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柴芩清窍汤治疗分泌性中耳炎的疗效和安全性

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目的 评估柴芩清窍汤治疗分泌性中耳炎疗效和安全性.方法 选取2021年8月—2022年8月中国人民解放军总医院第五医学中心耳鼻喉科收治的80例分泌性中耳炎患者作为研究对象,根据计算机软件随机分为对照组和观察组,每组40例.对照组口服盐酸氨溴索,观察组在对照组基础上口服柴芩清窍汤.治疗两周后,对比两组患者临床治疗有效率、气导纯音听阈均值、中医症状积分、炎性因子变化及治疗期间不良反应发生率.结果 治疗两周后,观察组总有效率明显高于对照组,差异有统计学意义(P<0.05);两组患者听力症状评分降低,且观察组低于对照组,差异有统计学意义(P<0.05);两组患者的炎性因子水平均明显降低,且观察组肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)、白细胞介素-2(Interleukin-2,IL-2)、白细胞介素-8(Interleukin-8,IL-8)均明显低于对照组,差异有统计学意义(P均<0.05).治疗期间,两组患者均未发生严重的不良反应,且两组患者的不良反应发生率比较,差异无统计学意义(P>0.05).结论 柴芩清窍汤治疗分泌性中耳炎可有效提高治疗效果,改善临床症状,减少炎症反应,且不良反应较少.
Efficacy and Safety of Chaiqin Qingqiao Decoction in Treating Secretory Otitis Media
Objective To evaluate the efficacy and safety of Chaiqin Qingqiao Decoction in treating secretory otitis media.Methods A total of 80 patients with secretory otitis media admitted to the Otolaryngology Department of the Fifth Medical Center of Chinese People's Liberation Army General Hospital from August 2021 to August 2022 were selected as the study objects,and were randomly divided into control group and observation group according to com-puter software,with 40 cases in each group.The control group took ambroxol hydrochloride orally,and the observation group took Chaiqin Qingqiao Decoction orally on the basis of the control group.After 2 weeks of treatment,the clinical effective rate,mean hearing threshold of pure tone of qi conduction,TCM symptom score,changes of inflammatory fac-tors and incidence of adverse reactions during treatment were compared between the two groups of patients.Results After 2 weeks of treatment,the total effective rate of the observation group was significantly higher than that of the con-trol group,and the difference was statistically significant(P<0.05).The score of hearing symptoms in groups was de-creased,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The levels of inflammatory factors in both groups were significantly decreased,and tumor necrosis factor-α(TNF-α),interleukin-2(IL-2),interleukin-8(IL-8)in observation group were significantly lower than those in con-trol group,and the differences were statistically significant(all P<0.05).During treatment,no serious adverse reactions occurred between the two groups of patients,and there was no statistical significance in the incidence of adverse reac-tions between the two groups of patients(P>0.05).Conclusion In the treatment of secretory otitis media,Chaiqin Qin-gqiao Decoction can effectively improve the therapeutic effect,improve clinical symptoms,reduce inflammation,and less adverse reactions.

Chaiqin Qingqiao DecoctionOtitis media secretoryEfficacySafety

洪静、杨欣欣、杨俊连

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中国人民解放军总医院第五医学中心耳鼻喉科,北京 100039

柴芩清窍汤 分泌性中耳炎 有效性 安全性

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(1)
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