中医认知疗法联合半夏厚朴加减方治疗气滞痰凝型咽喉反流性疾病的临床观察  

Clinical observation of TCM cognitive therapy combined with Modified Banxia Houpo Decoction in treating laryngopharyngeal reflux diseases with syndrome of qi stagnation and phlegm coagulation

作　　者：陈晓洁[1] 周宿迪[2] CHEN Xiaojie;ZHOU Sudi(Department of Traditional Chinese Medicine,Chuzhou First People's Hospital,Chuzhou 239000,China;Department of Otolaryngology,Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230038,China)

机构地区：[1]安徽省滁州市第一人民医院中医科,安徽滁州239000 [2]安徽中医药大学第二附属医院耳鼻喉科,安徽合肥230038

出　　处：《上海中医药杂志》2018年第12期62-65,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局新安医学郑氏喉科流派传承工作室建设项目

摘　　要：目的观察中医认知疗法联合半夏厚朴加减方治疗气滞痰凝型咽喉反流性疾病的临床疗效。方法将70例气滞痰凝型咽喉反流性疾病患者随机分为对照组和治疗组,每组35例。对照组予半夏厚朴加减方治疗,治疗组在对照组治疗措施的基础上加用中医认知疗法。两组均治疗2个月,观察临床疗效,比较咽喉反流症状指数量表(RSI)、咽喉反流体征评分量表(RFS)、改良Morisky问卷评分的变化情况。结果 (1)治疗组、对照组总有效率分别为88.6%、77.1%;组间临床疗效比较,治疗组优于对照组(P<0.05)。(2)治疗前后组内比较,两组RSI各项评分及总分均较治疗前降低(P<0.05);组间治疗后比较,治疗组刺激性咳嗽、呼吸困难、仰卧咳嗽、吞吐困难、清喉、喉中有黏滞评分及总分均低于对照组(P<0.05)。(3)治疗前后组内比较,两组RFS各项评分及总分均较治疗前降低(P<0.05);组间治疗后比较,治疗组假声带沟、肉芽肿、弥漫性喉水肿、喉室消失、息肉样变、声门下水肿评分及总分均低于对照组(P<0.05)。(4)组间治疗后比较,治疗组改良Morisky问卷评分低于对照组(P<0.05)。结论中医认知疗法联合半夏厚朴加减方治疗气滞痰凝型咽喉反流性疾病疗效满意,能明显改善患者的反流症状及体征,并提高患者依从性。Objective To observe the clinical efficacy of TCM cognitive therapy combined with Modified Banxia Houpo Decoction in treating laryngopharyngeal reflux diseases with syndrome of qi stagnation and phlegm coagulation. Methods 70 patients of laryngopharyngeal reflux diseases with syndrome of qi stagnation and phlegm coagulation were randomly divided into the control group and the treatment group,35 cases in each group. The control group was treated with Modified Banxia Houpo Decoction,and the treatment group was treated with TCM cognitive therapy based on the treatment for the control group,with a course of 2 months. The clinical efficacy was observed. The changes of reflux symptom index (RSI) ,reflux finding score (RFS) and modified Morisky questionnaire were compared. Results ①The total effective rates were 88.6% in the treatment group and 77.1% in the control group,respectively. The clinical efficacy of the treatment group was better than that of the control group (P<0.05) . ②Compared with treatment before,all item scores and the total score of RSI in both groups were decreased after treatment (P<0.05) . After treatment,the scores of irritable cough,dyspnea,supine cough,difficulty in swallow and spit,clearing throat,something sticky and stagnant in throat and the total score in the treatment group were lower than those in the control group (P<0.05) . ③Compared with treatment before,all item scores and the total score of RFS in both groups were decreased after treatment (P<0.05) . After treatment,the scores of false vocal ditch,granuloma,diffuse laryngeal edema,throat chamber disappear,polypoid changes,subglottic edema and the total score in the treatment group were lower than those in the control group (P<0.05) . ④After treatment,the score of modified Morisky questionnaire in the treatment group was lower than that in the control group (P<0.05) . Conclusion TCM cognitive therapy combined with Modified Banxia Houpo Decoction shows satisfactory efficacy in the treatment of laryngopharyngeal reflux diseases w

关 键 词：咽喉反流性疾病 气滞痰凝 中医认知疗法 半夏厚朴汤 

分 类 号：R276.1[医药卫生—中医五官科学]