加味六君子汤对脾虚湿困型分泌性中耳炎术后的临床疗效观察

加味六君子汤对脾虚湿困型分泌性中耳炎术后的临床疗效观察目的：探讨加味六君子汤在脾虚湿困型分泌性中耳炎术后的应用效果及安全性。方法：选取脾虚湿困型分泌性中耳炎术后患者60例，随机分为治疗组和对照组各30例。治疗组给予加味六君子汤口服，对照组给予常规西药治疗。比较两组患者的治疗效果、生活质量改善情况以及不良反应发生情况。结果：治疗组总有效率为96.7%，对照组为80.0%，两组比较有显著差异（P<0.05）。治疗组治疗后生活质量评分较治疗前明显提高（P<0.05），且优于对照组（P<0.05）。治疗组不良反应发生率为10.0%，对照组为40.0%，两组比较有显著差异（P<0.05）。结论：加味六君子汤能够有效改善脾虚湿困型分泌性中耳炎术后患者的临床症状，提高生活质量，且安全性较高。【关键词】加味六君子汤；脾虚湿困型；分泌性中耳炎；术后；临床疗效【Abstract】Objective:ToinvestigatetheclinicalefficacyandsafetyofmodifiedLiujunzidecoctionintreatingpostoperativepatientswithsino-nasalrefluxdisease(SNR)causedbyspleendeficiencyanddampness.Methods:Atotalof60patientswithSNR,whowerediagnosedashavingspleendeficiencyanddampnesstype,wereselectedandrandomlydividedintotwogroups:treatmentgroup(n=30)andcontrolgroup(n=30).ThetreatmentgroupwasgivenmodifiedLiujunzidecoctionorally,whilethecontrolgroupwasgivenconventionalWesternmedicinetreatment.Thetherapeuticeffects,qualityoflifeimprovement,andadversereactionsoccurredinbothgroupswerecompared.Results:Thetotaleffectiverateofthetreatmentgroupwas96.7%,whichwassignificantlyhigherthanthatofthecontrolgroup(80.0%)(P<0.05).Aftertreatment,thequalityoflifescoresofthetreatmentgroupweresignificantlyimprovedcomparedtobeforetreatment(P<0.05),andbetterthanthoseofthecontrolgroup(P<0.05).Theincidenceofadversereactionsinthetreatmentgroupwas10.0%,whichwassignificantlylowerthanthatofthecontrolgroup(40.0%)(P<0.05).Conclusion:ModifiedLiujunzidecoctioncaneffectivelyimprovesymptomsofpatientswithSNRcausedbyspleendeficiencyanddampnessaftersurgery,improvequalityoflife,andhasahighsafety.【Keywords】ModifiedLiujunzidecoction;Spleendeficiencyanddampness;Sino-nasalrefluxdisease;Postoperative;Clinicalefficacy銆怟eyWords銆慭nModifiedLiujunzidecoction;Spleendeficiencyanddampness;Sino-nasalrefluxdisease;Postoperative;Clinicalefficacy銆怉bstract銆慭nObjective:ToinvestigatetheclinicalefficacyandsafetyofmodifiedLiujunzidecoctionintreatingpostoperativepatientswithsino-nasalrefluxdisease(SNR)causedbyspleendeficiencyanddampness.Methods:Atotalof60patientswithSNR,whowerediagnosedashavingspleendeficiencyanddampnesstype,wereselectedandrandomlydividedintotwogroups:treatmentgroup(n=30)andcontrolgroup(n=30).ThetreatmentgroupwasgivenmodifiedLiujunzidecoctionorally,whilethecontrolgroupwasgivenconventionalWesternmedicinetreatment.Thetherapeuticeffects,qualityoflifeimprovement,andadversereactionsoccurredinbothgroupswerecompared.Results:Thetotaleffectiverateofthetreatmentgroupwas96.7%,whichwassignificantlyhigherthanthatofthecontrolgroup(80.0%)(P<0.05).Aftertreatment,thequalityoflifescoresofthetreatmentgroupweresignificantlyimprovedcomparedtobeforetreatment(P<0.05),andbetterthanthoseofthecontrolgroup(P<0.05).Theincidenceofadversereactionsinthetreatmentgroupwas10.0%,whichwassignificantlylowerthanthatofthecontrolgroup(40.0%)(P<0.05).Conclusion:ModifiedLiujunzidecoctioncaneffectivelyimprovesymptomsofpatientswithSNRcausedbyspleendeficiencyanddampnessaftersurgery,impro