首页|翳风穴注射疗法联合开闭方治疗成人慢性分泌性中耳炎的临床疗效

翳风穴注射疗法联合开闭方治疗成人慢性分泌性中耳炎的临床疗效

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目的 观察翳风穴注射疗法联合中药开闭方治疗成人慢性分泌性中耳炎的临床疗效.方法 前瞻性分析150例慢性分泌性中耳炎患者的病例资料,按照随机对照原则分为中药组、穴位注射组、针药结合组各50例.中药组口服自拟中药开闭方,穴位注射组采用翳风穴穴位注射,针药结合组即翳风穴穴位注射联合中药开闭方,比较3组临床疗效.结果 针药结合组总有效率为86%,显著高于中药组的56%和穴位注射组的62%,差异有统计学意义(P<0.05);3组治疗后纯音听阈较治疗前均改善,针药结合组改善明显优于中药组、穴位注射组(P<0.05);3组治疗后A型鼓室声导抗图较治疗前增加,针药结合组比例高于中药组和穴位注射组(P<0.05).结论 翳风穴注射疗法联合中药开闭方治疗成人慢性分泌性中耳炎疗效优于单独口服中药、穴位注射,具有安全性,针药结合可用于成人慢性分泌性中耳炎的临床治疗.
Clinical efficacy on treatment of chronic secretory otitis media by Yifeng Point injection combined with Kaibi decoction
Objective To observe the clinical effect of Yifeng acupoint injection combined with Kaibi decoction in treating adult chronic secretory otitis media.Methods The data of 150 cases of chronic secretory otitis media were ana-lyzed prospectively.According to the principle of randomised control,the patients were divided into three groups,tradi-tional Chinese medicine group,acupoint injection group and needle-medicine combination group,with 50 cases in each group.In the Chinese medicine group,the self-formulated traditional Chinese medicine Kaibi decoction was taken orally,in the acupoint injection group,Yifeng acupoint injection was used,and in the needle-medicine combination group,Yifeng acupoint injection was combined with the traditional Chinese medicine Kaibi decoction,and the clinical efficacy of the three groups was compared.Results The total effective rate of the needle-medicine combination group was 86%,which was significantly higher than that of the traditional Chinese medicine group(56%)and the acupoint injection group(62%),with statistically significant differences(P<0.05).Pure tone hearing thresholds of the three groups were im-proved compared with the pre-treatment period,and the improvement of the needle-medicine combination group was sig-nificantly better than that of the traditional Chinese medicine group and the acupoint injection group(P<0.05).The a-type tympanic ventricular acoustic conductance impedance map of the three groups increased after treatment compared with that before treatment,and the proportion of the needle-medicine combination group was higher than that of the tra-ditional Chinese medicine group and the acupoint injection group(P<0.05).Conclusion The efficacy of Yifeng acupoint injection therapy combined with Chinese medicine Kaibi decoction in treating chronic secretory otitis media in adults is better than that of Chinese medicine or acupoint injection alone,and it is safe,so the combination of needle-medicine can be used in the clinical treatment of chronic secretory otitis media in adults.

Kaibi decoctionAcupoint injectionChronic secretory otitis mediaCombination of needle-medicine

吉琳、钟成、张浩鹏、曹凯峰、王丽华、郭裕

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上海中医药大学附属市中医医院耳鼻咽喉科,上海 200040

上海市第三康复医院耳鼻咽喉科,上海 200040

开闭方 翳风穴注射疗法 慢性分泌性中耳炎 针药结合

2025

西部医学
四川

西部医学

影响因子:1.352
ISSN:1672-3511
年,卷(期):2025.37(1)