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目的观察生理海水鼻腔冲洗辅助治疗儿童急性分泌性中耳炎的临床疗效。方法2011年5月~2012年8月收治100例（130耳）急性分泌性中耳炎的儿童，随机分为生理海水鼻腔冲洗联合治疗组（治疗组，55例，82耳）和对照组（45例，48耳），两组同时给予常规全身药物治疗。比较两组在第10d和第20d的治疗效果。结果治疗组有效76耳，无效6耳，总有效率92.7％；对照组有效38耳，无效10耳，总有效率79.2％；两组差异有统计学意义（P＜0.05）。结论生理海水辅助治疗儿童急性分泌性中耳炎效果较好。“,”Objective To observe the clinical ef ect of physiological sea water nasal douche therapy on children with acute secretory otitis media. Methods 2011 May -2012 August 100 cases (130 ears) were acute secretory otitis media in children, were randomly divided into physiological sea water nasal lavage combined treatment group (treatment group, 55 cases, 82 ears) and the control group (45 cases, 48 ears), two groups were given conventional systemic drug therapy. Compare the two groups at tenth and twentieth days of treatment ef ect. Results Treatment group 76 ears, 6 ears were inef ective, the total ef iciency of 92.7%; control group, 38 ears and 10 ears of ef ective, inef ective, the total ef iciency of 79.2%; there was significant dif erence between two groups (P < 0.05). Conclusions Physiological sea water therapy on children with acute secretory otitis media is bet er.