旴江谢氏喉科针刀刺营微创疗法治疗痰凝血淤型慢性咽炎的疗效评价

Evaluation of Curative Effect of Minimally Invasive Acupuncture and Acupuncture Therapy in Xie’s Laryngology Department of Xujiang in the Treatment of Chronic Pharyngitis with Phlegm Coagulation and Blood Stasis

目的探究旴江谢氏喉科针刀刺营微创疗法治疗慢性咽炎(痰凝血瘀)患者的临床疗效,并观察其对患者症状改善程度的影响。方法便利选取该院2020年4月—2021年3月收治的104例痰凝血淤型慢性咽炎患者为探究对象,根据随机数表法将入选患者归为针刀组及参照组。参照组行蓝芩口服液治疗,针刀组在参照组的基础上行旴江谢氏喉科针刀刺营微创疗法治疗。观察两组患者的疗效、症状缓解时间及治疗前后的症状积分变化情况。结果针刀组患者的总有效率显著高于参照组(94.23%vs 78.85%),差异有统计学意义(χ^(2)=5.283,P<0.05)。针刀组患者症状缓解时间干咳(4.24±0.65)d、咽部灼热(5.17±0.97)d、咽部干痒(5.26±0.83)d、咽痛(4.32±0.97)d显著短于参照组,差异有统计学意义(t=18.902、11.405、12.665、18.919,P<0.05);治疗前,两组患者干咳、咽部灼热或有异物感、咽部干痒、咽痛症状积分相较,差异无统计学意义(P>0.05);治疗后,两组患者干咳、咽部灼热或有异物感、咽部干痒、咽痛症状积分较治疗前呈现降低趋势,且针刀组患者的上述指标均低于参照组,差异有统计学意义(t=29.496、61.526、19.466、25.626,P<0.05)。结论旴江谢氏喉科针刀刺营微创疗法治疗痰凝血淤型慢性咽炎疗效理想,可显著改善患者症状,促进疾病快速预后,临床安全有效。

Objective To explore the clinical effect of minimally invasive therapy for chronic pharyngitis(phlegm coagulation and blood stasis)in Xie's throat department,and to observe its effect on the improvement of symptoms.Methods 104 cases patients with chronic pharyngitis of phlegm coagulation and blood stasis type admitted in the hospital from April 2020 to March 2021 were conveniently selected as the subjects.According to the random digital table method,the selected patients were classified into needle knife group and reference group.The reference group was treated with Lanqin oral liquid,and the needle knife group was treated with minimally invasive therapy on the basis of the reference group.The curative effect,symptom relief time and symptom score before and after treatment were observed.Results Total efficiency was significantly higher than in the reference group(94.23%vs78.85%),the difference was statistically significant(χ^(2)=5.283,P<0.05).The symptom relief time dry cough(4.24±0.65)d,burning throat(5.17±0.97)d,dry itching of throat(5.26±0.83)d,and sore throat symptom(4.32±0.97)d of the needle-knife group were significantly shorter than that of the reference group,and the difference was statistically significant(t=18.902,11.405,12.665,18.919,P<0.05).Before treatment,symptom points of dry cough,throat burning or had a foreign body sensation,dry itching and sore throat,the difference was not statistically significant(P>0.05).After treatment,dry cough,throat burning or had a foreign body sensation,dry itching and sore throat were significantly reduced compared before treatment,and the above indicators were lower than the reference group,the difference was statistically significant(t=29.496,61.526,19.466,25.626,P<0.05).Conclusion The treatment of sputum coagulation and congestion type of chronic pharyngitis is ideal,which can significantly improve the patients'symptoms,promote the rapid prognosis of the disease,and achieve clinical safety and effectiveness.