首页|期刊导航|临床医学工程|短波紫外线联合常规药物治疗儿童急性中耳炎的效果及安全性探讨

短波紫外线联合常规药物治疗儿童急性中耳炎的效果及安全性探讨OA

Discussion on the Effect and Safety of Conventional Drug Therapy Combined with Short-Wave Ultraviolet Radiation in the Treatment of Acute Otitis Media in Children

中文摘要英文摘要

目的 探讨短波紫外线联合常规药物治疗儿童急性中耳炎(AOM)的效果及安全性,为优化临床治疗方案提供循证依据.方法 128 例AOM患儿随机分为两组.对照组采用常规药物治疗,观察组在对照组基础上联合短波紫外线治疗.比较两组的临床疗效、临床症状缓解时间、炎性因子水平、不良反应及并发症发生情况.结果 观察组的治疗总有效率高于对照组(P<0.05).观察组的耳痛缓解时间、鼓膜充血缓解时间均短于对照组(P<0.05).观察组治疗后的WBC、CRP、PCT水平均低于对照组(P<0.05).两组的不良反应总发生率比较,差异无统计学意义(P>0.05).观察组的并发症总发生率低于对照组(P<0.05).结论 短波紫外线联合常规药物治疗儿童AOM的临床疗效优于单一常规药物,该联合方案有助于加快患儿症状缓解,促进听力恢复,有效降低炎性因子水平,减少并发症的发生,且未增加不良反应风险,可作为儿童AOM临床治疗的优选方案之一.

Objective To explore the effect and safety of conventional drug therapy combined with short-wave ultraviolet radiation in the treatment of acute otitis media(AOM)in children,and to provide evidence-based support for optimizing clinical treatment protocols.Methods 128 children with AOM were randomly divided into two groups.The control group received conventional drug therapy,while the observation group received conventional drug therapy combined with short-wave ultraviolet radiation.The clinical efficacy,symptom relief time,levels of inflammatory factors,incidence of adverse reactions,and complications were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).The relief time of earache and tympanic membrane hyperemia in the observation group were shorter than those in the control group(P<0.05).After treatment,the levels of WBC,CRP,and PCT in the observation group were lower than those in the control group(P<0.05).No statistically significant difference was found in the total incidence of adverse reactions between the two groups(P>0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusions Short-wave ultraviolet radiation combined with conventional drug therapy for AOM in children has better clinical efficacy than the conventional drug therapy alone.This combined regimen helps accelerate symptom relief,promotes hearing recovery,effectively reduces inflammatory factor levels,decreases the incidence of complications,and does not increase the risk of adverse reactions,which can be considered as one of the preferred clinical treatment options for AOM in children.

路亚茹;张晓静

许昌市中心医院 耳鼻咽喉科,河南 许昌 461000许昌市中心医院 耳鼻咽喉科,河南 许昌 461000

医药卫生

儿童急性中耳炎短波紫外线炎性因子不良反应

Acute otitis media in childrenShort-wave ultraviolet radiationInflammatory factorAdverse reaction

《临床医学工程》 2026 (2)

171-174,4

2023年度许昌市重点研发与推广专项(科技攻关、软科学研究)项目(项目编号:20230213077)

10.3969/j.issn.1674-4659.2026.02.0171

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