针刺加隔药饼灸治疗慢性喉炎临床观察

目的:探寻治疗慢性喉炎的有效疗法。方法:将90例慢性喉炎患者随机分为治疗组(60例)和对照组(30例)。治疗组采用针刺加隔药饼灸,穴取扶突、人迎、水突等,配合涌泉穴隔药饼灸;对照组口服黄氏响声丸。治疗4周后观察两组疗效,并将两组辨证分型、病理分型以及疗效与病程的关系进行治疗前后对比。结果:治疗组总有效率为96.7%,对照组总有效率为76.6%,差异具有非常显著性意义(P<0.01);从辨证分型比较,阴虚肺燥型、痰热蕴结型疗效治疗组优于对照组(P<0.05),肺脾气虚型两组疗效相当;从病理分型组间比较看,慢性单纯性喉炎疗效治疗组明显优于对照组(P<0.05),而肥厚性喉炎、萎缩性喉炎疗效两组相当。结论:针刺加隔药饼灸治疗慢性喉炎疗效显著,值得临床推广应用。

Clinical observation on acupuncture plus cake-separated moxibustion for treatment of chronic laryngitis

Objective To search for an effective therapy for chronic laryngitis. Methods Ninety cases of chronic laryngitis were randomly divided into a treatment group of 60 cases and a control group of 30 cases. The treatment group were treated by acupuncture at Futu (LI 18), Renying (ST 9), Shuitu (ST 10), etc., and cake-separated moxibustion at Yongquan (KI 1); the control group with oral administration of Huang's Xiang Sheng Pills. Their therapeutic effects were observed after treatment of 4 weeks. The relationship of syndrome types, pathological types and therapeutic effects with the therapeutic courses in the two groups were compared before and after treatment. Results The total effective rate was 96.7% in the treatment group and 76.6% in the control group with a very significant difference between the two groups (P<0.01); the therapeutic effects for the yin-deficiency and lung-dryness type and the phlegm-heat accumulation type were superior to that of the control group (P<0.05), and the therapeutic effect for the lung and spleen qi-deficiency type was similar to the control group. The therapeutic effect for chronic simple laryngitis was significantly better than that of the control group (P<0.05); the therapeutic effect of hypertrophic laryngitis and atrophic laryngitis was similar to that of the control group. Conclusion Acupuncture combined with cake-separated moxibustion has an obvious therapeutic effect on chronic laryngitis.