摘要
目的观察苍耳子散加味辅助治疗儿童急性分泌性中耳炎风邪外袭证的临床疗效。方法选取2020年7月至2021年12月于杭州市临平区中西医结合医院耳鼻喉科门诊治疗的急性分泌性中耳炎风邪外袭证患儿98例,按照随机数字表法分为对照组和治疗组,各49例。对照组予糠酸莫米松鼻喷雾剂喷鼻联合阿莫西林克拉维酸钾颗粒口服,治疗组在对照组治疗方法的基础上予苍耳子散加味口服。2组均连续治疗10 d后统计疗效。结果治疗组总有效率为93.88%(46/49),显著高于对照组的79.59%(39/49),2组比较,差异有统计学意义(P<0.05)。治疗前2组的中医证候积分比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组的中医证候积分均显著降低,与同组治疗前比较,差异均有统计学意义(P<0.05),且治疗组降低更显著(P<0.05)。结论苍耳子散加味辅助治疗儿童急性分泌性中耳炎风邪外袭证,疗效确切,可显著改善临床症状,值得临床推广应用。
Objective To observe the clinical efficacy of modified Cangerzi San(苍耳子散)in the treatment of acute secretory otitis media in children with wind pathogenic external attack syndrome.Methods From July 2020 to December 2021,98 cases of children with acute secretory otitis media with wind pathogen external attack syndrome who were treated in the otorhinolaryngology clinic of Linping District Hospital of Integrated Traditional Chinese and Western Medicine in Hangzhou were selected and divided into a control group and a treatment group according to the random number table method,with 49 cases in each group.The control group was given mometasone furoate nasal spray combined with amoxicillin and clavulanate potassium granules orally,and the treatment group was given modified Cangerzi San orally based on the treatment method of the control group.After continuous treatment for 10 days,the efficacy of both groups was statistically analyzed.Results The total effective rate of the treatment group was 93.88%(46/49),significantly higher than 79.59%(39/49)of the control group.The difference between the two groups was statistically significant(P<0.05).The comparison of TCM symptom scores between the two groups before treatment showed no statistically significant difference(P>0.05),indicating comparability.After treatment,the TCM syndrome scores of both groups were significantly reduced,and compared with the same group before treatment,the differences were statistically significant(P<0.05),and the decrease in the treatment group was more significant(P<0.05).Conclusion The modified Cangerzi San has a definite therapeutic effect on children with acute secretory otitis media with wind pathogenic external attack syndrome,and can significantly improve clinical symptoms,which is worthy of clinical popularization.
作者
张玉丽
蔚金建
康犁阳
ZHANG Yuli;WEI Jinjian;KANG Liyang(Department of Otolaryngology,Linping District Integrated Traditional Chinese and Western Medicine Hospital,Hangzhou,Zhejiang,311100,China;Department of Pharmacy,Linping District Integrated Traditional Chinese and Western Medicine Hospital,Hangzhou,Zhejiang,311100,China)
出处
《中医儿科杂志》
2024年第2期67-70,共4页
Journal of Pediatrics of Traditional Chinese Medicine
关键词
急性分泌性中耳炎
儿童
苍耳子散加味
临床观察
acute secretory otitis media
children
modified Cangerzi San(苍耳子散)
clinical observation
