健脾利水方治疗分泌性中耳炎脾虚痰浊证的临床疗效观察及咽鼓管表面活性物质研究-中医五官科学专业论文.docxVIP

中文摘要目的：观察健脾利水方对分泌性中耳炎脾虚痰浊证的临床疗效，初 中文摘要 目的：观察健脾利水方对分泌性中耳炎脾虚痰浊证的临床疗效，初 步探讨健脾利水方治疗分泌性中耳炎脾虚痰浊证的作用机理。 方法：将符合本次实验标准者40例，随机分为两组，其中健脾利 水方结合常规西医治疗分泌性中耳炎脾虚痰浊证20例，与对照组用常 规西医治疗20例进行疗效比较。 结果：1、治疗组的疗效优于对照组口0．05)。2、治疗组的症状积 分差值为12．35士1．954，而对照组为10．10-士1．832，两组之间的有差异性 fPO．01)。3、治疗组的低频听阈(500Mhz)改善为18．34i6．71，而对照 组为14．88-4-6．11，两组之间的有差异性(Po．01)。3、在咽鼓管表面活性物 质的含量差值方面，治疗组为12．015士2．556，明显优于对照组的 6．700士1．414口0．05)。5、在研究过程中未发现明显不良反应。 结论：健脾利水方能有效改善分泌性中耳炎患者的t晦床症状，改善 患者听力。实验过程中未发现不良反应，安全性好。 关键词：健脾利水方 分泌性申耳炎 脾虚痰浊证 Clinical Clinical Research Oil Jianpilishuifang treating SOM Disease Postgraduate：Liu Xing Director：Chen Xieyun (Hunan College ofTraditional Chinese Medicine，Changsha,China 41000刀 Abstraet Objective：To observe the effect of Jianpilishuifang treating SOM Disease (secretory ofifis media)，to explore the mechanism of Jianpilishuifang treating SOM Disease． Methods：We selected 40 patients of SOM，then randomized them into two groups，applying Jianpilishuifang combined with the routine Western medicine to treat 20 patients(treatment group)，contrasted with the routine Western medicine to treat 20 patients(control group)，to compare curative effect of two tc棚：ns． Results：1、The treatment group’S clinical valid rate was 50％，preceded control group’S 1 5％mO．05)．2．The treatment group’S symptom mark difference was 12．35士1．954，near to control group’S 10．10土1．832(P0．05) 3、The treatment group’S Chinese medicine symptom mark was 70，15士7．822， obviously preceded control group’S 58．15士9．103(PO．05)4．Compared with improvement rate of eustachian tube surfactants，treatment group’S Was 12．015士2．556．exceeded 12．015士2．556．exceeded control group’S 6 700±1，414(P0．05)5、In otlr experiment process，there were not adverse reactions for treatment group’S patients Conclusions：Jianpilishuifang could effectively improve the symptom of SOM Disease patients，improve the audition of the patients，and improve life quality．In the experiment，there were not adverse reactions for clinical application Jianpilishuifang is the perfect pre