| 王登元,陈智斌,赵晓埝,邢光前,陆 玲,程 雷.改良Politzer仪治疗儿童慢性分泌性中耳炎的疗效评估[J].南京医科大学学报,2017,(12):1684~1686,1690 |
| 改良Politzer仪治疗儿童慢性分泌性中耳炎的疗效评估 |
| Efficacy of using modified Politzer device in treating chronic otitis media with effusion in children |
| 投稿时间：2017-05-17 |
| DOI：10.7655/NYDXBNS20171241 |
| 中文关键词: 改良Politzer仪 吹张 分泌性中耳炎 儿童 |
| 英文关键词: modified politzer device inflation otitis media with effusion children |
| 基金项目:江苏高校优势学科建设工程（JX10231801） |
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| 中文摘要: |
| 目的：评估改良Politzer仪治疗儿童慢性分泌性中耳炎（otitis media with effusion，OME）的临床疗效。方法： 将确诊为双耳慢性OME伴听力损失的43例患儿随机分为A、B组。A组22例使用改良Politzer仪行咽鼓管吹张治疗；B组21例行观察随访。4周后，两组交叉。两组患儿在入组、4周及8周接受耳内镜检查、声导抗及纯音听阈测试。结果：治疗4周后A组有20耳（45%）中耳压力和纯音听阈恢复正常，14耳（32%）有好转，B组中6耳（14%）恢复正常，4耳（10%）好转，两组疗效差异有统计学意义（P＜0.005）。两组交叉后，B组经过4周吹张治疗后有17耳（40%）恢复正常，13耳（31%）有好转；A组有24耳（55%）恢复正常，14耳（32%）有好转，两组疗效差异有统计学意义（P＜0.05）。两组共有8例（19%）接受鼓膜置管术。结论： 利用改良Politzer仪进行咽鼓管吹张能有效治疗患儿慢性OME，越早吹张治疗效果越好，从而降低手术机率。 |
| 英文摘要: |
| Objective: To use of modified Politzer device in the management of chronic otitis media with effusion(OME) in children and evaluate the clinical efficacy. Methods: Forty-three Children diagnosed with bilateral chronic OME and hearing loss were randomly divided into A and B groups. Tweenty-two Children in group A, aged 4~11 years started as the treatment group underwent modified Politzer device for inflation. Another 21 Children in group B, aged 5~12 years were included as the control group underwent careful observation. After 4 weeks, a cross-over was performed. Both groups underwent otoendoscopy, tympanometry and audiometry at inclusion and after 4 and 8 weeks for evaluating the treatment efficacy. Results: In group A, the middle ear pressure and pure tone threshold were normalized in 20(45% )and improved in 14(32%) ears after 4 weeks treatment. While in B group, 6(14%) ears were normalized and 4 ears were improved(10%) . Statistically significant differences were demonstrated between children with modified Politzer device for inflation and children with observation. After cross-over , 17(40%) normalization and 13(31%) improvement of ears were achieved in B group, and 24(55%) normalization and 14(32%) improvement of ears were achieved in A group. Statistically differences were demonstrated between two groups (P＜0.05). There were 8(19%) children were submitted to grommet surgery after 8 weeks treatment. in two groups. Conclusion: Efficiency were demonstrated in children with chronic OME inflated with Modified Politzer. The earlier treatments were given, the better effects could be achieved. It can reduce the need for surgery. |
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