慢性分泌性中耳炎辩证治疗及临床疗效观察.doc

慢性分泌性中耳炎辩证治疗及临床疗效观察【摘要】目的 探讨慢性分泌性中耳炎应用辩证治疗的方法，以提高慢性分泌性中耳炎的治疗效果。方法 对120例慢性分泌性中耳炎患者，通过临床症状、体征进行分期、分型，分别进行辨证施治并对治疗结果进行相应疗效分析。结果 外感风邪，闭阻耳窍型，脾虚湿泛，经气闭阻型治疗相对较容易；肾气不固，水湿泛滥型，瘀血内阻，耳窍失养型因病程较长多伴鼓膜内陷，或萎缩甚至粘连，积液粘稠治疗难度相对较大。但经辨证分型治疗能够明显减少胶耳等后遗症的发生，并在改善临床症状方面有较为理想的效果。结论 应用辩证治疗慢性分泌性中耳炎临床效果良好，值得应用推广。 【关键词】分泌性中耳炎 辨证治疗 疗效观察 中图分类号：R764.21文献标识码：A文章编号：1005-0515（2011）4-006-02 Chronic secretory otitis media dialectical therapy and clinical curative effects HUANGXingzhiFENGZihong LIANGRongfang （The hospital of traditional Chinese medicine of Guang-Yuan Sichuan 628000） 【Abstract】Objective to study the treatment of chronic secretory otitis media application method of dialectical, in order to improve the therapeutic effect of chronic secretory otitis media. Methods the patients with 120 cases of chronic secretory otitis media, through the clinical symptoms, signs staging, classification, respectively for treatment on syndrome differentiation and treats and efficacy analysis results accordingly. Results the differentiation of evil and closed resistance ears, obsessed with the type of pixu generic, qi closed resistance wet relatively easy classification and treatment; Case kidney-qi is not solid, water wet flood type, blood stasis internal resistance, ear opening type of lost due to raise a long many partners, or atrophy eardrums retraction, effusion sticky treatment even adhesion relatively large difficulty. But the typification treatment can significantly reduce the occurrence of rubber ear etc, and sequela of clinical symptoms improved have the ideal effect. Conclusion the application of dialectical therapy for chronic secretory otitis media clinical effect is good, it is worth of application promotion. 【key words】secretory otitis media Syndrome differentiation and treatment Curative effects 1 临床资料 所选取病例均为2005年～2010年中经西医治疗效果较差，且均符合《耳鼻咽喉科诊断学》慢性分泌性中耳炎诊断标准的病例，共计120例，163耳：其中男性79例，113耳，女性41例，53耳；年龄最小8岁，最大72岁，平均年龄37岁；病程最短者1月，最长者达3年；均为经过西医口服抗生素，呋麻滴鼻液滴鼻等治疗，但效果欠佳者。主要症状：耳内胀闷或堵塞