清咽除痹汤治疗急喉痹风热证的临床疗效(1)
[摘要] 目的 研究清咽除痹汤治疗急喉痹风热证的临床疗效。 方法 方便选取2017年1月—2018年12月该院就诊的急喉痹风热证患者200例，采用随机数字表法分为观察组和对照组，对照组采取常规方法治疗;观察组在常规治疗基础上，采用清咽除痹汤进行治疗。治疗10 d后，统计分析患者治疗效果与白细胞改善情况。 结果 研究结果显示，对照组治疗有效率82%，观察组治疗有效率98%。观察组治疗效果明显好于对照组，其差异有统计学意义(χ2=14.22;P<0.05);经过治疗后两组患者白细胞数量均有所降低，观察组患者白细胞改善情况明显好于对照组。差异有统计学意义(t=24.06;P<0.05)。 结论 清咽除痹汤能有效治疗急喉痹风热证，改善临床症状，且安全无毒副作用，具有一定的临床研究及推广价值。
[关键词] 清咽除痹汤;急喉痹;风热证;中医药疗法;临床疗效
[中图分类号] R276.1 [文献标识码] A [文章编号] 1674-0742(2019)06(a)-0187-03
[Abstract] Objective Study on the clinical efficacy of Qingyan Chubi Decoction in the treatment of acute pharyngitis and wind-heat syndrome. Methods A total of 200 patients with acute pharyngitis and wind-heat syndrome who were admitted to our hospital from January 2017 to December 2018 were convenient selected. They were divided into observation group and control group by random number table method. The control group was treated by conventional methods. On the basis of conventional treatment， the observation group was treated with Qingyan Chubi Decoction. After 10 days of treatment， the patient's treatment effect and leukocyte improvement were statistically analyzed. Results The results of the study showed that the effective rate of the control group was 82%， and the effective rate of the observation group was 98%. The therapeutic effect of the observation group was significantly better than that of the control group， and the difference was statistically significant (χ2=14.22; P<0.05). After treatment， the number of white blood cells in both groups decreased， and the improvement of white blood cells in the observation group was significantly better than that in the control group. Differences are statistically significant (t=24.06; P<0.05). Conclusion Qingyan Chubi Decoction can effectively treat acute pharyngitis and wind-heat syndrome and improve clinical symptoms. It is safe without toxic side effects， and has certain clinical research and promotion value.
[Key words] Qingyan Chubi Decoction; Acute pharyngitis; Wind-heat syndrome; Chinese medicine therapy; Clinical efficacy
喉痹，是以咽喉部肌膜紅肿、咽部疼痛不适为主要症状的常见内科疾病之一。临床通常将喉痹病分为急、慢性二型。慢性喉痹也称慢性咽炎，其症状通常不具有特异性，如觉咽部有异物感、干痒不适、刷牙恶心干呕等。常与日常喜食辛辣刺激食物、言谈过多、环境变化或粉尘刺激等因素有关。急喉痹相当于西医中所说的急性咽喉炎。是指以发病急骤，咽部干痒疼痛为主，伴吞咽时疼痛加剧，可伴有发热、乏力、头痛及四肢肌肉酸痛等感冒症状[1]的咽部疾病。“急”是指病程短、起病急;“喉”是指发病部位多在咽喉以及上呼吸道部位。其发病机制较为综合，除上述致病因素外，主要与细菌病毒传染、身体受凉受湿、内分泌失调以及过度劳累导致免疫力下降有关。
根据辨证不同，中医又将急喉痹分为“风寒证”“风热证”“肝郁证”“阴虚证”“胃热证”等数辨证类型。并依据不同发病机制与症状与以不同方式治疗。其中，“急喉痹风热证”是由外感风热所致，多由外感邪热或肺胃蕴热，复感外邪等致热毒壅于咽喉[2]，致使血液运行不畅而发病，为实证，其主要病机为“瘀”。, 百拇医药(李伟萍)
[关键词] 清咽除痹汤;急喉痹;风热证;中医药疗法;临床疗效
[中图分类号] R276.1 [文献标识码] A [文章编号] 1674-0742(2019)06(a)-0187-03
[Abstract] Objective Study on the clinical efficacy of Qingyan Chubi Decoction in the treatment of acute pharyngitis and wind-heat syndrome. Methods A total of 200 patients with acute pharyngitis and wind-heat syndrome who were admitted to our hospital from January 2017 to December 2018 were convenient selected. They were divided into observation group and control group by random number table method. The control group was treated by conventional methods. On the basis of conventional treatment， the observation group was treated with Qingyan Chubi Decoction. After 10 days of treatment， the patient's treatment effect and leukocyte improvement were statistically analyzed. Results The results of the study showed that the effective rate of the control group was 82%， and the effective rate of the observation group was 98%. The therapeutic effect of the observation group was significantly better than that of the control group， and the difference was statistically significant (χ2=14.22; P<0.05). After treatment， the number of white blood cells in both groups decreased， and the improvement of white blood cells in the observation group was significantly better than that in the control group. Differences are statistically significant (t=24.06; P<0.05). Conclusion Qingyan Chubi Decoction can effectively treat acute pharyngitis and wind-heat syndrome and improve clinical symptoms. It is safe without toxic side effects， and has certain clinical research and promotion value.
[Key words] Qingyan Chubi Decoction; Acute pharyngitis; Wind-heat syndrome; Chinese medicine therapy; Clinical efficacy
喉痹，是以咽喉部肌膜紅肿、咽部疼痛不适为主要症状的常见内科疾病之一。临床通常将喉痹病分为急、慢性二型。慢性喉痹也称慢性咽炎，其症状通常不具有特异性，如觉咽部有异物感、干痒不适、刷牙恶心干呕等。常与日常喜食辛辣刺激食物、言谈过多、环境变化或粉尘刺激等因素有关。急喉痹相当于西医中所说的急性咽喉炎。是指以发病急骤，咽部干痒疼痛为主，伴吞咽时疼痛加剧，可伴有发热、乏力、头痛及四肢肌肉酸痛等感冒症状[1]的咽部疾病。“急”是指病程短、起病急;“喉”是指发病部位多在咽喉以及上呼吸道部位。其发病机制较为综合，除上述致病因素外，主要与细菌病毒传染、身体受凉受湿、内分泌失调以及过度劳累导致免疫力下降有关。
根据辨证不同，中医又将急喉痹分为“风寒证”“风热证”“肝郁证”“阴虚证”“胃热证”等数辨证类型。并依据不同发病机制与症状与以不同方式治疗。其中，“急喉痹风热证”是由外感风热所致，多由外感邪热或肺胃蕴热，复感外邪等致热毒壅于咽喉[2]，致使血液运行不畅而发病，为实证，其主要病机为“瘀”。, 百拇医药(李伟萍)