首页|赛洛唑啉滴鼻剂联合吸入用布地奈德混悬液治疗小儿分泌性中耳炎的临床效果

赛洛唑啉滴鼻剂联合吸入用布地奈德混悬液治疗小儿分泌性中耳炎的临床效果

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目的:了解赛洛唑啉滴鼻剂联合吸入用布地奈德混悬液治疗小儿分泌性中耳炎的临床效果及对可溶性白介素2受体(sIL-2R)、T淋巴细胞亚群水平的影响.方法:将毕节市第一人民医院2021年3 月—2022 年 5 月收治的 95 例分泌性中耳炎患儿随机分为试验组(47 例)及对照组(48 例).对照组患儿应用鼓膜穿刺术、抗生素及吸入用布地奈德混悬液治疗,试验组在此基础上加用赛洛唑啉滴鼻剂,对比两组患儿的治疗效果、治疗前后的鼓室压和气导听阈、治疗前后sIL-2R和T淋巴细胞亚群水平及不良反应.结果:试验组患儿临床治疗有效率(91.49%)高于对照组(75.00%)(P<0.05).治疗前,两组患儿鼓室压、气导听阈比较差异均无统计学意义(P>0.05);治疗后,两组患儿鼓室压、气导听阈均较治疗前改善(P<0.05),且试验组鼓室压、气导听阈均较对照组优,差异均有统计学意义(P<0.05).治疗前,两组患儿sIL-2R、白细胞分化抗原(CD)3+、CD4+、CD8+、CD4+/CD8+T淋巴细胞比较差异均无统计学意义(P>0.05);治疗后,两组患儿sIL-2R、CD3+、CD4+、CD4+/CD8+T淋巴细胞均较治疗前低,CD8+T淋巴细胞较治疗前增高(P<0.05),且试验组sIL-2R、CD3+、CD4+、CD4+/CD8+T淋巴细胞水平均低于对照组,试验组CD8+T淋巴细胞高于对照组(P<0.05).两组患儿不良反应发生率差异无统计学意义(P>0.05).结论:赛洛唑啉滴鼻剂联合吸入用布地奈德混悬液治疗小儿分泌性中耳炎的临床效果确切,且能通过影响sIL-2R、T淋巴细胞亚群从而调整机体免疫功能,副作用小.
Clinical Effect of Xylometazoline Nasal Drops Combined with Budesonide Suspension for Inhalation in Treating Children with Secretory Otitis Media
Objective:To investigate the clinical effect of Xylometazoline Nasal Drops combined with Budesonide Suspension for Inhalation in the treatment of children's secretory otitis media and its effect on the levels of soluble interleukin 2 receptor(sIL-2R)and T lymphocyte subsets.Method:A total of 95 children with secretory otitis media admitted in the First People's Hospital of Bijie from March 2021 to May 2022 were randomly divided into the experimental group(47 cases)and the control group(48 cases).The control group of children were treated with tympanic membrane puncture,antibiotics,and Budesonide Suspension for Inhalation.On this basis,the experimental group was treated with Xylometazoline Nasal Drops.The treatment effects,tympanic pressure and gas conduction hearing threshold before and after treatment,levels of sIL-2R and T lymphocyte subsets before and after treatment,and adverse reactions were compared between the two groups of children.Result:The effective rate of treatment in the experimental group(91.49%)was higher than that(75.00%)in the control group(P<0.05).Before treatment,there were no differences in tympanic pressure and air conduction hearing threshold between the two groups of children(P>0.05);after treatment,the tympanic pressure and air conduction hearing threshold of both groups of children improved compared to before treatment(P<0.05),and the tympanic pressure and air conduction hearing threshold of the experimental group were better than those of the control group,the differences were statistically significant(P<0.05).Before treatment,there were no differenced in sIL-2R,cluster of differentiation(CD)3+,CD4+,CD8+,CD4+/CD8+T lymphocytes between the two groups of children(P>0.05);after treatment,the levels of sIL-2R,CD3+,CD4+,CD4+/CD8+T lymphocytes in both groups of children were lower than before treatment,the CD8+ T lymphocytes in both groups of children were higher than before treatment(P<0.05),and the levels of sIL-2R,CD3+,CD4+,CD4+/CD8+T lymphocytes in the experimental group were lower than those in the control group,while CD8+T lymphocytes in the experimental group was higher than that in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups of children(P>0.05).Conclusion:The clinical effect of Xylometazoline Nasal Drops combined with Budesonide Suspension for Inhalation in the treatment of pediatric secretory otitis media is definite,and it can adjust the immune function of the body by affecting sIL-2R and T lymphocyte subsets,with little side effects.

Xylometazoline Nasal DropsBudesonide Suspension for InhalationSecretory otitis media

李家勇

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毕节市第一人民医院耳鼻喉科 贵州 毕节 551700

赛洛唑啉滴鼻剂 吸入用布地奈德混悬液 分泌性中耳炎

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(7)
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