鼓膜置管加中药治疗儿童分泌性中耳炎的远期疗效分析

The Obervation of Long-term Effect of Combined Application of Grommet Insertion and Traditional Chinese Medicine on Secretory Otitis Media in children

目的 探讨鼓膜置管加中药对儿童分泌性中耳炎复发率的远期影响.方法 60例患儿（73耳）随机分为鼓膜置管加中药组（治疗组）与鼓膜置管组（对照组）各30例.鼓膜置管组仅行鼓膜切开置管术,鼓膜置管加中药组在鼓膜切开置管术的同时,依次服用渗湿健脾通窍的1号方、2号方进行中西医结合治疗.治疗后随访2年.结果 鼓膜置管加中药组：治疗好转率94.3%,2年内复发6耳,仅3耳遗留轻度后遗症.鼓膜置管组：好转率78.9%,2年内复发11耳,8耳遗留后遗症.两组比较（P《0.01）.结论鼓膜置管加中药治疗儿童分泌性中耳炎的疗效优于单纯鼓膜置管组,复发率明显降低.

Objective To explore grommet insertion combined traditional Chinese medicine on children with secretory otitis media recurrence rate of long-term effects. Methods 60 cases of children （73 ears） were randomly divided into Grommet insertion combined traditional Chinese medicine group （treatment group） and the Grommet insertion group （control group） of the 30 cases. The control group, only line inci sion catheterization, the treatment group incision in the eardrum catheterization at the same time, followed by taking Shenshi Tongqiao spleen No. 1 side, 2 side combination of Chinese and Western medicine treat- ment. Follow-up after treatment for 2 years. Results Grommet insertion combined traditional Chinese med- icines： The treatment improved the rate of 94.3%, 2 years, recurrence of 6 ears, left ear only three mild complications. Grommet insertion Group： improved rate of 78.9%, 2 years, recurrence of 11 ears, 8 left ear sequelae. The two groups P〈0.01. Conclusion Grommet insertion combined traditional Chinese medicine treatment of children with secretory otitis media more effective than a simple grommet insertion group, the recurrence rate decreased significantly.