Observation on the therapeutic effect of mometasone furoate nasal spray combined with myr-ingotomy in the treatment of secretory otitis media in children
Objective To explore the therapeutic effect of mometasone furoate nasal spray combined with myringotomy in the treatment of secretory otitis media in children.Methods One hundred children with adenoid hypertrophy and secretory otitis media visited our hospital from May 2018 to June 2022 were selected.The sick children were divided into an observation group and a control group using random number table method,50 in each group.Both groups were treated with adenoidectomy + myringotomy.The observation group was further treated with mometasone furoate nasal spray.The pure tone hearing threshold,Disease Specific Quality of Life Survey Scale(OSA-18),and levels of inflammatory factors such as interleukin-6(IL-6),IL-2,and C-reactive protein(CRP)were compared before and after treatment between the two groups.The clinical efficacy,acoustic impedance tympanogram,and incidence of complications were observed in the two groups.Results The total effective rate of the observation group after treatment was 92.00%that was higher than 76.00%of the control group(P<0.05).After treatment,the pure tone hearing threshold and OSA-18 scores of both groups were decreased compared to before treatment,and the OSA-18 score of the observation group was lower than that of the control group(P<0.05).There were no statistically significant difference in pure tone hearing threshold and acoustic impedance tympanogram between the two groups after treatment(P>0.05).After treatment,the levels of IL-6,IL-2,and CRP in both groups were decreased compared to before treatment,and the observation group was lower than the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusions The com-bination of mometasone furoate nasal spray and myringotomy has a definite therapeutic effect in the treatment of children with secretory otitis media.It can significantly improve the hearing and quality of life,inhibit the inflammatory reactions,and have fewer complica-tions.
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