清咽利喉方对声带息肉术后声带形态及功能恢复疗效评价

发布时间：2017-12-30 22:33

本文关键词：清咽利喉方对声带息肉术后声带形态及功能恢复疗效评价　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的:观察声带息肉术后口服中药汤剂清咽利喉方疗效。通过数据分析,评价清咽利喉方与常规治疗的差别。探索清咽利喉方对声带息肉术后声带形态及功能恢复的有效性和优异性,为声带息肉患者术后的恢复提供更好疗效的治疗方案。研究方法:选自2016年1月～2016年12月期间,江苏省中医院耳鼻喉科入院的具有手术指征、符合诊断标准、入院后行"全麻喉内镜下声带息肉摘除术"的60例病例。入组后予分组,治疗组与对照组各30例。对照组1-3天予抗生素静滴、1-7天予糖皮质激素雾化吸入治疗,治疗组在此基础上加用中药煎剂清咽利喉方口服;治疗组7-14天继续予中药煎剂清咽利喉方口服,对照组不予药物治疗。计算两组患者术前1天、术后0天、术后7天、术后14天的临床症状和体征积分,并对术后7天、术后14天进行疗效评价。研究结果:从治疗前后临床症状、体征总积分比较来看,两组均有疗效,治疗组总体疗效好于对照组;治疗7天及14天后治疗组在声带充血及次要症状上疗效明显优于对照组;经治疗14天总体疗效显示:对照组治愈5例,显效11例,有效6例,无效8例,治愈率为17%,总有效率73%;治疗组治愈9例,显效12例,有效7例,无效2例,治愈率为30%,总有效率为93%。3-6月后回访:治疗组无息肉复发,对照组2例息肉复发。结论:清咽利喉方应用于声带息肉术后治疗对声带形态功能恢复具有一定疗效,在术后早期对于减轻声带充血水肿比单纯使用西药治疗效果更佳,同时明显改善伴随症状,可以加快声带修复、创面愈合。
[Abstract]:Objective: to observe the curative effect of Qingyan Lihou prescription, oral Chinese medicine decoction, after vocal cord polyp surgery. To evaluate the difference between Qingyan Lihou prescription and routine treatment, and to explore the effectiveness and excellence of Qingyan Lihou recipe in the recovery of vocal cord morphology and function after vocal cord polyps. Methods: from January 2016 to December 2016, the patients admitted to the department of otolaryngology of Jiangsu Provincial Hospital of traditional Chinese Medicine had surgical indications. According to the diagnostic criteria, 60 cases of "vocal cord polyp extraction under general anesthesia and larynx endoscope" were accepted after admission. The patients in the treatment group and the control group were divided into two groups: 30 cases in the treatment group and 30 cases in the control group. The control group was given antibiotic intravenous drip for 1-3 days. The treatment group was treated with glucocorticoid atomization inhalation for 1-7 days. Treatment group 7-14 days continue to take Chinese medicine decoction Qingyan Lihou oral, the control group no drug treatment. The two groups of patients 1 day before operation, 0 days after surgery, 7 days after surgery, 14 days after the clinical symptoms and signs score. The curative effect was evaluated on the 7th day and the 14th day after operation. Results: from the comparison of the total scores of clinical symptoms and signs before and after treatment, the two groups were all effective. The overall curative effect of the treatment group was better than that of the control group. After 7 days and 14 days of treatment, the curative effect of the treatment group was significantly better than that of the control group in terms of hyperemia and secondary symptoms of vocal cord. After 14 days of treatment, the results showed that 5 cases were cured in the control group, 11 cases were effective, 6 cases were effective, 8 cases were ineffective, the cure rate was 17%, the total effective rate was 73g. In the treatment group, 9 cases were cured, 12 cases were markedly effective, 7 cases were effective, 2 cases were ineffective, the cure rate was 30%, and the total effective rate was 93. 3. 6 months later: there was no recurrence of polyp in the treatment group. Conclusion: Qingyan Lihou prescription has a certain curative effect on the recovery of vocal cord morphology and function after the operation of vocal cord polyp. At the early stage of operation, the effect of reducing hyperemia and edema of vocal cord was better than that of using western medicine alone, and the accompanying symptoms were obviously improved, which could accelerate the repair of vocal cord and the healing of wound.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R276.1

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