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目的比较氧氟沙星耳内镜下冲洗与耳道滴入治疗化脓性中耳炎的效果。方法将化脓性中耳炎患者100例随机分为2组,试验组50例采用氧氟沙星耳内镜下冲洗治疗,对照组50例给予氧氟沙星耳道滴入治疗。比较2组患者临床疗效、听力恢复及生活质量。结果试验组总有效率为98.0%显著高于对照组的84.0%,差异有统计学意义(P<0.05);治疗前2组患者气导、骨导听阈值及生活质量比较差异无统计学意义(P>0.05),治疗后2组气导、骨导听阈值及生活质量评分均显著升高,且试验组高于对照组,差异均有统计学意义(P<0.05)。结论氧氟沙星耳内镜下冲洗治疗化脓性中耳炎效果优于耳道滴入,促进患者听力恢复,提高了生活质量,值得临床选择。
Objective To compare the effect of ofloxacin and endoscopy in the treatment of suppurative otitis media. Methods One hundred patients with purulent otitis media were randomly divided into two groups. 50 patients in the test group were treated with ofloxacin by ear endoscopy, and 50 patients in the control group were treated with ofloxacin ear canal infusion. The clinical efficacy, hearing recovery and quality of life of two groups were compared. Results The total effective rate of the experimental group was 98.0%, which was significantly higher than that of the control group (84.0%, P <0.05). There was no significant difference in the air conduction, bone conduction threshold and quality of life between the two groups before treatment (P> 0.05). After treatment, the air conduction, bone conduction threshold and quality of life scores of two groups were significantly increased, and the experimental group was higher than the control group, the difference was statistically significant (P <0.05). Conclusion Ofloxacin otoscope endoscopic irrigation suppurative otitis media better than the effect of the ear canal to promote the patient’s hearing recovery and improve the quality of life is worth the clinical choice.