摘要
目的:观察疏风宣肺通窍汤联合西药治疗儿童急性分泌性中耳炎(ASOM)风热袭耳证的临床疗效。方法:选取108例ASOM风热袭耳证患儿,以随机数字表法分为治疗组与对照组,每组54例。对照组给予西药治疗,治疗组在对照组基础上给予疏风宣肺通窍汤治疗。2组均治疗7 d。比较2组临床疗效、中医证候评分、气导听阈值及炎症指标。结果:治疗后,治疗组总有效率94.44%,高于对照组81.48%,差异有统计学意义(P<0.05)。2组耳内胀闷、耳痛、耳鸣、耳聋、畏风发热、鼻塞、头痛、口干评分均较治疗前降低,治疗组上述8项中医证候评分均低于对照组,差异均有统计学意义(P<0.05)。2组气导听阈值均较治疗前降低,治疗组气导听阈值低于对照组,差异均有统计学意义(P<0.05)。2组血清白细胞介素-6 (IL-6)、肿瘤坏死因子-α (TNF-α)水平均较治疗前降低,治疗组血清IL-6、TNF-α水平均低于对照组,差异均有统计学意义(P<0.05)。结论:疏风宣肺通窍汤联合西药治疗儿童ASOM风热袭耳证,可有效缓解患儿的临床症状,减轻机体炎症反应,提高听力水平。
Objective:To observe the clinical effect of Shufeng Xuanfei Tongqiao Decoction combined with western medicine for acute secretary otitis media(ASOM)with wind-heat attacking the ears syndrome in children.Methods:A total of 108 cases of ASOM children with wind-heat attacking the ears syndrome were selected and divided into the treatment group and the control group according to the random number table method,with 54 cases in each group.The control group was treated with western medicine,and the treatment group was treated with Shufeng Xuanfei Tongqiao Decoction based on the treatment of the control group.Both groups were treated for 7 days.The clinical effects,traditional Chinese medicine(TCM)syndrome scores,air conduction threshold,and inflammatory indexes were compared between the two groups.Results:After treatment,the total effective rate was 94.44%in the treatment group,higher than that of 81.48%in the control group,the difference being significant(P<0.05).The scores of aural fullness and stuffiness,earache,tinnitus,deafness,fear of wind and fever,nasal congestion,headache,and dry mouth in the two groups were decreased when compared with those before treatment,and the scores of the above eight TCM syndrome scores in the treatment group were lower than those in the control group,differences being significant(P<0.05).The air conduction thresholds in the two groups were decreased when compared with those before treatment,and the air conduction threshold in the treatment group was lower than that in the control group,differences being significant(P<0.05).The levels of interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)in serum in the two groups were decreased when compared with those before treatment,and the levels of IL-6 and TNF-αin serum in the treatment group were lower than those in the control group,differences being significant(P<0.05).Conclusion:Shufeng Xuanfei Tongqiao Decoction combined with western medicine for ASOM children with wind-heat attacking the ears syndrome can effectively alleviate the cli
作者
张雨霖
张洁
章洺
ZHANG Yulin;ZHANG Jie;ZHANG Ming(Shaoxing Keqiao District Maternal and Child Health Hospital,Shaoxing Zhejiang 312030,China)
出处
《新中医》
CAS
2024年第4期87-91,共5页
New Chinese Medicine
关键词
急性分泌性中耳炎
儿童
风热袭耳证
疏风宣肺通窍汤
听力
炎症指标
Acute secretary otitis media
Children
Wind-heat attacking the ears syndrome
Shufeng Xuanfei Tongqiao Decoction
Audition
Inflammatory index
