疏风祛邪开窍汤联合西医疗法治疗慢性分泌性中耳炎临床研究
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R764.21

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Clinical Study on Shufeng Quxie Kaiqiao Tang Combined with Western Medicine Therapy for Chronic Suppurative Otitis Media
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    摘要:

    目的:观察疏风祛邪开窍汤联合西医疗法治疗慢性分泌性中耳炎(CSOM) 的临床疗效。方法:将76 例CSOM 患者随机分为西医组及中西医组各38 例。西医组予以抗生素、糖皮质激素、粘液溶解促排剂和鼓膜穿刺抽液术等常规西医疗法治疗,中西医组在西医组治疗的基础上加疏风祛邪开窍汤治疗,2 组均治疗3 周。比较2 组治疗后临床疗效,比较2 组治疗前后主要症状(耳闷和耳痛) 评分、听力(气导听阈和气骨导差) 检查情况的变化及随访1 年后的复发率。结果: 中西医组临床总有效率94.74%, 高于西医组78.95%(P<0.05)。与同组治疗前比较,治疗后2 组耳闷、耳痛症状评分及气导听阈、气骨导差均降低(P<0.05);与西医组治疗后比较,中西医组治疗后耳闷、耳痛症状评分及气导听阈、气骨导差均较低(P<0.05)。随访1 年,中西医组复发率8.33%,明显低于西医组26.67%(χ2=3.96,P<0.05)。结论:疏风祛邪开窍汤联合西医疗法治疗CSOM 患者效果确切,不仅能改善临床症状,提升患者的听力,而且能预防病情复发,降低复发率。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Shufeng Quxie Kaiqiao tang combined with western medicine therapy for chronic suppurative otitis media(CSOM). Methods: A total of 76 cases of CSOM patients were randomly divided into the western medicine group and the integrated Chinese and western medicine group, with 38 cases in each group. The western medicine group was given routine western medicine therapies,such as antibiotics,glucocorticoid,mucoactive medications,and tympanic membrane paracentesis;the integrated Chinese and western medicine group was additionally treated with Shufeng Quxie Kaiqiao tang based on the treatment of the western medicine group. Both groups were treated for three weeks. Clinical effects after treatment were compared between the two groups. Changes in scores of main symptoms including ear stuffiness and ear pain,and hearing examination including aerial conduction and air-bone gap before and after treatment,and the recurrence rates after one-year followup were compared between the two groups. Results:The total effective rate was 94.74% in the integrated Chinese and western medicine group,higher than that of 78.95% in the western medicine group(P<0.05). After treatment,the symptom scores of ear stuffiness and ear pain,aerial conduction and air-bone gap in the two groups were decreased when compared with those in the same group before treatment(P<0.05); and the symptom scores of ear stuffiness and ear pain,aerial conduction and air-bone gap in the western medicine group were lower than those in the integrated Chinese and western medicine group(P<0.05). During the one- year follow- up, the recurrence rate was 8.33% in the integrated Chinese and western medicine group,significantly lower than that of 26.67% in the western medicine group(χ2=3.96,P<0.05). Conclusion:Shufeng Quxie Kaiqiao tang combined with western medicine therapy has a defined effect in the treatment of CSOM patients;it can not only improve clinical symptoms and hearing,but also prevent the recurrence of the disease,and reduce the recurrence rate.

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潘成军,颜玲玲.疏风祛邪开窍汤联合西医疗法治疗慢性分泌性中耳炎临床研究[J].新中医,2022,54(13):126-129

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  • 在线发布日期: 2022-07-07
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