中药除湿丸联合耳净散内外合治外耳湿疹的疗效评价

发布时间：2018-11-21 13:20

【摘要】：目的探讨中药除湿丸联合耳净散治疗外耳湿疹的临床疗效。方法选取2015年3月~2016年5月我院治疗的140例外耳道湿疹患者,随机分为中药治疗组和西药治疗组,每组70例。中药组口服除湿丸和耳净散患处喷敷,西药组口服盐酸西替利嗪片及艾洛松乳膏患处涂敷进行治疗,比较两组患者不同治疗时长的治愈率、有效率和复发率。结果中药组和西药组治疗2周的治愈率分别为53.2%、47.6%,两组比较差异无统计学意义(χ2=0.796,P=0.372);中药组和西药组治疗2周的有效率分别为85.3%、70.6%,两组比较差异有统计学意义(χ2=6.626,P=0.01)。随访3个月,中药组和西药组的复发率分别为14.9%、40.0%,两组比较差异有统计学意义(χ2=9.815,P=0.002)。中药组和西药组治疗渗液型的有效率(2周)分别为92.4%和72.5%,两组比较差异有统计学意义(χ2=7.194,P=0.007)。中药组和西药组治疗无渗液型(2周)的有效率分别为78.2%和69.2%,两组比较差异无统计学意义(χ2=0.511,P=0.475)。结论用中药除湿丸和耳净散内外合治外耳湿疹的效果显著,中药治疗比西药治疗在控制复发率上有明显优势。
[Abstract]:Objective to investigate the clinical effect of dehumidification pill combined with Erjing powder on eczema of external ear. Methods from March 2015 to May 2016, 140 patients with eczema of external auditory canal were randomly divided into Chinese medicine treatment group and western medicine treatment group with 70 cases in each group. The Chinese medicine group was treated by oral application of dehumidification pill and er Jing San, and the western medicine group by taking cetirizine hydrochloride and aloxone cream. The cure rate, effective rate and recurrence rate of the two groups were compared. Results the cure rate of the Chinese medicine group and the western medicine group were 53.2% and 47.6%, respectively. There was no significant difference between the two groups (蠂 2, 0.796, P < 0.372). The effective rates of Chinese medicine group and western medicine group for 2 weeks were 85.3 and 70.6, respectively. The difference between the two groups was statistically significant (蠂 2, 6.626, P < 0.01). After 3 months follow-up, the recurrence rate of the Chinese medicine group and the western medicine group were 14.9and 40.0.The difference between the two groups was statistically significant (蠂 ~ 2, 9.815, P ~ (0.002). The effective rates of Chinese medicine group and western medicine group were 92.4% and 72.5% in 2 weeks, respectively. The difference between the two groups was statistically significant (蠂 2, 7.194, P < 0.007). The effective rates were 78.2% and 69.2% in the traditional Chinese medicine group and the western medicine group, respectively. There was no significant difference between the two groups (蠂 ~ (2 +) 0.511 P ~ (0.475). Conclusion the therapeutic effect of dehumidification pill and Erjing powder on eczema of external ear is remarkable. The treatment of traditional Chinese medicine is superior to that of western medicine in controlling the recurrence rate of eczema.
【作者单位】：首都医科大学附属北京中医医院耳鼻咽喉头颈外科;北京中医医院顺义医院耳鼻咽喉科;
【分类号】：R276.1

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