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1、儿童鼻一鼻咽部病变相关性分泌性中耳炎的综合治疗doi：10.3969/j.issn.1007-614x.2014.15.51摘要目的：探讨综合治疗儿童鼻-鼻咽部病变相关性分泌性屮耳炎的临床效果。方法:2013年1月-2014年1月收治儿童鼻-鼻咽部病变相关性分泌性中耳炎患儿60例。根据病情给予0.9%氯化钠注射液冲洗、抗生索滴鼻、軽甲哇林喷鼻、扁桃体切除术、腺样体切除术等综合治疗方法进行治疗。观察其疗效。结果：治疗前听阈(35.6±11.3)db,治疗后听阈(20・2±8.1)db,听阈明显降低，与治疗前比较差异有统计学意义
2、(P<0.05)o本组60例，治愈24例(40.0%),显效12例(20.0%),有效18例(30.0%),无效6例(10.0%),总有效率90.0%0结论：综合治疗儿童鼻-鼻咽部病变相关性分泌性中耳炎疗效显著。关键词综合治疗儿童鼻-鼻咽部病变分泌性中耳炎ComprehensivetreatmentonsecretoryotitismediaassociatedwithnasalandnasopharyngeallesionsinchildrenSaZhiping,JiangShupingDepartmentofENT,th
3、eGeneralHospitalofJingmeiGroupCompany,Gansu730900AbstractObjective:Toexploretheclinicaleffectofcomprehensivetreatinentonsecretoryotitismediaassociatedwithnasalandnasopharyngeallesionsinchildren.Methods：60caseswithsecretoryotitismediaassociatedwithnasalandnasopharyn
4、gealdiseaseswereselectedfromJanuary2013toJanuary2014.Allpatientsreceivedcomprehensivetreatmentaccordingtotheillness,suchasNSflushing,drippingantibioticsintothenose,sprayinghydroxymethylcefazolinintothenose,tonsillectomy,adenoidectomyandsoon.Observetheeffect・Results
5、：Beforetreatment,thehearingthresholdwas35.6±11.3db.Aftertreatment,thehearingthresholdwas20.2土8.ldb.Thehearingthresholdwassignificantlyreduced.Comparedwiththatbeforetreatment,therewasstatisticallysignificant(P<0.05)・In60patients,24cases(40%)werecured.12cases(20%)wer
6、eexcellent.18cases(30.0%)wereeffective.6cases(10.0%)wereineffective.Thetotalefficiencywas90%.Conclusion：Theclinicaleffectofcomprehensivetreatmentonsecretoryotitismediaassociatedwithnasalandnasopharyngeallesionsinchildrenissignificant・KeywordsComprehensivetreatment；
7、Children；Nasalandnasopharyngeallesions；Secretoryotitismediadoi：10.3969/j.issn.1007-614x.2014.15.51摘要目的：探讨综合治疗儿童鼻-鼻咽部病变相关性分泌性中耳炎的临床效果。方法：2013年1月-2014年1月收治儿童鼻-鼻咽部病变相关性分泌性中耳炎患儿60例。根据病情给予0.9%氯化钠注射液冲洗、抗生素滴鼻、轻甲畔林喷鼻、扁桃体切除术、腺样体切除术等综合治疗方法进行治疗。观察其疗效。结果：治疗前听阈(35.6±11.3)db,治疗后
8、听阈(20・2±8・1)db,听阈明显降低，与治疗前比较差异有统计学意义(P<0.05)o本组60例,治愈24例(40.0%),显效12例(20.0%),有效18例(30.0%),无效6例(10.0%),总有效率90.0%o结论：综合治疗儿童鼻-鼻咽部病变相关性分泌性中耳炎疗效显著。关键词
