中耳变压疗法治疗老年人中耳负压的疗效分析

陆秋天;朱秋梅;梁建平;李东云;王涛;袁弘;

1:广西壮族自治区人民医院耳鼻咽喉科

摘要
目的探讨中耳变压疗法治疗老年人中耳负压的疗效。方法选择40例(50耳)老年人中耳负压患者,按年龄、病程配对分为中耳变压疗法治疗组(治疗组,25耳)和Valsava法吹张治疗组(对照组,25耳),治疗后随访3个月,比较其疗效。结果治疗组治疗后气导纯音听阈均值(PTA)明显低于对照组(P<0.05),气骨导差两组差异无统计学意义(P>0.05),治疗组中耳压力则明显高于对照组(P<0.05)。治疗组痊愈5耳,显效4耳,有效12耳,总有效率为84.00%(21/25耳);对照组痊愈1耳,显效1耳,有效16耳,总有效率为72.00%(18/25耳),两组间总有效率差异无统计学意义(P>0.05),痊愈+显效差异有统计学意义(P<0.05)。结论应用中耳变压疗法治疗老年人中耳负压疗效优于传统Valsava法吹张治疗,对老年人中耳负压的听力康复十分有利。
关键词
老年人;中耳负压;中耳变压疗法;Valsava吹张法
基金项目(Foundation):
作者
陆秋天;朱秋梅;梁建平;李东云;王涛;袁弘;
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