摘要
目的探究针刺蝶腭神经节联合中药熏蒸治疗分泌性中耳炎的临床疗效。方法选取2021年3月—2023年2月本院收治的98例分泌性中耳炎患者为研究对象,根据随机数字表法将纳入对象分为对照组和观察组,每组49例。对照组采用常规药物治疗,研究组在对照组基础上实施针刺蝶腭神经节联合中药熏蒸。治疗后,比较两组的临床疗效,对比两组治疗前及治疗1个月后的咽鼓管功能障碍评分及纯音气导听阈。结果研究组治疗总有效率97.96%高于对照组的85.71%,差异有统计学意义(P<0.05)。治疗前,两组患者七项咽鼓管功能障碍症状评分量表(ETDQ-7)评分比较,组间差异无统计学意义(P>0.05);治疗1个月后,研究组ETDQ-7评分低于对照组,差异有统计学意义(P<0.05)。治疗前,两组在500 Hz、1000 Hz、2000 Hz频率下的纯音气导听阈对比,组间差异无统计学意义(P>0.05);治疗1个月后,研究组在500 Hz、1000 Hz、2000 Hz频率下的纯音气导听阈均低于对照组,组间差异有统计学意义(P<0.05)。结论针刺蝶腭神经节联合中药熏蒸治疗分泌性中耳炎的疗效显著,能够提高治疗有效率,可改善患者的咽鼓管功能及听力水平。
Objective Exploring the clinical efficacy of acupuncture of the sphenopalatine ganglion combined with traditional Chinese medicine fumigation in the treatment of secretory otitis media.Methods 98 patients with secretory otitis media admitted to our hospital from March 2021 to February 2023 were selected as the research subjects,according to the random number table method,the enrolled subjects were divided into a control group and an observation group,with 49 cases in each group.The control group received routine drug treatment,the research group implemented acupuncture of the sphenopalatine ganglion combined with traditional Chinese medicine fumigation on the basis of the control group.After treatment,the clinical efficacy of the two groups was compared.Before treatment and after 1 month of treatment,the eustachian tube dysfunction and pure tone air guide acoustic threshold were compared between the two groups.Results The overall response rate of the study group 97.96%was higher than 85.71%of the control group,the difference between groups was statistically significant(P<0.05).Before treatment,a comparison of the scores on the seven-item Eustachian Tube Dysfunction Questionnaire scale(ETDQ-7)between two groups of patients,there was no statistically significant difference between groups(P>0.05);after one month of treatment,the ETDQ-7 score of the research group was lower than that of the control group,the difference between groups was statistically significant(P<0.05).Before treatment,comparison of pure tone air conduction hearing thresholds between two groups at frequencies of 500 Hz,1000 Hz,and 2000 Hz,there was no statistically significant difference between groups(P>0.05);after one month of treatment,the pure tone air conduction hearing threshold of the research group was lower than that of the control group at frequencies of 500 Hz,1000 Hz,and 2000 Hz,the differences between groups were statistically significant(P<0.05).Conclusion The therapeutic effect of acupuncture of the sphenopalatine ganglion combined with traditional Chinese medicine fumigation on secretory otitis media is significant,can improve treatment effectiveness,improve the eustachian tube function and hearing level.
作者
李莉
LI Li(Department of Otolaryngology,Linzi District Traditional Chinese Medicine Hospital in Zibo City,Zibo Shandong,255400,China)
出处
《反射疗法与康复医学》
2023年第23期23-26,共4页
Reflexology And Rehabilitation Medicine
关键词
分泌性中耳炎
针刺蝶腭神经节
中药熏蒸
临床疗效
咽鼓管功能障碍
纯音气导听阈
Secretory otitis media
Acupuncture of the sphenopalatine ganglion
Traditional chinese medicine fumigation
Clinical efficacy
Eustachian tube dysfunction
Pure tone air conduction hearing threshold
