳聋左慈丸合通气散治疗慢性分泌性中耳炎的疗效及对血清水通道蛋白1及4水平的影响[J].中国实验方剂学杂志,2016,22(12):191-194.
[5]刘业宁,李淑珍,方朝新,等.耳内镜下鼓室内注射甲强龙治疗听力损失60dB及其以上突聋的临床研究[J].黑龙江医药,2015,28(4):895-896.
[6]索良东,郭俊杰.耳后注射甲强龙与鼓室内注射甲强龙治疗突发性耳聋的疗效分析[J].内蒙古医学杂志,2016,48(7):867-869.
[7]Shah S S,Ohlsson A,Halliday H L,et al.Inhaled versus systemic corticosteroids for the treatment of bronchopulmonary dysplasia in ventilated very low birth weight preterm infants[J].Cochrane Database Syst Rev,2017,10(5):CD002058.
[8]Mikolka P,Kopincova J,Tomcikova M L,et al.Effects of surfactant/budesonide therapy on oxidative modifications in the lung in experimental meconium-induced lung injury[J].Journal of Physiology&Pharmacology,2016,67(1):57-65.
[2]王凯华.鼓室利多卡因注射配合颞骨筛区甲强龙注射治疗顽固性耳鸣的效果观察[J].临床医学研究与实践,2016,1(17):45+47.
[3]江坚.加味通气散联合中耳负压治疗仪治疗急性分泌性中耳炎43例疗效观察[J].湖南中医杂志,2017,33(12):57-58.
[4]霍炳杰,常靓,刘羽,等.耳聋左慈丸合通气散治疗慢性分泌性中耳炎的疗效及对血清水通道蛋白1及4水平的影响[J].中国实验方剂学杂志,2016,22(12):191-194.
[5]刘业宁,李淑珍,方朝新,等.耳内镜下鼓室内注射甲强龙治疗听力损失60dB及其以上突聋的临床研究[J].黑龙江医药,2015,28(4):895-896.
[6]索良东,郭俊杰.耳后注射甲强龙与鼓室内注射甲强龙治疗突发性耳聋的疗效分析[J].内蒙古医学杂志,2016,48(7):867-869.
[7]Shah S S,Ohlsson A,Halliday H L,et al.Inhaled versus systemic corticosteroids for the treatment of bronchopulmonary dysplasia in ventilated very low birth weight preterm infants[J].Cochrane Database Syst Rev,2017,10(5):CD002058.
[8]Mikolka P,Kopincova J,Tomcikova M L,et al.Effects of surfactant/budesonide therapy on oxidative modifications in the lung in experimental meconium-induced lung injury[J].Journal of Physiology&Pharmacology,2016,67(1):57-65.