中西医结合治疗急性分泌性中耳炎的疗效观察

Efficacy of Chinese and Western combination therapy in the treatment of catute secretory media

目的观察中西医结合治疗急性分泌性中耳炎的临床疗效。方法选择2012年1月-2013年5月收治82例多涕的急性分泌性中耳炎的患者(82例108耳),随机分为治疗组(中西医联合治疗,42例58耳)和对照组(常规治疗,40例50耳),两组同时给予常规口服药物抗生素、盐酸氨溴索和鼻部喷雾剂治疗,治疗组加用口服中成药香菊胶囊,治疗后复诊,比较两组的治疗效果。结果治疗组42例58耳,有效50耳,无效8耳,总有效率86.2%;对照组有效35耳,无效15耳,总有效率70%;用X^2检验两组差异有显著性(P<0.05)。结论中西医联合治疗急性分泌性中耳炎有效,提高疗效。

Objective To observe Chinese and Western combination treatment in patients with acute secretory otitis media. Methods A randomized study included 108 ears of 82 patients （from January 2011 to May 2013） who had acute secretory otitis media with much nasal mucus. 58 ears of 42 patients who had cachet of fragrant chrysanthemum treatment as a study group, and 50 ears of 40 patients who had no cachet of fragrant chrysanthemum treatment as a comparison group. All the patients in the two groups were treated with conventional systemic drug therapy. The efficacy of treatment was evaluated and compared respectively. Results The treatment of 50 ears in the study group is effective, and the total efficiency is 86.2%. The treatment of 35 ears in the comparison group is also effective, but the total efficiency is only 70.0%. Difference between the two groups was significant （P〈0.05）. Conclusion The Chinese and Western combination treatment in patients with acute secretory otitis media has more efficacy,and the course of treatment is shorter.