揿针联合针刺治疗声带小结的临床观察

发布时间：2018-01-28 11:01

本文关键词： 揿针针刺声带小结慢喉喑 VAPP量表　出处：《成都中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的本研究通过嗓音主、客观检查评估揿针联合针刺治疗声带小结的临床疗效,以期指导临床治疗。方法本研究采用随机、对照试验设计。课题共收集2015年6月1日至2016年2月24日就诊于成都中医药大学附属医院／四川省中医院耳鼻咽科门诊的声带小结患者60例(所有病例均经过频闪喉镜确诊)。受试者随机分配为试验组和对照组,每组30例。试验组采用针刺结合揿针进行治疗,对照组采用针刺进行治疗。疗程为20天。患者于治疗前、治疗后15天填写临床病例观察表,并进行电子动态喉镜检查、电声门图测量及嗓音声学分析,最后评估临床疗效。结果1.电子动态喉镜检查比较治疗后15天,无论组间还是组内比较,电子动态喉镜检查声带粘膜波和声带闭合程度均存在显著差异(P0.05)。2.嗓音活动与参与量表(Voice Activity and Participation Profile, VAPP)治疗后15天,无论是组间还是组内比较,VAPP量表各项积分均存在显著性差异(P0.05)。3.电声门图结果比较治疗后15天,无论是组间还是组内比较,电声门图检测结果均存在显著性差异(P0.05)。4.嗓音声学分析结果比较治疗后15天,无论是组间还是组内比较,嗓音声学分析各项结果均存在显著性差异(P0.05)。结论无论对照组还是试验组的治疗均可使声带小结缩小,改善患者声嘶症状,继而提高患者生活质量。治疗组较对照组疗效更加明显,提示针刺结合揿针的治疗方案值得临床推广。
[Abstract]:Objective to evaluate the clinical efficacy of acupuncture combined with acupuncture in the treatment of vocal cord nodules by voice subjective and objective examination. Control design. From June 1st 2015 to February 24th 2016, 60 patients with vocal nodules were collected from the Otolaryngology outpatient Clinic of Chengdu University of traditional Chinese Medicine / Sichuan traditional Chinese Medicine Hospital (. All cases were confirmed by stroboscopic laryngoscopy. The subjects were randomly assigned to the experimental group and the control group. There were 30 cases in each group. The experimental group was treated with acupuncture combined with press acupuncture, while the control group was treated with acupuncture. The course of treatment was 20 days. Before treatment, 15 days after treatment, the patients filled out the clinical case observation form. Electronic dynamic laryngoscope, electroacoustic glottography and voice acoustic analysis were performed to evaluate the clinical efficacy. 1. Electronic dynamic laryngoscope was compared 15 days after treatment, whether between groups or within groups. 2. Electronic dynamic laryngoscope examination of vocal cord mucosal wave and vocal cord closure were significant differences (P0.05. 2. Voice activity and participation scale (. Voice Activity and Participation Profile. There were significant differences in the scores of VAPP scale between groups and within groups 15 days after treatment (P < 0.05). The results of electroglottography were compared 15 days after treatment. There was significant difference in the results of electroacoustics between groups and within groups. The results of voice acoustic analysis were compared 15 days after treatment, whether between groups or within groups. Conclusion both the control group and the experimental group can reduce the vocal nodules and improve the patients' hoarseness symptoms. The therapeutic effect of the treatment group was more obvious than that of the control group, indicating that the treatment scheme of acupuncture combined with press acupuncture was worth popularizing.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.81

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