中西医结合治疗分泌性中耳炎的研究进展与临床应用
Research Progress and Clinical Application of Integrated Traditional Chinese and Western Medicine in the Treatment of Secretory Otitis Media

分泌性中耳炎(SOM)是耳鼻喉科常见疾病，以中耳积液、咽鼓管功能障碍及传导性听力下降为特征，好发于儿童及过敏体质人群，具有病程迁延、反复发作的特点。西医治疗以清除积液、改善通气及抗炎为核心，但存在创伤性操作风险、长期置管并发症及复发率较高等局限。中医理论认为本病属“耳胀”“耳闭”范畴，病机涉及风邪外袭、肝胆湿热、脾虚湿困、气血淤阻，治以分期辨证。中西医结合方案通过协同机制，既发挥西医快速清除积液、恢复通气的优势，又借助中药调节Th1/Th2免疫平衡、改善咽鼓管黏膜纤毛功能。本文对中西医结合治疗分泌性中耳炎进行详细的研究与探讨，以期为该病的防治提供思路。
Secretory otitis media (SOM) is a common disease in otolaryngology, characterized by middle ear effusion, dysfunction of the Eustachian tube, and decreased conductive hearing. It is more common in children and people with allergies, and has the characteristics of prolonged disease course and recurrent attacks. Western medicine treatment focuses on clearing fluid accumulation, improving ventilation, and anti-inflammatory measures, but there are limitations such as traumatic operation risks, long-term complications of catheterization, and high recurrence rates. According to traditional Chinese medicine theory, this disease belongs to the category of “ear swelling” and “ear closure”, and its pathogenesis involves wind pathogenic invasion of the ear, phlegm and dampness obstruction, and blood stasis closure. Treatment is based on staged differentiation of syndromes. The integrated approach of traditional Chinese and Western medicine utilizes a synergistic mechanism, which not only leverages the advantages of Western medicine in quickly clearing fluid and restoring ventilation, but also utilizes traditional Chinese medicine to regulate Th1/Th2 immune balance and improve the ciliary function of the Eustachian tube mucosa. This article provides a detailed study and exploration of the combination of traditional Chinese and Western medicine in the treatment of secretory otitis media, aiming to provide ideas for its prevention.