CAJ | 학술논문

目的：探讨加用肿节风分散片治疗急性化脓性中耳炎及科学护理方案对临床疗效的影响。方法选择2012年至2014年医院收治的化脓性中耳炎患者1000例，随机分为治疗组和对照组，各500例。两组患者均采用0．3％氧氟沙星滴耳液，治疗组患者在此基础上加用肿节风分散片口服，治疗14 d后。结果治疗后，治疗组总有效率为94．20％，显著高于对照组的87．00％（P＜0．05）；治疗组的起效时间及听力阈值改善程度均好于对照组（P＜0．05）；两组患者金球色葡萄菌感染率及其他细菌感染率较治疗前均下降，治疗组的下降幅度显著高于对照组（P＜0．05）；治疗组耳部刺痛、耳部瘙痒等不良反应发生率均低于对照组，但差异无统计学意义（P＞0．05）。结论在西药治疗基础上，加用肿节风散并配合科学合理的护理方案治疗化脓性中耳炎，能提高临床疗效，改善听力，清除病原菌，缩短病程，且不良反应的发生率相对较低，值得临床推广。
목적：탐토가용종절풍분산편치료급성화농성중이염급과학호리방안대림상료효적영향。방법선택2012년지2014년의원수치적화농성중이염환자1000례，수궤분위치료조화대조조，각500례。량조환자균채용0．3％양불사성적이액，치료조환자재차기출상가용종절풍분산편구복，치료14 d후。결과치료후，치료조총유효솔위94．20％，현저고우대조조적87．00％（P＜0．05）；치료조적기효시간급은력역치개선정도균호우대조조（P＜0．05）；량조환자금구색포도균감염솔급기타세균감염솔교치료전균하강，치료조적하강폭도현저고우대조조（P＜0．05）；치료조이부자통、이부소양등불량반응발생솔균저우대조조，단차이무통계학의의（P＞0．05）。결론재서약치료기출상，가용종절풍산병배합과학합리적호리방안치료화농성중이염，능제고림상료효，개선은력，청제병원균，축단병정，차불량반응적발생솔상대교저，치득림상추엄。
Objective To evaluate the clinical efficacy of Zhongjie Fengsan Pills in the treatment of acute suppurative otitis media. Methods 1 000 cases of patients with acute suppurative otitis media treated in the hospital from 2012 to 2014 were selected and randomly divided into the observation group and the control group.The two groups received 0.3% Ofloxacin Ear Drops,and the obser-vation group were added with Zhongjie Fengsan Pills.The two groups were treated for 14 d.Results The total effective rate of the observation group was 94.20% and that of the control group was 87.00% (P <0.05).Compared with the control group,the onset time of the observation group was shorter,pathogen clearance rate was higher,and hearing improvement degree was better (P <0.05). The bacterial infection rate of the two group dereased,and the observation groups decreased more (P <0.05).The incidence rate of adverse reactions of the observation group was lower than the control group,but had no significant difference (P <0.05).Conclusion In the treatment of acute suppurative otitis media,adding Zhongjie Fengsan Pills shows good efficacy and has high safety and few ad-verse reactions,which is worthy of clinical promotion.