毫火针治疗急性咽炎的疗效研究

Clinical Observation on the Treatment of Acute Pharyngitis by Filiform Fire Needling

目的观察毫火针治疗肺胃热盛型急性咽炎的临床疗效。方法将90例肺胃热盛型急性咽炎患者随机分为毫火针组、开喉剑喷雾剂组与联合组(毫火针联合开喉剑喷雾剂)各30例。分别在治疗前后统计每组症状体征评分表、主诉症状的临床改善时间以及肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)水平。结果症状体征评分结果表明,治疗后各组评分均降低,联合组均低于其他两组,同时毫火针组低于开喉剑喷雾剂组(P<0.05);联合组临床症状消失时间短于其余两组(P<0.05);联合组总有效率(86.67%)高于毫火针组(80.00%)及开喉剑喷雾剂组(76.67%)(P<0.05)。各组患者TNF-α、CRP、IL-1β、IL-6含量治疗后均降低,联合组低于其他两组,且毫火针组低于开喉剑喷雾剂组(P<0.05)。结论毫火针治疗肺胃热盛型急性咽炎临床疗效明确,联合开喉剑喷雾剂应用效果更好。

Objective:To observe the clinical efficacy of filiform fire needling on acute pharyngitis with pattern of heat exuberance in lung and stomach lung-stomach.Methods:A total of 90 patients diagnosed with acute pharyngitis with pattern of heat exuberance in lung and stomach lung-stomach were randomly divided into filiform fire needling group(n=30),Kaihoujian Spray group(n=30)and combination group(filiform fire needling combined with Kaihoujian Spray group,n=30)according to random number table method.Symptom and sign score table,clinical improvement time of chief complaint symptom and levels of tumor necrosis factor-α(TNF-α),C-reactive protein(CRP),interleukin-1β(IL-1β)and interleukin-6(IL-6)were calculated before and after the treatment.Results:After treatment,the scores of the three groups decreased,and combination group was lower than filiform fire needling group and Kaihoujian Spray group,and filiform fire needling group was lower than Kaihoujian Spray group(P<0.05).The total effective rate of combination group(86.67%)was higher than that of filiform fire needling group(80.00%)and Kaihoujian Spray group(76.67%)(P<0.05).The indexes of TNF-α,CRP,IL-1βand IL-6 in 3 groups were all decreased after treatment,and combination group was lower than the other two groups,and filiform fire needling group was lower than Kaihoujian Spray group(P<0.05).Conclusion:The clinical efficacy of filiform fire needling on acute pharyngitis with pattern of heat exuberance in lung and stomach lung-stomach is clear,safe and efficient,and the effect of filiform fire needling combined with Kaihoujian Spray is better.