氦氖激光耳腔内照射联合水杨酸滴耳液治疗真菌性外耳道炎的临床观察

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1、氦氖激光耳腔内照射联合水杨酸滴耳液治疗真菌性外耳道炎的临床观察汪志杨志萍张安林（荆州市第三人民医院耳鼻喉科434001）【屮图分类号】R746.lL文献标识码】A【文章编号】1672-5085（2013）27-0158-02【摘要】A的观察氦氖激光耳腔内照射联合水杨酸滴耳液治疗真菌性外耳道炎的疗效。方法分为治疗组和对照组，治疗组146例，以氦氖激光耳腔内照射联合水杨酸滴耳液滴耳，以酒精清洁耳道，用吸引器清除耳道内霉菌团块，予以长春产jHL-96型氦氖激光照射治疗机，激光波长632.8nm，连续输出，输出功率30mW

2、,光斑直径0.2cm左右，照射距离2cm,将激光头伸入外耳腔内。每曰两次，一次15min,10次为一疗程。同时嘱患者自行以3%水杨酸滴耳液滴耳,tid×10d,十天后复查。对照组109例，嘱患考以3%水杨酸滴耳液滴耳，tid×10d,十天后复查。比较两组间疗效。结果治疗组有效率96.6%,对照组有效率80.7%。，按统计学分析，两组间有显著差异（p<0.05）。结论氦氖激光耳腔内照射联合水杨酸滴耳液治疗真菌性外耳道炎能显著改善患者症状，提高疗效。【关键词】氦氖激光水杨酸滴耳液真菌病外耳道炎（

3、WangZhi1YangZhiping1ZhangAnlin2DepartmentofENTJingzhouThirdPeople'sHospital434001【Keywords】He-Nelasersalicylicacideardropsfungaldiseaseotitisexter【Abstract】ObjectiveToobservetheeffectofHe-Nelaserirradiationcombinedwithearcavitysalicylicacideardropsinthetreatme

4、ntoffungalotitisexternaeffect.Method:dividesintothetreatmentgroupandcontrolgroup,146casesintreatmentgroup,withHe-Nelaserirradiationcombinedwithearcavityofsalicylicacideardropsforear,withalcoholtocleantheearcanal,withthesuctionremovaloftheearcanaltoChangchunmol

5、dclumps,JHL-96treatedwithHe-Nelasermachine,laserwavelengthof632.8nm,continuousoutput,outputpowerof30mW,spotdiameterofabout0.2cm,irradiationdistanceof2cm,willheadextendsintotheexternalcavitylaser.Twotimesaday,one15min,10timesasacourseoftreatment.Atthesametime,a

6、skthepatienttotake3%salicylicacideardropsforear,TID×10d,tendaysafterthereview.109casesofthecontrolgroup,thepatientshaveto3%salicylicacideardropsforear,TID×10d,tendaysafterthereview.Comparisonofcurativeeffectamongthetwogroups.Results:theeffectiverat

7、eoftreatmentgroupis96.6%,theeffectiverateofcontrolgroup80.7%.Accordingtothestatistics,analysis,thereweresignificantdifferencesbetweentwogroups(P<0.05).Conclusion:He-Nelaserearcavityirradiationcombinedwithsalicylicacideardropsinthetreatmentoffungalotitisexte

8、rnacansignificantlyimprovethesymptomsofpatients,improvethecurativeeffect.我院自2003年6月至2012年07月门诊病人中共确诊真菌性外耳道炎患者255例。应用氦氖激光耳腔内照射联合水杨酸滴耳液滴耳146例，并与用3%水杨酸滴耳液滴耳109例进行对比，观察疗效。1.临床资料1.1一般资料