Clinical Observation Of Qinghuayin In The Treatment Of Middle-Coke Moist-Heat Sinusitis

Objective To evaluate the clinical efficacy of qinghua decoction in the treatment of middle-coke moist-heat sinusitis.Methods In this clinical observation,60 cases of middle coke wet heat sinusitis patients who met the inclusion criteria were randomized into two groups.In treatment group,30 patients were treated with Qing Hua Yin decoction.In control group,30 patients were treated with Xiang Ju capsule.In treatment group,Qing Hua Yin were administrated twice a day,half an hour after meal in decoction,with 200 ml each time,four weeks as a course of treatment.In control group,Xiang Ju capsule were administrated three times a day,with three capsules each time,half an hour after meal orally,4 weeks as a course of treatment.Severity of Sinusitis was evaluated on 60 patients before treatment,on the 8th day,on the 15 th day,and on the 29 th day.Efficacy was evaluated and compared,and difference was analyzed statistically between two groups after a course of treatment.Results 1.The curative effect of the two groups of patients after treatment was as follows: qinghuayin treatment group: cured cases: 2(6.67%)showed significant effect,and 19 cases(63.33%)showed significant effect;5 cases(16.67%)were effective.4 cases(13.33%)were invalid.Total effective rate: 86.7%.Control group: 7 cases(23.33%)showed significant effect.12 cases(40.00%)were effective.11 cases(36.67%)were invalid.Total effective rate: 63.3%.The effective rate of qinghua decoction group was higher than xiangju capsule control group(P<0.05),and the improvement on severity score of Sinusitis is also better in treatment group than that in control group(P<0.05).2.Comparison of each evaluation index of efficacy between two groups: significant improvement was observed in each evaluation index after a course of treatment.After repeated measurement of data,variance analysis,and efficacy comparison in runny nose,nasal congestion,dizziness,headache,and olfactory sensation,the difference was statistically significant(P<0.05)and the result in treatment group was better than that in control group.3.the two groups were compared in terms of age and gender before treatment.The difference was not significant(P>0.05),suggesting comparability.After the treatment,the effects of each factor on the therapeutic effect were analyzed,and the effects of gender and age on the therapeutic effect were not statistically significant(P>0.05),indicating that there was no significant difference in the effects of gender and age on the therapeutic effect.In the course factor analysis,the difference between the qinghuayin group and the xiangju capsule group was significant(P<0.05),It shows that there is a significant difference in the curative effect in this observation.Conclusion Qinghuayin has a definite clinical effect on the treatment of middle coke dampness-heat sinusitis.It can better clinical symptoms of patients with Sinusitis,especially in nasal congestion with mucus,yellowish or reddish urine,yellowish coated tongue,etc.No adverse events occurred during treatment in both groups.As a result,this treatment is worth clinical distribution and application.