中西医结合治疗分泌性中耳炎的临床观察

Clinical observation of integrative Chinese and Western medicine in secretory otitis media

目的观察中西医结合治疗分泌性中耳炎(SOM)的疗效。方法 87例SOM患者随机分为对照组和观察组,分别采用西医治疗和中西医结合治疗。评价两组的疗效、鼓室压、语频气导听阀值、证候积分、不良反应。结果观察组的疗效优于对照组(H_c=6.664,P<0.01),鼓室压值和语频气导听阀值高于对照组(P<0.01),证候积分和不良反应发生率低于对照组(P<0.05)。结论采用中西医结合治疗SOM可提高疗效和语频气导听阀值。

Objective To observe the clinical efficacy of integrative Chinese and Western medicine（ICWM） in secretory otitis media（SOM）. Methods Eighty-seven patients with SOM were randomly divided into control and observation groups, and respectively treated with Western medicine and ICWM. The curative effect, tympanic pressure, air conduction hearing threshold, syndrome scores, and adverse reactions were compared between both groups. Results Compared with control group, the clinical efficacy, tympanic pressure, and air conduction hearing threshold were better（P〈0.01）, but syndrome scores and adverse reactions were lower（P〈0.05） in observation group. Conclusion ICWM can improve the clinical efficacy and air conduction hearing threshold in patients with SOM.