加减清胃散治疗脾胃湿热型鼻疳的临床观察

发布时间：2018-10-10 06:53

【摘要】：目的：观察加减清胃散治疗脾胃湿热型鼻疳的临床疗效。方法：收集2015年3月至12月期间,在黑龙江中医药大学附属第一医院耳鼻喉科门诊就诊的脾胃湿热型鼻疳患者60例,随机分为观察组和对照组,观察组30例,口服加减清胃散,外用全蝎软膏涂患处；对照组30例,口服苦参胶囊,外用全蝎软膏涂患处。以7天为一个疗程,用药两个疗程。观察记录两组症状及体征积分情况,并进行统计分析。结果：观察组总有效率为93.33%,对照组总有效率为80%,经Ridit分析,P0.05,两组疗效存在显著差异,即观察组疗效优于对照组。结论：1.加减清胃散治疗脾胃湿热型鼻疳疗效优于苦参胶囊。2.加减清胃散对鼻痛、溢脂水、结黄痂、皮肤红肿糜烂范围这些症状和体征的改善优于苦参胶囊；两组药物对鼻痒、脘腹痞满、恶心纳呆、小便短赤、大便溏薄这些症状改善疗效相当。3.在治疗前后,加减清胃散除对小便短赤改善效果不明显外,其他所有症状及体征均呈逐步改善趋势。
[Abstract]:Objective: to observe the clinical effect of add and subtract clear stomach powder on spleen and stomach damp-heat nasal chancre. Methods: from March to December 2015, 60 cases of spleen and stomach damp-heat nasal chancre were collected and randomly divided into observation group (n = 30) and control group (n = 30). Scorpio ointment was applied to the affected area, while the control group (n = 30) was treated with Kushen capsule and Scorpio ointment. Take 7 days as a course of treatment, two courses of medication. The scores of symptoms and signs of the two groups were observed and analyzed statistically. Results: the total effective rate of the observation group was 93.33 and the total effective rate of the control group was 80. There was significant difference between the two groups by Ridit analysis (P0.05), that is, the observation group was superior to the control group. Conclusion 1. The curative effect of adding and reducing Qingwei Powder in treating spleen and stomach damp-heat nasal chancre is better than that of Sophora flavescens capsule. 2. The improvement of the symptoms and signs of adding and reducing Qingwei Powder to the range of nasal pain, fat overflow, yellow scab, skin redness and erosion is better than that of Sophora flavescens capsule. Loose stool thin these symptoms to improve the efficacy of equivalent. 3. Before and after treatment, all symptoms and signs showed a gradual improvement trend, except that the effect of adding and reducing Qingwei Powder was not obvious.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R276.1

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