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目的探讨中耳变压疗法治疗成人急性分泌性中耳炎的疗效。方法选择48例(56耳)成人急性分泌性中耳炎患者,按年龄配对分为中耳变压疗法治疗组(24例,28耳)和Valsava法吹张对照组(24例,28耳),治疗后随访3个月,比较其疗效。结果治疗组治疗后纯音听阈均值、气骨导差均值明显低于对照组(P<0.05)。治疗组痊愈24耳,显效1耳,有效2耳,总有效率为96.42%(27/28耳),对照组痊愈17耳,显效3耳,有效4耳,总有效率为85.71%(24/28耳),两组间痊愈率差异有统计学意义(χ2=4.462,P=0.035),两组间总有效率差异无统计学意义(χ2=0.878,P=0.349)。两组均无化脓性中耳炎、鼓膜穿孔等并发症发生。结论应用中耳变压疗法治疗成人急性分泌性中耳炎疗效优于传统Valsava法吹张治疗,值得在临床上推广应用。
Objective To investigate the curative effect of middle ear transformation therapy on adult acute otitis media with effusion. Methods Forty-eight cases (56 ears) of adult patients with acute secretory otitis media were divided into two groups according to their ages: 24 cases (28 ears) and Valsava’s blow-up control group (24 cases, 28 ears) Follow-up 3 months, compare its efficacy. Results After treatment, the mean pure tone threshold and the average value of air conduction in the treatment group were significantly lower than those in the control group (P <0.05). The treatment group healed 24 ears, effective 1 ear, effective 2 ears, the total effective rate was 96.42% (27/28 ears), the control group cured 17 ears, effective 3 ears, effective 4 ears, the total effective rate was 85.71% 28 ears). There was significant difference in the cure rate between the two groups (χ2 = 4.462, P = 0.035). There was no significant difference in the total effective rate between the two groups (χ2 = 0.878, P = 0.349). No suppurative otitis media, tympanic membrane perforation and other complications occurred in both groups. Conclusion The application of middle ear transfraction therapy in the treatment of acute otitis media with acute otitis media in adults is superior to the traditional Valsava method in the treatment of blow-out, which is worth popularizing in clinic.