肺表面活性物质对豚鼠分泌性中耳炎的治疗作用

目的:研究肺表面活性物质(PS)对豚鼠分泌性中耳炎(OME)的治疗作用,为OME的治疗探讨新途径。方法:将50只豚鼠随机分为对照组(10只)和实验组(40只),实验组豚鼠采用灭活的肺炎链球菌(KHP)鼓室内注射,建立OME的动物模型(听力下降,中耳积液);模型建立后再将其分为造模组(20耳)、造模对照组(10耳)、治疗组(24耳,向中耳腔注射0.05mlPS)和未治组(23耳,不做任何治疗)。造模5d后,耳内镜下观察鼓膜及鼓室积液的情况,检测各组豚鼠听性脑干反应(ABR)Ⅰ、Ⅲ波潜伏期及反应阈。结果:造模组豚鼠鼓室内注射KHP悬浮液5d后,鼓室出现积液,鼓膜浑浊,光锥消失;ABR反应阈由对照组的(14.00±3.08)dB提高至(45.00±5.67)dB,其差异有统计学意义(P<0.01);治疗组鼓室内注射PS7d后,鼓室积液减少或消失,反应阈由(45.00±5.67)dB降低至(23.53±6.32)dB,分别与造模组及未治组比较,差异有统计学意义(均P<0.01);未治组鼓室积液无变化,鼓膜更加浑浊,反应阈由(45.00±5.67)dB提高至(65.50±6.85)dB。结论:PS对豚鼠OME有治疗作用。

The curative effect of pulmonary surfactant on otitis media with effusion in guinea pigs

OBJECTIVE: To find a new way of treating otitis media with effusion by studying the curative effect of pulmonary surfactant on secretory otitis media in guinea pigs. METHOD: Nonviable heat-killed penumococci (HKP) solution was inoculated into the middle ear cavity in guinea pig via a transeardrum approach, set up models of otitis media with effusion in guinea pigs, after being injected with pulmonary surfactant by transeardrum approach, ob served changes of serous effusion in tympanum and response threshold. RESULT: Five days after inoculation of HKB, serous effusion was present in the middle ear cavity of guinea pigs with disappearance of light cone. ABR response threshold raised from (14.00 +/- 3.08) dB to (45.00 +/- 5.67) dB. After seven days following injection of pulmonary surfactant by transeardrum approach, serous effusion of tympanum reduced or disappeared. ABR response threshold decreased from (45.00 +/- 5.67) dB to (23.53 +/- 6.32) dB, there was significantly difference between them (P < 0.001). In guinea pigs suffering from otitis media with effusion were not treated by PS, the serous effusion of tympanum did'nt change. Eardrum was more muddy and ABR response threshold raised from (45.00 +/- 5.67) dB before trantoment (65.50 +/- 6.85) dB after being treated by PS, respectively, with statistically significant difference between them (P < 0.01). CONCLUSION: Pulmonary surfactant plays an important role in treating otitis media with effusion in guinea pigs.