| Objective: To Observe the clinical curative effect of replying the chronic secretory otitis media of fucong tongqiao decotion treatment, study the clinical meaning of replying the fucong tongqiao decotion, Offer clinical thinking and method for chronic secretory otitis media of therapy of combining traditional Chinese and Western medicine.Data and Methods: According to the teaching material of clinical medicine of planning of Ministry of Public Health " strategic passage neck surgery of ear nose ", State Pharmaceutical Inspection Administration " traditional Chinese medicine new medicine clinical practice guideline " And State Administration of Traditional Chinese Medicine " whether Chinese medicine disease card diagnose curative effect standard " make this subject Western medicine diagnostic standard, card of Chinese medicine of case wait the diagnostic standard and get rid of the standard. Divided into and treated the group and control group at random to according with the patient who includes 60 standard chronic secretory otitis medias in, 30 respectively. Among them the control group adopts Western medicine to resist infection, resist the irritation, nasal cavity and employ and reduce regular therapeutic method such as the congestion medicine, Treat the group to add and treat on the foundation with therapeutic Western medicine of the control group by replying the fucong tongqiao decotion. According to the criteria for evaluation of curative effect, treat two course of treatment (10 days for each course of treatment) And then observe two groups of overall curative effect separately. Follow up a case by regular visits to 3 months in treating the effective case, observe two groups of recent curative effect separately.Results: After treatment of the 1st course of treatment, overall curative effect is appraised, treat the group and cure 2, improve 11 notably, improve 19 invalid 9, always efficient 78.0%; Control group cure 1, improve 7 notably, improve 18, invalid 12, always efficient 68.4%. After treatment of the second course of treatment, overall curative effect is appraised, treat the group and cure 12, improve 16 notably, improve 9, invalid 4, always efficient 90.2%; Control group cure 4, improve 10 notably, improve 17, invalid 7, always efficient 81.5%. Follow up a case by regular visits to 3 months, follow up a case by regular visits to the case and treat the group and cure 8, improve 13 notably, improve 4, invalid 6, always efficient 80.6%; Control group cure 2, improve 6 notably, improve 10, invalid 8, always efficient 69.2%.Conclusion: 1) After the two course of treatment, treat group and control group treat chronic person who secrete otitis media have sure curative effect. 2) Overall curative effect is compared: After treatment of the 1st course of treatment, do not have prominent difference to compare with the control group in treating curative effect to treat the group, After treatment of the second course of treatment, treat the group and compare prominent difference with the control group in treating curative effect, it is superior to the control group (P<0.05) to treat the group ; Recent curative effect is compared: In group with to follow up a case by regular visits to case curative effect compare, treat group overall curative effect want, superior to control group (P<0.05) control group of treating. 3) It has better directive significance on clinic that Chinese medicine cures chronic secretory otitis media from the phlegm theory. 4) The chronic secretory otitis media of therapy of combining traditional Chinese and Western medicine is superior to simple Western medicine and treat the group in improving whole curative effect etc.. 5) Advantage that the chronic secretory otitis media of therapy of combining traditional Chinese and Western medicine can give full play to traditional Chinese medicine, overcome the deficiency existing in simple Western medicine treatment, have better clinical directive significance to the chronic secretory otitis media of clinical treatment. |
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