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目的:观察加味麻杏石甘汤剂对喉部分切除患者术后临床症状、体征和误咽程度的影响。方法:将60例喉部分切除患者随机分为治疗组和对照组各30例。对照组给予常规的西医综合治疗(抗生素和气道湿化等的应用),治疗组在一般西医治疗的基础上加用具有健脾、清肺、化痰作用的加味麻杏石甘汤剂(每天2剂),疗程7天,比较两组患者临床症状、体征的变化,并采用惯用的吞咽功能判定标准对术后患者误咽程度进行评估。结果:临床症状和体征(咳嗽、咯痰、喘息、气短、哮鸣音)方面,两组治疗后均有改善(与治疗前比较,P<0.01),且治疗组的改善作用优于对照组(P<0.05)。通过Ridit分析两组术后患者误咽程度,结果表明治疗组轻于对照组,两组之间差异有统计学意义(U=7.341,P<0.001)。结论:在常规西医治疗的基础上加用健脾、清肺、化痰中药治疗喉部分切除术后患者,较之单纯使用西药治疗能更好地改善患者的临床症状和体征,并减轻误咽程度,促进喉功能的恢复。联合运用加味麻杏石甘汤治疗喉部分切除术后患者的疗效确切,可以值得临床应用。
Objective: To observe the effects of Modified Maxingshigan Decoction on the clinical symptoms, signs and degree of pharyngeal pharyngeal resection after partial laryngectomy. Methods: Sixty patients with partial laryngectomy were randomly divided into treatment group (n = 30) and control group (n = 30). The control group was given conventional Western medicine (antibiotics and airway humidification, etc.), the treatment group on the basis of general Western medicine plus with spleen, lungs, phlegm flavored Maxing Shigan Decoction daily 2). The course of treatment was 7 days. The changes of clinical symptoms and signs in the two groups were compared. The degree of pharyngeal ingestion was evaluated by the standard of swallowing function. Results: The clinical symptoms and signs (cough, expectoration, wheezing, shortness of breath, wheeze) were improved in both groups after treatment (P <0.01 compared with before treatment), and the improvement in the treatment group was better than that in the control group (P <0.05). Ridit analysis of the two groups of patients with postoperative pharyngeal pharyngeal pharyngeal pharyngeal pharyngeal pharyngeal pharyngeal pharyngeal swollen pharynx, the results showed that the treatment group was lighter than the control group, the difference between the two groups was statistically significant (U = 7.341, P <0.001). Conclusion: Based on routine western medicine, the patients with partial throat resection after using spleen-strengthening, clearing-lung and phlegm-removing Chinese medicine can better improve the clinical symptoms and signs of patients and relieve the misdiagnosis Extent, promote the recovery of laryngeal function. The combined use of Modified Maxing Shigan Decoction in the treatment of patients with partial laryngectomy is effective and worthy of clinical application.