摘要
目的:观察中医辨证治疗合辨证护理治疗急性分泌性中耳炎的临床疗效。方法:将70例急性分泌性中耳炎患者为研究对象,随机分为实验组和对照组各35例。对照组予以罗红霉素胶囊合盐酸左氧氟沙星滴耳液治疗。治疗组在对照组的基础上加用中药辨证治疗合辨证护理治疗。治疗后观察两临床疗效并进行比较。结果:治疗后,治疗组治疗总有效率为94.29%,明显高于对照组的74.29%(P<0.05)。两组血清PAF水平治疗后明显彽于治疗前(P<0.01)。治疗后治疗组血清PAF水平明显低于对照组(P<0.01)。两组气导阈值治疗后明显彽于治疗前(P<0.01)。治疗后治疗组气导阈值明显低于对照组(P<0.01)。治疗后治疗组鼓室声阻抗检查A型例数明显优于对照组(P<0.05)。两组中医证候评分治疗后明显彽于治疗前(P<0.01)。治疗后治疗组中医证候评分明显低于对照组(P<0.01)。治疗组治疗后SAS评分和SDS评分明显低于对照组(P<0.01)。结论:中医辨证治疗合辨证护理可有效提高急性分泌性中耳炎患者的临床疗效。
Objective:To observe the clinical effect of TCM syndrome differentiation treatment combined with syndrome differentiation nursing on acute secretory otitis media.Method:Seventy patients with acute secretory otitis media were randomly divided into experimental group and control group with 35 cases each.The control group was treated with roxithromycin capsule and Levofloxacin Hydrochloride Ear drops.On the basis of the control group,the treatment group was treated with traditional Chinese medicine syndrome differentiation combined with syndrome differentiation nursing.After treatment,the two clinical effects were observed and compared.Result:After treatment,the total effective rate of the treatment group was better than that of the control group,P<0.05.The level of serum PAF in the two groups was significantly lower than that before treatment(P<0.01).After treatment,the serum PAF level in the treatment group was significantly lower than that in the control group(P<0.01).After treatment,the air conduction threshold of the two groups was significantly lower than that before treatment(P<0.01).After treatment,the threshold of air conduction in the treatment group was significantly lower than that in the control group(P<0.01).After treatment,the number of Tympanic Acoustic Impedance Examination Type A cases in the treatment group was significantly better than that in the control group(P<0.05).The scores of TCM syndromes in the two groups were significantly lower than those before treatment(P<0.01).After treatment,the scores of TCM syndromes in the treatment group were significantly lower than those in the control group(P<0.01).After treatment,SAS and SDS scores in the treatment group were significantly lower than those in the control group(P<0.01).Conclusion:TCM syndrome differentiation treatment combined with syndrome differentiation nursing can effectively improve the clinical efficacy of acute secretory otitis media.
作者
李皎
LI Jiao(The Affiliated Hospital of Liaoning University of Traditional ChineseMedicine,Shenyang 110032,Liaoning,China)
出处
《辽宁中医药大学学报》
CAS
2019年第8期209-211,共3页
Journal of Liaoning University of Traditional Chinese Medicine
关键词
中耳炎
急性分泌性
辨证治疗
辨证护理
otitis media
acute secretory
syndrome differentiation and treatment
syndrome differentiation nursing
