【摘要】：目的:觀察加減會厭逐瘀湯沖劑治療聲帶白斑的臨床效果。方法:收集聲帶白斑患者(中醫(yī)慢喉喑氣滯血瘀型)60例。隨機分組,對照組30例,治療組30例。對照組采用金嗓散結丸配合喉滴入(前14天使用醋酸潑尼松龍注射液1ml、注射用糜蛋白酶4000U、硫酸慶大霉素注射液1ml滴入,1日1次;后14天使用丹參注射液2ml滴入,1日1次)治療;治療組采用加減會厭逐瘀湯沖劑配合喉滴入(前14天使用醋酸潑尼松龍注射液1ml、注射用糜蛋白酶4000U、硫酸慶大霉素注射液1ml滴入,1日1次;后14天使用丹參注射液2ml滴入,1日1次)治療。結果:治療組:治愈8例,顯效14例,有效3例,無效5例,總有效率83.33%。對照組:藥物治療4周后,治愈3例,顯效12例,有效3例,無效12例,總有效率60%。兩組總有效率進行統(tǒng)計學分析,P0.05,表明兩組療效差異具有統(tǒng)計學意義。結論:1.加減會厭逐瘀湯沖劑能有效地改善聲帶白斑(中醫(yī)慢喉喑氣滯血瘀型)患者的臨床癥狀體征。2.加減會厭逐瘀湯沖劑在改善聲帶白斑(中醫(yī)慢喉喑氣滯血瘀型)患者的癥狀體征上,效果優(yōu)于金嗓散結丸。
[Abstract]:Objective: to observe the clinical effect of adding and reducing epiglottic Zhuyu decoction on vocal cord leukoplakia. Methods: 60 cases of vocal cord leukoplakia (TCM slow throat qi stagnation and blood stasis type) were collected. Randomly divided into control group (n = 30) and treatment group (n = 30). The control group was treated with Jinshangsan Jiewan (prednisolone acetate injection 1ml), chymotrypsin injection (4000U), gentamicin sulfate injection (1ml), once a day in the first 14 days. The patients were treated with salvia miltiorrhiza injection 2ml (once a day) on the 14th day after treatment. The treatment group was treated with Jiajianyuzhuyu decoction combined with laryngeal drip (prednisolone acetate injection 1ml, chymotrypsin injection 4000 U, gentamicin sulfate injection 1ml, once a day). The patients were treated with salvia miltiorrhiza injection 2ml (once a day) on the 14th day. Results: in the treatment group, 8 cases were cured, 14 cases were markedly effective, 3 cases were effective, 5 cases were ineffective, and the total effective rate was 83.33%. Control group: after 4 weeks treatment, 3 cases were cured, 12 cases were effective, 3 cases were effective, 12 cases were ineffective, the total effective rate was 60%. The total effective rate of the two groups was statistically analyzed, P 0.05, indicating that there was a significant difference between the two groups. Conclusions: 1. Jiajianzhuyu decoction can effectively improve the clinical symptoms and signs of patients with vocal cord leukoplakia (TCM slow throat syndrome of stagnation of qi and blood stasis). 2. In improving the symptoms and signs of patients with vocal cord leukoplakia (Chinese medicine slow throat yinqi stagnation and blood stasis type), the effect of Jijiejiezhuyu decoction is better than that of Jinshangsan Jiewan.
【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R276.1

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