针刺加隔药饼灸治疗慢性喉炎临床观察

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

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。

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.