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糠酸莫米松鼻喷雾剂治疗儿童分泌性中耳炎听力影响的临床研究

Clinical study of the effect of mometasone furoate nasal spray treatment on hearing and in secretory otitis media in children.

作者信息

Yu Xiaoyan, Xu Lang, Xie Youqi, Huang Mengjie

机构信息

Department of Otolaryngology, Chengdu Women's and Children's Central Hospital, (The Affiliated Women's and Children's Hospital, School of Medicine, UESTC), Chengdu City, Sichuan Province, PR China.

Department of Otolaryngology, Chengdu Women's and Children's Central Hospital, (The Affiliated Women's and Children's Hospital, School of Medicine, UESTC), Chengdu City, Sichuan Province, PR China.

出版信息

Clinics (Sao Paulo). 2024 Dec 12;80:100551. doi: 10.1016/j.clinsp.2024.100551. eCollection 2025.

Abstract

OBJECTIVE

To investigate the effect of Mometasone furoate (Elocon Cream) Nasal Spray (MFNS) treatment on hearing secretory Otitis Media (SOM) in younger children.

METHODS

Seventy-six children with SOM (ages 5 to 10 years-old) were selected as study subjects and divided into two groups of 38 cases each using a randomized numerical table. The control group was given conventional treatment, and the observation group was treated with MFNS based on the control group. Both groups were treated for 12 weeks. The improvements in clinical symptoms and hearing were compared between the two groups at weeks 4, 8 and 12 of treatment, respectively.

RESULTS

The total effective rate of treatment in the observation group was higher than that in the control group. The middle ear resonance frequency of the children in the observation group was higher than that of the control group at weeks 4, 8 and 12 of treatment, and the air-conduction hearing threshold was lower than that of the control group. The total effective rate of the observation group after 12-weeks of treatment was 92.11 %, which was significantly higher than that of the control group (73.68 %). In addition, the T-ETDQ score of the observation group was lower than that of the control group after treatment.

CONCLUSION

MFNS has clinical efficacy in the treatment of SOM in young children, which can improve clinical symptoms, promote the recovery of hearing and eustachian tube function, reduce the local inflammatory response, and improve immune function.

摘要

目的

探讨糠酸莫米松鼻喷雾剂(艾洛松乳膏)治疗小儿分泌性中耳炎(SOM)的效果。

方法

选取76例SOM患儿(年龄5至10岁)作为研究对象,采用随机数字表法分为两组,每组38例。对照组给予常规治疗,观察组在对照组基础上采用糠酸莫米松鼻喷雾剂治疗。两组均治疗12周。分别比较两组在治疗第4、8和12周时临床症状及听力的改善情况。

结果

观察组治疗总有效率高于对照组。治疗第4、8和12周时,观察组患儿的中耳共振频率高于对照组,气导听阈低于对照组。观察组治疗12周后的总有效率为92.11%,显著高于对照组(73.68%)。此外,治疗后观察组的T-ETDQ评分低于对照组。

结论

糠酸莫米松鼻喷雾剂治疗小儿SOM具有临床疗效,可改善临床症状,促进听力及咽鼓管功能恢复,减轻局部炎症反应,提高免疫功能。

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