谢氏中医平衡康复疗法对10例声带功能障碍导致的慢性咳嗽的临床 .doc

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30例临床研究* 罗红强1 指导：谢强2# （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） 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15例只给予普米克令舒雾化和心理疏导，辅以发音治疗。结果：治疗后，试验组症状总积分的改善优于对照组，P＜0.05；试验组的愈显率为80.0%，优于对照组的33.3%，P＜0.05；经动态喉镜检查声带运动、声带振幅、黏膜波动和闭合相位，声带功能明显提高。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。 关键词：声带功能障碍；慢性咳嗽；“开音1号”穴；“开音2号”穴；临床研究 Clinical Research on the Treatment of 30 Patients with Chronic Cough Caused by Vocal Cord Dysfunction by Mainly Needling No.1 Kaiyin Points and No.2 Kaiyin Points* Luo Hong-qiang1, Xie Qiang2 (1The People’s Hospital of Jiangxi Province, Nanchang330006; 2The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang330006) Abstract: 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, P0.05; the experimental group’s markedly rate was 80.0%, superior to 33.3% in the control group, P0.05; 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 si