听觉所 (耳朵清洁) 治疗慢性性耳中炎
Mahmood F Bhutta1, Karen Head2, Lee Yee Chong2
1Department Global Health and Infection, Brighton & Sussex Medical School, Brighton, UK.
The Cochrane database of systematic reviews
|June 8, 2025
概括
由于有限,低质量的证据,慢性性耳中炎 (CSOM) 的听觉所的有效性仍然不确定. 需要更多的研究来确定它的好处和危害,与没有治疗或替代方法相比.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 基于证据的医学基于证据的医学.
背景情况:
- 慢性性中耳炎 (CSOM) 是一种持续的中耳感染,导致耳部泄漏和听力损失.
- 耳部所,包括干洗,吸或灌,是CSOM的一种非手术干预措施.
- 本综述是2020年关于CSOM非手术干预的Cochrane综述的更新.
研究的目的:
- 评估慢性性耳中炎 (CSOM) 患者的耳程序的益处和危害.
- 评估与没有干预或不同的声便器方法相比,声便器的有效性.
主要方法:
- 搜索了多个数据库,包括Cochrane ENT Register,CENTRAL,MEDLINE和Embase,截至2022年6月.
- 包括随机对照试验 (RCT),对慢性耳部泄漏或CSOM进行至少一周的随访.
- 主要结局包括耳部泄漏,生活质量和耳部疼痛的解决;次要结局包括听力和不良事件.
主要成果:
- 包括3项涉及431名参与者的研究;本次更新中没有发现新的研究.
- 证据非常不确定,当每天干洗与四周后不进行治疗进行比较时,耳朵泄漏的解决方案是非常不确定的.
- 非常低的确定性证据表明,在每日吸清除加抗生素滴与单次清除插曲加自给药滴之间,耳部泄漏的分辨率不确定.
结论:
- 有证据表明,与没有治疗相比,听力所在CSOM中解决耳部泄漏的有效性非常低.
- 由于报告不足和研究局限性,对其他结果,包括不良事件,仍然存在不确定性.
- 审查强调缺乏最新数据和关于特定人群和干预措施的有限信息,需要进一步研究.
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