鼻腔冲洗联合糠酸莫米松鼻喷雾剂治疗儿童分泌性中耳炎

目的：探讨鼻腔冲洗联合糠酸莫米松鼻喷雾剂对分泌性中耳炎患儿的临床疗效。方法选取佛山市中医院2012年8月至2013年8月诊治的70例分泌性中耳炎患儿，随机分为对照组和观察组，对照组采用常规治疗，观察组在常规治疗的基础上给予鼻腔冲洗联合糠酸莫米松鼻喷雾剂进行治疗，比较两组治疗后的临床疗效。结果两组患者治疗两周后，观察组总有效率（91．4％）、咽鼓管功能改善总有效率（91．4％）均高于对照组（68．6％、71．4％），两组间差异有统计学意义（χ2＝5．714，P＜0．05；χ2＝4．629，P＜0．05）。结论鼻腔冲洗联合糠酸莫米松鼻喷雾剂治疗儿童分泌性中耳炎临床疗效明显，无不良反应，具有一定的临床意义。

Curative effects of nasal douche combined with Mometasone Furoate Nasal Spray for the treatment of secretory otitis media in children

Objective To investigate the curative effects of nasal douche combined with Mometasone Furoate Nasal Spray for the treatment of secretory otitis media （SOM ） in children .Methods A total of 70 children with SOM ,treated in this hospital from August 2012 to August 2013 ,were randomly divided into control group ,given con-ventional treatment ,and observation group ,given combined treatment of conventional therapy ,nasal douche and Mo-metasone Furoate Nasal Spray .Curative effects of the two groups were compared .Results After two weeks of treat-ment ,the total effective rate and total improving efficiency of function of eustachian tube in observation group were 91 .4% and 91 .4% ,which were significantly higher than the 68 .6% and 71 .4% in control group ,respectively （χ2 =5 .714 ,P〈0 .05 ,χ2 =4 .629 ,P〈0 .05） .Conclusion Combined application of nasal douche and Mometasone Furoate Nasal Spray could be with obvious curative effect for the treatment of SOM in children ,without adverse reaction .