针刺治疗声带小结及计算机声学测定疗效评价

目的:评价针刺开音1号穴治疗声带小结的疗效.方法:将80例患者随机分为针刺组(40例)、中药组(20例)、西药组(20例).针刺组针刺开音1号穴为主;中药组口服金嗓散结丸;西药组采用抗生素、激素类药物雾化吸入.观察3组疗效及治疗前后嗓音学参数.结果:针刺组总有效率为92.5%,优于中药组(85.0%)与西药组(85.0%),差异有非常显著性意义(P<0.01);在改善嗓音学方面,针刺组亦优于其他两组(均P<0.01).结论:针刺开音1号穴治疗声带小结疗效确切.

Acupuncture treatment of vocal nodule and evaluation of the therapeutic effect by computerized acoustics assay

Objective To evaluate the therapeutic effect of acupuncture at point Kaiyin No.1 on vocal nodule. Methods Eighty cases of vocal nodule were randomly divided into an acupuncture group of 40 cases, a Chinese herb group of 20 cases and a western medicine group of 20 cases. The acupuncture group were treated with acupuncture at main point Kaiyin No.1, the Chinese herb group with oral administration of Jinsang Sanjie Pill and the western medicine group with spray inhalation of antibiotics and hormones. Their therapeutic effects and parameters of acoustics before and after treatment were observed. Results The total effective rate was 92.5% in the acupuncture group, significantly better than 85.0% in the Chinese herb group and 85.0% in the western medicine group (P<0.01); the acupuncture group in improvement of parameters of acoustics was significantly superior to other two groups (both P<0.01). Conclusion Acupuncture at point Kaiyin No.1 has significant therapeutic effect on vocal nodule with no adverse effect.