外用制剂治疗的有效性耳垢:系统回顾。

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我手C,哈维

外用制剂治疗的有效性耳垢:系统回顾。

Br J创Pract。2004年11月,54 (508):862 - 7。

PubMed ID
15527615 (在PubMed
]
文摘

背景:耳垢是一个常见的问题在初级和二级保健。有不确定性,最有效的局部治疗。目的:评估证据关于外用制剂用于治疗功效的耳垢。研究设计:系统回顾和荟萃分析。方法:寻找随机对必威国际app照试验(相关的)的相关研究。准备分成三组分类,使池的数据和荟萃分析。结果:18相关的包括在审查中,四人被认为是高质量的。十五准备包括盐水和淡水进行了研究。油性和水性制剂是同样有效的清除耳垢没有叶面喷洒(比值比(或)= 0.9,95%可信区间[CI] = 0.4 - 2.3),促进成功的叶面喷洒(或= 1.0,95% CI = 0.6 - 1.6)。水——,油型制备出现更有效比油基制剂在清理耳垢没有叶面喷洒,叶面喷洒和促进成功。 Immediate syringing after application of a preparation may be as effective as using eardrops for several days and delaying syringing. CONCLUSIONS: On current evidence, there is little to choose between water-based and oil-based preparations; non-water-, non-oil-based preparations appear promising at both clearing earwax and facilitating successful syringing, but further large trials are needed. Although immediate ear syringing is effective and convenient for patients, it may be less cost-effective than using eardrops and perhaps avoiding syringing. Most of the evidence regarding such a common and time-consuming problem is not of high quality.

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