耳膜破洞會導致聽力的受損，容易因耳朵進水導致發炎流膿，有些人到診所看診時發現耳膜破洞，往往得到的答案就是要去醫院開刀補耳膜，一般人聽到要開刀往往為之卻步，就讓耳膜一直破在那邊不敢處理。然而，有一部分的耳膜破損，是可以不用經由開刀就可以補起來的，至於適不適合在門診處理，還是要看病患的嚴重程度而定，不是每個病患都適用門診補耳膜，須經由專業的耳鼻喉科醫師做評估才能決定。
實際案例
- Oct 05 Wed 2016 11:03
耳膜破洞是否一定要開刀?
- Jul 19 Tue 2016 17:18
鼻息肉，鼻甲肉，傻傻分不清嗎?
- Jan 12 Tue 2016 23:23
[用藥安全] 懷孕分級及哺乳安全用藥參考: 英文網站及中文網站查詢資源整理
- Jan 10 Sun 2016 19:21
謝元富醫師受邀超視/東森 食在有健康 與潘懷宗,詹姆士同台
感謝電視台邀約 潘老師推薦
- Jan 10 Sun 2016 18:19
謝元富醫師台北中山醫院看診時間異動為每周四中午
謝元富醫師在台北中山醫院開診時間異動為每周四中午
- Dec 26 Wed 2012 22:22
[新聞] 病毒性腸胃炎來襲 注意手部衛生 小心上吐下瀉
- Nov 13 Tue 2012 17:13
[發表期刊] 不同純音平均閾值計算方式對聽障鑑定結果之可能影響。台灣耳鼻喉頭頸外科雜誌 2008：43（1）：1-6
謝元富，陳建志，魏銘華，陳月霞，胡克信：不同純音平均閾值計算方式對聽障鑑定結果之可能影響。台灣耳鼻喉頭頸外科雜誌 2008：43（1）：1-6
- Nov 13 Tue 2012 17:11
[發表期刊] 臺灣病患對於類固醇鼻噴劑之使用感受。中山醫學雜誌 21:3 2010.09[民99.09] 頁253-261
http://readopac1.ncl.edu.tw/nclserialFront/search/summny_list.jsp?sysId=0006599724&dtdId=000040
| 本篇出處 | 中山醫學雜誌 21:3 2010.09[民99.09] 頁253-261 |
|---|---|
| 篇名 | 臺灣病患對於類固醇鼻噴劑之使用感受 |
| 作者 | 陳建志 ; 廖元佑 ; 謝元富 ; 陳登郎 |
| 中文摘要 | 前言：鼻噴劑是過敏性鼻炎或鼻竇炎的標準治療方式之一。本文以某一廠牌鼻噴劑為例，設法瞭解病患對於類固醇鼻噴劑之使用狀況及主觀感受。 材料及方法：作者自2006年10月1日到2007年3月31日間，在桃園及新竹地區1家區域醫院與2家地區醫院的門診中，針對所有使用過Beclomethasone dipropionate鼻噴劑(Beclomet Nasal Aqua，Orion-konserni，芬蘭) 3個月以上病患，展開問卷調查，共計107名，排除填寫不全者6名後，尚餘101名(男75，女26)，年齡48.9±21.3歲。問卷題目包括：藥物成分「類固醇」之認知、使用方式、使用後感受、健保就醫及整體評價等5大項，共計23題。 結果：20名(19.8%)對藥物成分「類固醇」曾感到懼怕，49名(48.5%)之使用頻次及劑量會完全遵照醫囑，但是症狀減輕後，37名(36.6%)會自行停藥。19名(18.8%)未曾閱讀過包裝盒內的使用說明，29名(28.7%)初次拿到藥物時，於隔日才開始使用。17名(16.8%)使用前未搖勻藥劑，19名(18.8%)不曾把鼻孔清乾淨；19名(18.8%)使用時不會配合吸氣動作；52名(51.5%)使用後表示鼻腔會有刺激感，47名(46.5%)表示有怪味道，15名(14.9%)表示會有不舒服的症狀，13名(12.9%)未按理想方式收藏，6名(5.9%)曾把藥劑與他人分享，25名(24.8%)表示每人每月最多領取1瓶並不足夠。就醫拿藥時，59名(58.4%)表示還要需掛號頗麻煩，35名(34.7%)曾等不及想直接把健保卡交給門診護士領取處方箋拿藥，72名(71.3%)認為應該領取慢性連續處方箋。整體而言，36名(35.6%)表示鼻噴劑好用，62名(61.4%)表示還好，3名(3.0%)表示不好用。 結論：醫師應主動向病患說明鼻噴劑理想的使用方法及定期回診的目的，更要設計出更好的就醫流程，並設法減低藥物帶給病患的不適感。 |
| 英文摘要 | Introduction : Corticosteroid nasal spray is one the standard treatment for allergic rhinitis and rhino-sinusitis. Using one corticosterioid nasal spray, this study investigated patient attitudes toward the medication, adherence to prescribed regimen, and perceived effectiveness. Materials and methods : In this study, we surveyed 101 patients (75 men and 26 women; agerage age 48.9±21.3 years) who had used Beclomethasone dipropionate nasal spray (Beclomet Nasal Aqua, Orion-konserni, Finland) for at least 3 months. The patients were recruited from an otorhinolaryngologist’s clinic at one regional hospital and two local hospitals located in Tao-Yuan and Hsin-Chu counties in Taiwan between October 2006 and March 2007. The questionnaire consisted of 5 items and 23 questions, about the patient’s pre-conceptions of corticosteroid treatment, the patient’s adherence to precribed use and methods of use, satisfaction with its effectiveness, and willingness to return for follow-up. Results : Of the 101 study patients, 20 (19.8%) had a fear of corticosteroid. Forty-nine (48.5%) adhered to prescribed frequency and dosage, though 37 (36.6%) retained the medicine after the problems was resolved. Nineteen (18.8%) did read the introductions included in the packing box. Twenty-nine (28.7%) began using the drug the day after they first got it. Before using the drug, 17 (16.8%) did not shake the bottle and 19 (18.8%) did not clean their nostrils. When using it, 19 (18.8%) did not aspirate at the same time. Fifty-two (51.5%) complained of nasal irritation, 47 (46.5%) reported strange smells, and 15 (14.9%) felt other discomfort besides nasal irritation. Thirteen (12.9%) did not appropriately keep the drug and 6 (5.9%) had shared the drug with others. Twenty-five (24.8%) thought one bottle a month was enough. With regard to follow up, 59 (58.4%) felt it troublesome to register again, 35 (34.7%) had impatiently preferred the order ticket to consultation, and 72 (71.3%) wanted a chronic-disease follow-up order. Over all, 36 (35.6%) thought the drug was effective, and 62 (61.4%) felt it so-so, and three (3.0%) did not find it effective. Conclusion : It is necessary to actively introduce patients to the appropriate usage corticosteroid nasal sprays, inform them of the purpose of follow-up, improve the medical program, and decrease the discomfort caused by the drug. |
- Nov 13 Tue 2012 17:08
[澎湖時報] 2012-04-19 14:00:00 市公所昨舉辦健康講座
醫師養成的酸甜苦辣 (3)
