How to treat baby otitis media The best way to treat otitis media is to actively treat upper respiratory diseases. Secondly, besides systemic application of antibacterial and antiviral drugs, local nasal drops are also very important.
1, actively treat upper respiratory diseases, such as chronic sinusitis and chronic tonsillitis.
2, drug therapy:
(1) Simple type is mainly used for local use: antibiotic aqueous solution or mixed solution of antibiotics and steroid hormones, such as 0.25% chloramphenicol solution, chloramphenicol cortisone solution, ofloxacin ear drops, etc.
(2) Precautions for local medication:
① Wash the pus in the external auditory canal and middle ear cavity before taking the medicine, which can be cleaned with 3% hydrogen peroxide or boric acid water, and then wipe it with a cotton swab or suck out the pus with an aspirator before dropping the medicine.
(2) Use clear water when the amount of pus is large, and use boric acid alcohol when the amount is small.
3, earlobe method: the child takes a sitting position or a lying position, with the affected ear facing up. Gently pull the auricle backward and upward, and drop 3~4 drops of liquid medicine into the external auditory canal. Then gently press the tragus several times with your fingers to promote the liquid medicine to flow into the middle ear through the perforation of the tympanic membrane. You can change your position in a few minutes. Pay attention to ear drops as close as possible to body temperature to avoid dizziness.
4, otitis media complicated with osteomyelitis, smooth drainage, mainly local medication, but pay attention to regular review. Patients with poor drainage or suspected complications and cholesteatoma otitis media should undergo modified radical mastoidectomy or radical mastoidectomy as soon as possible to completely remove the lesions and prevent complications.
5. For children with catarrhal otitis media, besides systemic application of antibacterial and antiviral drugs, local nasal drops are particularly important. Commonly used nasal drops are 1% ephedrine or furacilin ephedrine.
6, the treatment of acute suppurative otitis media in children, more attention should be paid to timely discharge of tympanic pus to prevent ossicular chain damage. Therefore, the treatment of acute suppurative otitis media in children is rational use of antibiotics and myringotomy, and the latter is more important for the treatment of otitis media.
7. Children's tympanic membrane perforation should be repaired in time. Some research results show that children over 9 years old can get a higher success rate by tympanoplasty, which is an important part of otitis media treatment.
How does Chinese medicine treat otitis media? Ear pus? 、? Hard of hearing? . It is believed that it is caused by damp-heat in the liver and gallbladder and the prevalence of pathogenic factors. Traditional Chinese medicine can treat otitis media mixed with excess and deficiency. The main symptoms of the syndrome are ear swelling, earache, redness, hearing loss, tinnitus, and yellow and thick pus in the ear canal. More common in acute suppurative otitis media.
Chinese patent medicines can be treated with Longdan Xiegan Pill, Danggui Longhui Pill and Tongzi Erlong Pill. The decoction can be selected from the empirical formula: Flos Lonicerae 10g, Fructus Forsythiae 10g, Herba Taraxaci 10g, Herba Violae 10g, Radix Scutellariae 10g, Cortex Phellodendri 10g, and Herba Houttuyniae 10g. Decoct with water. Twice a day, each time 150ml.
External treatment: Garlic can be washed and mashed with 1 clove garlic and 10ml distilled water, and the juice is mixed with distilled water and dripped into ears several times a day, 1 time. The effect is quite good.
The main symptoms of deficiency syndrome are purulent secretion of ear canal, deafness and tinnitus, sallow complexion, dizziness and weakness of limbs, which belong to spleen and kidney qi deficiency. Chinese patent medicines can be treated with Guipi Pill and Shen Ling Baizhu Pill. The usage of the decoction is as follows: honeysuckle10g, angelica dahurica10g, Kochia scoparia10g, houttuynia cordata10g, chrysanthemum indicum10g. Decoct with water twice a day.
If you see that the patient's ear is not swollen or painful, the pus in the ear is not dry for a long time, the color is yellow and not sticky, and there is a slight smell, accompanied by dizziness and tinnitus, upset and insomnia, fever in hands and feet, backache and fatigue. It belongs to yin deficiency and fire flourishing. Chinese patent medicines can be treated with Baizhi Dihuang Pill and Erlong Zuo Ci Pill. The decoction can be selected from Chinese herb 10g, Cortex Phellodendri 10g, Fructus Corni 10g, Rhizoma Dioscoreae 10g, Cortex Moutan 10g, Radix Paeoniae Rubra 10g, Rhizoma Alismatis 10g and Herba Lophatheri 6g. Decoct with water twice a day.
In addition to oral administration, it can also be combined with external treatment: take 3g of gallnut (fried black) and dried alum 1g, grind it into fine powder, take a little and blow it into the ear, and wipe off the secretion in the ear before blowing the medicine.
Dietotherapy: Take 30g of wax gourd and 3 pieces of fresh bamboo leaves of Kowloon soil/kloc-0, and fry them in 1 large bowl of water into a half bowl, with a dose of 1 daily for 5 days. Or take Coicis Semen 18g, Flos Lonicerae 12g, Radix Bupleuri 9g, Carapax Trionycis 15g, and appropriate amount of brown sugar, and decoct Flos Lonicerae, Radix Bupleuri, and Carapax Trionycis to get juice, and take it with the other two kinds of porridge, daily 1 dose for 5 days.
Once suffering from otitis media, you can also eat more fresh vegetables with heat-clearing and detoxification effects, such as celery, loofah, eggplant, shepherd's purse, wormwood, cucumber and bitter gourd.
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