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目的 探究鼓室内注射甲泼尼龙和盐酸氨溴索治疗老年分泌性中耳炎的临床疗效.方法 选取邛崃市医疗中心医院 2012 年 3 月—2015 年 3 月确诊并收治的 174 例老年分泌性中耳炎患者,按照随机数字法分为研究组和对照组,每组 87 例.对照组实施鼓膜穿刺中耳脓液抽吸及耳内注射地塞米松治疗,研究组实施鼓膜穿刺中耳脓液抽吸及耳内注射甲泼尼龙和盐酸氨溴索混合液.比较两组患者临床疗效及治疗前后听力指标变化情况.结果 研究组总有效率高于对照组(P 0. 05);治疗后研究组鼓室压和语频气导听阈高于对照组,差异有统计学意义( P < 0. 05).结论 鼓室内注射甲泼尼龙和盐酸氨溴索治疗老年分泌性中耳炎疗效确切,可有效恢复患者听力水平.“,”Objective To explore the clinical efficacy of intratympanic injection with ambroxol hydrochloride and methylprednisolone in the treatment of elderly patients with secretory otitis media. Methods A total of 174 patients with secre-tory otitis media in Medical Center Hospital of Qionglai City from March 2012 to March 2015 were selected,they were randomly divided into study group and control group,87 cases in each group. The control group were treated with the middle ear pus aspi-ration and injection with dexamethasone,the study group were treated with middle ear tympanic membrane puncture pus aspira-tion and injection with ambroxol hydrochloride and methylprednisolone. The clinical effect and changes of hearing index before and after treatment between the two groups were compared. Results The total effective rate of the study group was higher than that of the control group(P 0. 05),after treatment were significantly than before treatment improved (P < 0. 05),after treatment tympanic pressure and language frequency air conduction threshold of study group were higher than the control group(P < 0. 05). Conclusion Intratympanic injection with ambroxol hydrochloride and methylprednisolone has sure effect in the treatment of elderly patients with secretory otitis media,can significantly improve the hearing level of patients