首页|Rh-bFGF制剂联合透明质酸钠贴片治疗创伤性鼓膜穿孔的临床疗效

Rh-bFGF制剂联合透明质酸钠贴片治疗创伤性鼓膜穿孔的临床疗效

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[目的]探讨重组人碱性成纤维细胞生长因子(Rh-bFGF)制剂联合透明质酸钠贴片治疗创伤性鼓膜穿孔的临床效果.[方法]选取2020年6月至2022年6月榆林市中医医院收治的82例(82耳)创伤性鼓膜穿孔患者,采用随机数字表法分为对照组和观察组,每组41例.对照组采用透明质酸钠贴片治疗,观察组采用Rh-bFGF制剂联合透明质酸钠贴片治疗,分别于治疗2周后和治疗4周后评估患者的鼓膜穿孔愈合情况;比较两组治疗前、治疗3个月后的气骨导差和气导听阀;比较两组患者治疗4周后耳鸣、耳痛的严重程度.[结果]观察组治疗2周后和治疗4周后鼓膜穿孔愈合率均高于对照组(P<0.05).治疗3个月后,两组气骨导差和气导听阀均低于治疗前,且观察组低于对照组(P<0.05).治疗4周后,两组耳鸣、耳痛严重程度均低于治疗前,且观察组低于对照组(P<0.05).[结论]Rh-bFGF制剂联合透明质酸钠贴片治疗创伤性鼓膜穿孔,有助于提高患者的听力水平和鼓膜愈合率,改善耳鸣、耳痛症状.
Clinical Efficacy of Rh-bFGF Preparation Combined with Sodium Hyaluronate Patch in the Treat-ment of Traumatic Tympanic Membrane Perforation
[Obj ective]To explore the clinical effect of recombinant human basic fibroblast growth factor(Rh-bFGF)preparation combined with sodium hyaluronate patch in the treatment of traumatic tympanic membrane perforation.[Meth-ods]A total of 82 patients(82 ears)with traumatic tympanic membrane perforation admitted to Yulin City Hospital of Tra-ditional Chinese Medicine from June 2020 to June 2022 were selected and randomly divided into a control group and an ob-servation group using a random number table method,with 41 cases in each group.The control group received treatment with sodium hyaluronate patches,while the observation group received treatment with Rh-bFGF formulation combined with sodium hyaluronate patches.The healing of tympanic membrane perforation in patients was evaluated after 2 weeks and 4 weeks of treatment,respectively;We compared the air bone conduction difference and air guided hearing valve between two groups before treatment and 3 months after treatment;We also compared the severity of tinnitus and ear pain between two groups of patients after 4 weeks of treatment.[Results]The healing rate of the tympanic membrane in the observation group was higher than that in the control group after 2 weeks and 4 weeks of treatment(P<0.05).After 3 months of treat-ment,the air bone conduction difference and air guided hearing valve in both groups were lower than before treatment,and the observation group was lower than the control group(P<0.05).After 4 weeks of treatment,the severity of tinnitus and ear pain in both groups was lower than before treatment,and the observation group was lower than the control group(P<0.05).[Conclusion]The combination of Rh-bFGF preparation and sodium hyaluronate patch in the treatment of trau-matic tympanic membrane perforation can help improve the patient's hearing level and tympanic membrane healing rate,and improve symptoms of tinnitus and ear pain.

Tympanic Membrane Perforation/DTFibroblast Growth Factor 2Hyaluronic Acid

袁倩、徐亚莉

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榆林市中医医院耳鼻喉科,陕西 榆林 719000

延安市黄陵县中医医院耳鼻喉科,陕西 延安 727300

鼓膜穿孔/药物疗法 成纤维细胞生长因子2 透明质酸

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(4)
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