慢性喉炎证候诊断要点与临床局部征象相关性分析

Clinical analysis on correlation between key points of syndrome diagnosis and clinical local manifestation in chronic laryngitis

目的探讨慢性喉炎证候诊断要点与临床局部征象的相关性。方法对114例慢性喉炎血瘀痰凝证患者进行临床观察,根据病灶直观表现归纳并提取临床征象以表征血瘀、痰凝2个证候诊断要点。分析中医证候评分和临床局部征象的关系。结果声音嘶哑、咽喉干燥与病灶血瘀、痰凝均相关;不能确定喉内异物感、喉部痛和咳痰不爽与病灶血瘀、痰凝具有相关性。咽喉干燥在指证血瘀方面明显强于声音嘶哑,在指证痰凝方面稍强于声音嘶哑。结论从对证候诊断要点的指证效能看,证候指标中的客观指标较主观指标效能高。

Objective To explore correlation between key points of syndrome diagnosis and clinical l^almanifestation in chronic laryngitis.Methods One hundred and fourteen cases of chronic laryngitis with syndrome of stasis blood and coagulated phlegm were clinical observed. By direct appearance of disease, clinical manifestations were summarized and extracted to represent two key points of syndrome diagnosis, and relationship between TCM syndrome score and clinical local manifestation were analyzed. Results The hoarseness and dryness of throat were related to syndrome of blood stasis and coagulated phlegm; it was not certain that foreignbody sensation, pain and unsatisfying coughing were related. The throat dryness is obviously better than hoarse in indicating syndrome of coagulated phlegm, and is slightly better than hoarse in indieatingsyndrome of blood stasis. Conclusion From indicating effect of key points of syndrome diagnosis, the subjective indicators are more effective that objective indicators.