扁桃体啄治法治疗咽部疾病的临床分析-clinical analysis of tonsil pecking therapy for pharyngeal diseases.docxVIP

提要目自祆探讨扁桃体啄治法的治病机理与疗效。慢性扁桃体炎、慢性湖炎是临床耳 彝咽喉科的常觅瘸，多发病。毽孳纯药物治疗不能取得良好豹貉寐疗效。手术诱除赢 挑体又震考一定手术适威挺。麓且扁桃体是人体的受疫器蜜之一，切除质憋游除局部 免疫反应，出现免疫监视障碍，因此成严格举握手术指征。我们猩现代临床纷纷采用局部物理疗法的愚路下，探索并使用了啄治法，治疗馒性桶桃体炎、覆能疆炎及扁桃，体楚化疰等咽部疾病取愿了显萋效果。／方法怼145捌咽部疾患款病人，随极分为治、疗组与对照组，治疗组85例与对照组60例。治疗缎均施以啄治滋，对照组服用药物， 其中，慢性扁桃体炎治疗组50例与服用螺藤霉素30例对照观察，慢性咽炎治疗组 3s铡与鼹建镊黄禽片30铡对照鼹察。还戏察10铡褒槛钵角化凝患卷寒设对照组。结果慢性扁桃体炎治疗组有效率98％，与对照组比较有屉著差异(PO．01)，慢性＼玉^—一咽炎治疗缀有效率94％，与对照组比较有显著差髯(Po．05)。厂结论{扁桃体啄治法，是中医静一耪辨治法。鬟套蓑}脓灌鼹、巯遂经络、{去教瘀藏、狳软生薮熬终魇。可瑶 予治疗慢性扁桃体炎、慢性咽炎及扁桃体角化症等咽部疾瘸。其临床效果显著，是新 型的中医外治法。关键谰扁桃体啄治法；咽部疾瘸；中医外治法≥烂基煮髟药凳；A Clinical Study On The Treatment Of Paryngeal WithTonsil—pecking MethodSpeciality’：TheStudyofOtorhinolaryngologyofChineseTraditinalMedicine．External Treatment of TCM．Author：Xiuli Han Tutour：Professor Bing WangAbstractobjective To study the curative effect of the treatment of pharyngeal disease with tonsil-pecking method and explore its therapeatic mechanism．Method 145 patients were divided in random design into two groups—treating and colating groups and were observed after one or two coures of treatment．The treating group were treated with tonsil—pecking method，the colating group were treated with pharmaceuticals．Results The efficacy mte achieved in treating group were 98％in patients with chronic tonsilitis and 94％in patients with chronic pharygitis．Compared with colating groups，these results reveal statistical significant differences in both groups．To chronic tonsilitis，P0．01；to chronic pharyngitis，P0．05．Conclusion The tonsil-pecking method has demonstrated satisfactory results and cail be applied as an external treatment ofTraditional Chinese Medicine．Key words Tonsil-pecking method；Pharygeal diseases；External trealment of Traditional Chinese Medicine．扁桃体啄治涤活井咽部疾病的临床研究引言慢性扁桃体炎、慢性咽炎是临床耳鼻咽喉科的常见病，多发病。但就目前来说， 单纯药物治疗咽部疾病，仍不能取得良好的临床疗效。手术切除扁桃体擞是一种较彻 底的方法，位选择切除须有一定手术适应征。近来随着免疫学的进展，这种方法的实 施与否备医家尚有较天争议。赢撬体楚入体的免疫器官之一，切除麓将消除髑部免疫 反应，薄低旗帮抗感染静免疫力，崮硗免疫篮褫障碍，鞫苑或严格掌握簪术糖征。我们在现代甑床纷纷袋矮爨龌物理疗法静思路下，搽索势使弱了啄演法，治疗稠 嚣疾病，取褥了鼹著效累。患攘体秘疆部楚毗邻组缀，冀梅残蕤令嚷漤爨组织熬羹要 缝成嚣