鼓膜切开联合地塞米松鼓室冲洗治疗分泌性中耳炎临床诊治分析
Clinical Diagnosis and Treatment of Secretory Otitis Media by Tympanic Membrane Incision Combined with Dexamethasone Tympanic Chamber Irrigation

目的：在于分析、观察患者鼓膜切开联合地塞米松鼓室冲洗对治疗分泌性中耳炎的临床作用和效果。方法：对我科2016年10月至2019年10月收治的分泌性中耳炎(单耳型)患者92例，随机分为对照组和观察治疗组，每组46人。其中对照组予以鼓膜穿刺并联合地塞米松鼓室注射治疗，而观察组给予患者鼓膜切开联合地塞米松鼓室冲洗治疗，均为1次/3天，连续3次，方法：分析2组患者的实际临床观察疗效。分析结果：与对照组相比，观察组治疗总有效率显著提高(p < 0.05)。疗效分析结论：观察组鼓膜切开联合地塞米松鼓室冲洗治疗分泌性中耳炎的有效率优于鼓膜穿刺联合地塞米松鼓室注射，能较好地提高分泌性中耳炎治疗的临床疗效。
Objective: To analyze and observe the clinical effect and effect of tympanic membrane incision combined with dexamethasone tymp irrigation on the treatment of secretory otitis media. Methods: 92 patients with secretory otitis media (single ear type) admitted in our department from October 2016 to October 2019 were randomly divided into the control group and the observation group, 46 in each group. The control group was treated with tympanic membrane puncture and combined with dexamethasone tympanic injection, while the observation group was treated with tympanic membrane incision and combined with dexamethasone tympanic lavage, all of which were 1/3 days, 3 times in succession, and the clinical efficacy of 2 groups was analyzed. Results: The total effective rate of treatment in the observation group was significantly higher than that in the control group. Conclusions: The effective rate of tympanic membrane incision combined with dexamethasone tympanic lavage in the observation group was better than that of tympanic membrane puncture combined with dexamethasone tympanic chamber injection, which could improve the clinical effect of secretory otitis media.