The Journal of Pediatrics of Korean Medicine (대한한방소아과학회지)

The Association of Korean Oriental Pediatrics (대한한방소아과학회)
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A Clinical study on the Therapeutic effect of Kamihyunggyeyungyotang for Pediatric Recurrent Otitis Media with Effusion

소아(小兒) 재발성(再發生) 삼출성(渗出性) 중이염(中耳炎)에서 가미형개연교탕(加味荊芥連翹湯)의 치료효과(治療效果)에 대한 임상적(臨床的) 연구(硏究)

  • Yang Mi-Ra (Oriental Hospital in Wonkwang University) ;
  • Jin Kyong-Son (Oriental Hospital in Wonkwang University) ;
  • Lee Hai-Ja (Oriental Hospital in Wonkwang University) ;
  • Kwon Mi-Won (Oriental Hospital in Wonkwang University) ;
  • Park Eun-Jeung (College of Oriental Medicine, Wonkwang University)
  • 양미라 (원광대학교 전주 한방병원) ;
  • 진경선 (원광대학교 전주 한방병원) ;
  • 이해자 (원광대학교 전주 한방병원) ;
  • 권미원 (원광대학교 전주 한방병원) ;
  • 박은정 (원광대학교 한의과대학)
  • Published : 2001.12.15
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Abstract

Otitis media with effusion(OME) is the second most common disease in childhood after upper respiratory tract infection. Antibiotic treatment and ventilation tube insertion are the common treatment. The emergence of drug-resistant streptococcus pneumoniae (DRSP) has implications for the primary care provider who treats acute otitis media(AOM) in children. OME need not be treated with antibiotics unless the effusion has been present for 3 to 4 months. Tympanostomy tubes are an effective treatment for both chronic OME and recurrent AOM. But the complications of tympanostomy tubes are serious Kamihyunggyeyungyotang is known to have antiinflmmatory and antiallergic effect. In this study, we investigated the clinical efficacy of the Kamihyunggyeyungyotang on recurrent otitis media with effusion prospectively by using pneumatoscopy, tympanogram, pure tone audiometry, and radiologic study. The patients who had treated by antibiotics was used as control. The statistical analysis was done by Mann-Whitney test and the significance was considered when the p value was less than 0.05. The general outcome was significantly higher in Kamihyunggyeyungyotang group than in antibiotic group. The recovery rate from grade 3 to 0 in pneumatoscopy was 42.5% but the control was 6%. Hearing gain was improved 71% and pnuematization was returned 70%.

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