中西医结合法治疗慢性鼻窦炎临床疗效观察.docVIP

中西医结合法治疗慢性鼻窦炎临床疗效观察【摘要】目的：观察中西医结合法治疗慢性鼻窦炎的临床疗效。方法：选择2009年3～2010年9月我院耳鼻喉科收治的慢性鼻窦炎患者124例，随机分成2组，对照组和观察组各62例。对照组患者给予阿莫西林胶囊口服，0.5g/次，3次/d；替硝唑片口服，0.5g/次，2次/d；呋麻滴鼻液滴鼻，1～3滴/次，3次/d。观察组患者在对照组的治疗基础上加服自拟鼻渊汤，1剂/d。两组患者均以10d为一个疗程，连续治疗2个疗程，观察两组患者的临床疗效。结果：对照组患者中显效22例，有效28例，无效12例，总有效率80.65%；观察组患者中显效25例，有效31例，无效6例，总有效率90.32%。两组患者总有效率比较，差异有统计学意义（p＜0.05）。结论：采用中西医结合法治疗慢性鼻窦炎，可以取得较为理想的治疗效果，值得临床推广应用。 【关键词】中西医结合法；慢性鼻窦炎；临床疗效 Treatment of Integrated Traditional and Western Clinical efficacy of chronic sinusitis Tian Hongmei （Shuangliu County, Sichuan Province, Sichuan Province People’s Hospital, the second double 610 213） 【Abstract】Objective Integrative Medicine Clinical treatment of chronic sinusitis patients. Methods 2009 3 September 2010 in our hospital ENT patients with chronic sinusitis were treated 124 cases were randomly divided into 2 groups, control group and observation group 62 cases. The control group were treated with oral amoxicillin, 0.5g / time, 3 times / d; tinidazole tablet, 0.5g / time, 2 times / d; furosemide Ma intranasal nasal drops, 1 to 3 drops / times , 3 times / d. The patients in the control group treatment services on the basis of self nasosinusitis add soup, 1 / d. 10d are two groups of patients for a course of treatment, continuous treatment of 2 courses, the clinical efficacy were observed. Results Patients in the control group, 22 cases markedly effective in 28 cases, 12 cases, total effective rate 80.65%; The patients in the 25 cases markedly effective in 31 cases, 6 cases, total effective rate 90.32%. The total effective rate between two groups of patients, the difference was statistically significant (p 表1治疗后两组患者总有效率比较[例数（%）] 组别（n=62） 显效 有效 无效 总有效率 对照组 22（35.48） 28（45.17） 12（19.35） 50（80.65） 观察组 25（40.32） 31（50.00） 6（9.68） 56（90.32）* 注：与对照组比较，*p＜0.05 3讨论 慢性鼻窦炎多由于急性化脓性鼻窦炎未得到及时有效的治疗演变而成，又称慢性化脓性鼻窦炎。主要临床症状为鼻塞、脓性鼻涕、嗅觉减退或消失及头痛等。目前一般认为与致病菌感染、变态反应、鼻腔或鼻窦局部解剖异常、免疫功能低下等因素有关，其中致病菌感染是首要发病因素，也有学者认为与先天性遗传因素有关。西医对慢性鼻窦炎的治疗包括药物治疗、局