豁痰健脾法治疗梅尼埃病的临床研究

Meniere's Disease Treated with Method of Removing Sputum and Reinforcing Spleen

[目的]探讨中医豁痰健脾法治疗痰湿型梅尼埃病的疗效。[方法]选择2009年3月至2012年3月就诊的128例痰湿型梅尼埃病患者;随机分为治疗组66例和对照组62例,治疗组以豁痰健脾法方药1贴/d,共7d;对照组62例以山茛菪碱10mg静脉滴注1/d次共7d;治疗时间观察患者的临床疗效、整体评分、复发率,对痰湿症状的改善情况等。[结果]治疗组的总有效率为95.5%,对照组为83.9%;两者比较差异有统计学意义(P<0.05)。3个月复发率治疗组为4.7%,对照组为19.2%,两者比较差异有统计学意义(P<0.05),治疗组可明显改善痰湿症状(P<0.01)。[结论]豁痰健脾法方药是治疗痰湿型梅尼埃病的安全有效的方法,值得推广应用。

[Objective] To observe the clinical efficacy of TCM removing sputum and reinforcing spleen on Meniere＇s disease of sputum wetness type.[Method] Select 128 such cases,randomly divide them into treatment group（n=66） and control group（n=63）,the treatment one treated with decoction of re moving sputum and reinforcing spleen,other with Anisodamine;observe their clinical efficacy,integral score,recurrence rate and relieve of sputum wetness.[Result] The total effective rate was 95.5% for treatment group,and 83.9% for control one;the comparison of difference had statistical meaning;the treatment group could markedly relieve sputum wetness symptoms.[Conclusion] The said decoction was an effective method for Meniere＇s disease of sputum wetness type,worthy promotion and application.