针刺“开音1号”和“开音2号”穴为主治疗声带功能障碍导致慢性咳嗽15例临床研究  

Clinical Research on the Treatment of 15 Patients with Chronic Cough Caused by Vocal Cord Dysfunction by Mainly Needling No.1 Kaiyin Points and No.2 Kaiyin Points

作　　者：罗红强[1] 谢强[2] 

机构地区：[1]江西省人民医院,南昌330006 [2]江西中医药大学附属医院,南昌330006

出　　处：《实用中西医结合临床》2016年第3期1-4,共4页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

基　　金：江西省卫生厅科研课题(编号:2013A042)

摘　　要：目的:观察针刺"开音1号"穴和"开音2号"穴为主治疗声带功能障碍导致的慢性咳嗽的疗效。方法:选取来我院就诊的慢性咳嗽患者30例,随机分为试验组和对照组,每组15例。试验组针刺"开音1号"和"开音2号"穴后接电针治疗仪,随症加减使用穴位针刺,1次/d,同时给予普米克令舒雾化和心理疏导,辅以发音治疗;对照组只给予普米克令舒雾化和心理疏导,辅以发音治疗。结果:试验组症状总积分明显低于对照组,P<0.05;试验组总有效率明显高于对照组,P<0.05;试验组声带振幅、黏膜波动和闭合相位明显优于对照组,P<0.05。结论:针刺"开音1号"和"开音2号"穴为主治疗声带功能障碍导致的慢性咳嗽,疗效较为理想。Objective： To observe the clinical efficacy of the treatment of chronic cough cased by vocal cord dysfunction by mainly needling No.1 Kaiyin points and No.2 Kaiyin points. Methods： 30 Cases of chronic cough patients in our hospital were randomly divided into experimental group and control group, with 15 cases in each group. The experimental group was treated by mainly needing No. 1 Kaiyin points and No.2 Kaiyin points, after the needing, connected electric acupuncture therapeutic instrument, according to the disease, added or subtracted the acupunctures, one times every day. At the same time, gave Pulmicort atomization, psychological counseling and pronunciation treatment. The control group was given Pulmicort atomization, psychological counseling and pronunciation treatment only. Results： After the treatment, total scores of symptoms of the experimental group was better than the control group, P 〈0.05; the experimental group＇s markedly rate was 80.0%, superior to 33.3% in the control group, P〈0.05; by dynamic suspension, the vocal fold motion, the amplitude of the vocal cord, the amplitude of the mucous membrane and the closing phase of the vocal cord were significantly improved. Conclusion： The clinical efficacy of the treatment of chronic cough cased by vocal cord dysfimetion by mainly needling No.1 Kaiyin points and No.2 Kaiyin points is ideal.

关 键 词：慢性咳嗽 声带功能障碍 “开音1号”穴 “开音2号”穴 临床研究 

分 类 号：R767.4[医药卫生—耳鼻咽喉科]