清窦通窍汤结合上颌窦穿刺治疗慢性鼻窦炎的临床探究.pdfVIP

提 要 目的：评价中药清窦通窍汤结合上颌窦穿刺治疗以慢性上颌窦炎为主的慢性鼻窦 炎的临床疗效，并观察与口服鼻窦清合剂加鼻用激素辅舒良喷鼻二者在疗效上是否存 在差异。方法：选择符合条件的60 例病例，应用随机化方案分为中药清窦通窍汤结 合上颌窦穿刺治疗组30 例和口服鼻窦清合剂加鼻用激素辅舒良为对照组30 例。治疗 组给予清窦通窍汤结合上颌窦穿刺治疗，7 天为1 疗程。对照组给予口服鼻窦清合剂 加鼻喷剂辅舒良，7 天为1 疗程。两组均连续治疗3 疗程。观察记录治疗前后临床症 状和体征情况，并记录不良反应。结果：经统计学分析，治疗组和对照组治疗患者慢 性鼻窦炎均有效，治疗组总有效率86.67 ％，对照组总有效率73.33 ％，两组在疗程结 束后总疗效比较有显著性差异（P ＜0.05 ﹚，表明治疗组优于对照组，治疗组治疗前、 后症状体征对比，均有明显改善作用（P ＜0.01 ﹚,两组患者在治疗中没有发生不良反 应事件。结论：中药清窦通窍汤结合上颌窦穿刺是针对以上颌窦炎为主的慢性鼻窦炎 一种很有效的治疗方法，体现了内治与外治相结合、治标与治本相结合的一种方法， 从而能有效的解除或缓解鼻窦炎病人的鼻塞、流脓涕、头痛等症状，减轻鼻黏膜肿胀 的程度，改善鼻腔的通气功能，促进鼻腔生理功能的恢复。说明中药清窦通窍汤结合 上颌窦穿刺治疗以慢性上颌窦炎为主的慢性鼻窦炎是一种简便、安全、有效的治疗方 法。 关键词 清窦通窍汤；上颌窦穿刺；慢性鼻窦炎；临床研究 Clinical research of combined treatment Qing Dou Tongqiao Decoction and maxillary sinus puncture in chronic sinusitis Speciality: E.N.T.of TCM Author: Qianqian Xu Tutor: prof. Renzhong Wang Abstract Objective: To evaluate traditional Chinese medicine Qing Dou Tongqiao Decoction and maxillary sinus puncture treatment to chronic maxillary sinusitis of chronic sinusitis based clinical efficacy and observe the Bi Dou Qing mixture and Fu Shu Liang whether there are differences in efficacy. Methods: 60 patients, who suffer from chronic sinusitis, were divided into two groups at random. The treatment group which involved 30 patients had been taken traditional Chinese medicine Qing Dou Tongqiao Decoction and maxillary sinus puncture for 7 days. The control group were given the Bi Dou Qing mixture and Fu Shu Liang for oral use for 7 days. Both groups were treated for three course. Observe the changes of symptoms and physical signs at the beginning and ending of the experiment, and record adverse reactions. Results: After counted with statistics, the clinical observations show that both groups are effective. The total effective rate of the treatment group is 86.67 ％,while the total effective rat