辛开苦降法治疗咽喉反流性疾病30例临床观察

发布时间：2018-06-11 22:10

本文选题：咽喉反流性疾病 + 辛开苦降法　；参考：《中医杂志》2017年13期

【摘要】：目的观察辛开苦降法治疗咽喉反流性疾病的临床疗效。方法将60例咽喉反流性疾病患者随机分为治疗组和对照组各30例,治疗组以辛开苦降立法,给予半夏泻心汤合四逆散为基础方的中药加减治疗,每日1剂,对照组予以兰索拉唑口崩片每次20 mg,每日2次。两组均治疗4周后评价主观及客观疗效,并于治疗前后分别进行反流症状指数评分量表(RSI)、胃食管反流病问卷(Gerd Q)评分。结果两组患者治疗后RSI各症状评分均较治疗前明显降低,治疗后治疗组声嘶评分明显低于对照组(P0.05)。两组患者治疗后Gerd Q反酸、烧心、失眠评分明显低于治疗前,治疗后治疗组反酸评分明显低于对照组(P0.05)。治疗组客观疗效总有效率为96.67%,主观疗效总有效率为96.67%,对照组分别为90.00%、83.33%,治疗组主观疗效优于对照组(P0.05),客观疗效两组比较差异无统计学意义(P0.05)。结论辛开苦降法在改善咽喉反流性疾病患者的主观症状,特别是缓解患者声嘶及反酸方面明显优于兰索拉唑口崩片。
[Abstract]:Objective to observe the clinical effect of Xin Kai Kujiang method on pharyngopharynx reflux disease. Methods 60 patients with pharyngeal and laryngeal reflux disease were randomly divided into treatment group (n = 30) and control group (n = 30). The control group was given 20 mg of lansoprazole orally disintegrating tablets twice a day. The subjective and objective therapeutic effects were evaluated after 4 weeks of treatment in both groups. Before and after treatment, the scores of RSII and Gerd QQ were evaluated respectively. Results after treatment, the RSI scores of patients in both groups were significantly lower than those before treatment, and the scores of hoarseness in the treatment group were significantly lower than those in the control group (P 0.05). The scores of Gerd Q regurgitation, heartburn and insomnia after treatment in both groups were significantly lower than those before treatment, and those in treatment group were significantly lower than those in control group (P 0.05). The total effective rate of objective curative effect was 96.67 in the treatment group, the total effective rate in the subjective curative effect was 96.67 and the total effective rate in the control group was 90.0083.33, respectively. The subjective curative effect in the treatment group was better than that in the control group (P 0.05). There was no significant difference in objective curative effect between the two groups. Conclusion Xinkaikujiang method is superior to lansoprazole oral avalanche tablet in improving subjective symptoms of patients with throat reflux disease, especially in relieving hoarseness and regurgitation.
【作者单位】：天津市第一中心医院;山西省太原市万柏林区和平苑卫生服务站;
【分类号】：R276.1

【相似文献】