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目的观察正压冲洗治疗慢性化脓性中耳炎的疗效,探讨咽鼓管压力值与中耳炎发病率的关系。方法选取门诊60例患慢性中耳炎的病人,测量咽鼓管压力,将病人随机分为两组,正压冲洗组及普通治疗组。病人咽鼓管压力大于40mmHg时,先纠正咽鼓管的狭窄,并开始记录天数。正压冲洗组患者每天接受地塞米松+菌培养敏感药物正压冲洗;普通治疗组患者全身应用抗生素,氧氟沙星滴耳液耳浴。观察两组的疗效。结果正压冲洗组治疗有效平均天数3.5天,普通治疗组平均天数6.1天。结论通过临床治疗研究结果,正压冲洗可以有效的治疗慢性化脓性中耳炎,并缩短疗程。
Objective To observe the curative effect of positive pressure irrigation on chronic suppurative otitis media and to explore the relationship between eustachian tube pressure and the incidence of otitis media. Methods Sixty patients with chronic otitis media were selected to measure eustachian tube pressure. The patients were randomly divided into two groups: positive pressure flush group and general treatment group. Patients with Eustachian tube pressure greater than 40mmHg, the first correction of eustachian tube stenosis, and began to record the number of days. Patients in positive pressure flushing group received daily positive pressure flushing of dexamethasone + bacterial culture sensitive drugs. Patients in general treatment group were given antibiotics and ofloxacin ear drops ear bath. Observed the curative effect of two groups. Results Positive pressure flushing group effective average days 3.5 days, the average treatment group average days 6.1 days. Conclusions Through the clinical treatment of research results, positive pressure irrigation can effectively treat chronic suppurative otitis media, and shorten the course of treatment.