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[成人咽鼓管功能障碍的物理治疗——初步报告]

[Physiotherapy of Eustachian tube dysfunction in adults--preliminary report].

作者信息

Markowska Renata, Szkiełkowska Agata, Ratyńska Joanna, Skarzyński Henryk

机构信息

Klinika Zaburzeń Głosu i Mowy Instytutu Fizjologii i Patologii Słuchu w Warszawie.

出版信息

Otolaryngol Pol. 2003;57(2):277-81.

PMID:12894436
Abstract

The paper presents preliminary results of Eustachian tube dysfunction treatment with the use of vibroaerosols in adult patients. 21 patients aged 16-73 y.o. (mean age 49 y.o) have been included in the study. The treatment included inhalation of medicines individually selected for the patient, based on the results of the physical examination. The patients have been divided into 2 groups, depending on the type of tympanogram. Group I included patients with type A tympanogram and abnormal Eustachian tube patency test result. Group II comprised of patients with type B or C tympanogram and abnormal Eustachian tube patency test result. After treatment, subjective improvement has been observed in 88.9% of the ears, objective improvement in 61.5% of the ears. In group II, objective improvement observed by the change of tympanogram has been observed in 85% of ears. Lack of correlation between objective and subjective improvement have been observed in 26% of the ears. In 11.1% of the ears no benefit from treatment has been observed. The correlation between subjective and objective improvement has been observed in 74% of ears. It appears that treatment with the use of vibroaerosols is beneficial for patients with Eustachian tube dysfunction.

摘要

本文介绍了在成年患者中使用振动气雾剂治疗咽鼓管功能障碍的初步结果。21名年龄在16 - 73岁(平均年龄49岁)的患者被纳入研究。治疗包括根据体格检查结果为患者单独选择药物进行吸入治疗。根据鼓室图类型,患者被分为两组。第一组包括鼓室图为A型且咽鼓管通畅试验结果异常的患者。第二组由鼓室图为B型或C型且咽鼓管通畅试验结果异常的患者组成。治疗后,88.9%的耳朵有主观改善,61.5%的耳朵有客观改善。在第二组中,85%的耳朵通过鼓室图变化观察到客观改善。26%的耳朵观察到客观和主观改善之间缺乏相关性。11.1%的耳朵未观察到治疗益处。74%的耳朵观察到主观和客观改善之间存在相关性。看来使用振动气雾剂治疗对咽鼓管功能障碍患者有益。

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