论文部分内容阅读
目的:观察中西医结合治疗慢性鼻窦炎及合并眼部疾病临床疗效。方法:将慢性鼻窦炎合并眼部疾病患者112例随机分为2组各56例,实验组合并眶内蜂窝织炎10例,对照组合并眶内蜂窝织炎7例。对照组进行抗生素治疗,对于合并眼部并发症患者给予常规治疗。实验组在对照组治疗方法的基础上再加用中药汤剂进行治疗。结果:实验组总有效率91.08%,对照组78.57%,2组比较,差异有统计学意义(P<0.05)。实验组10例合并眶内蜂窝织炎患者在放置引流管后1天内症状即改善。实验组平均治疗时间(7.1±0.7)天。对照组7例治疗6~7天后体温开始下降至正常水平,治疗13~14天后康复,3例治疗7天后全身症状加重,由眶内蜂窝织炎发展至眶壁骨膜下脓肿,请眼科给予开放式手术引流后,症状好转。对照组平均治疗时间(15.2±4.1)天。2组合并眼部疾病患者治疗时间比较,差异有统计学意义(P<0.05)。结论:慢性鼻窦炎采用中西医结合疗法能够取得较好的临床疗效,而中西医结合方法可缩短及合并眼部并发症治疗时间。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of chronic sinusitis and ocular diseases. Methods: One hundred and twelve patients with chronic sinusitis and ocular diseases were randomly divided into two groups (n = 56), experimental group (n = 10), orbital cellulitis (n = 10). The control group was treated with antibiotics and received routine treatment for patients with ocular complications. The experimental group in the control group on the basis of treatment plus traditional Chinese medicine decoction for treatment. Results: The total effective rate was 91.08% in the experimental group and 78.57% in the control group. There was significant difference between the two groups (P <0.05). In the experimental group, the symptoms of 10 patients with orbital cellulitis were improved within 1 day after placing the drainage tube. The mean treatment time in the experimental group was (7.1 ± 0.7) days. The control group, 7 cases of treatment 6 to 7 days after the temperature began to decline to normal levels, 13 to 14 days after treatment rehabilitation, 3 cases of treatment for 7 days after the onset of systemic symptoms, from orbital cellulitis to orbital subperiosteal abscess, please ophthalmology to open After surgical drainage, the symptoms improved. Control group, the average treatment time (15.2 ± 4.1) days. There were significant differences between the two groups in the treatment time of patients with ocular diseases (P <0.05). Conclusion: Chronic sinusitis with traditional Chinese and Western medicine treatment can achieve better clinical efficacy, and the combination of traditional Chinese and Western medicine methods can be shortened and combined with eye complications time.