| 周榆腾,龙 燕,刘大晟,林鸿国,黄学阳,易 平.清咽滴丸药物冰块治疗甲状腺术后咽痛的疗效及对临床症状和睡眠质量的影响[J].,2022,(14):2722-2726 |
| 清咽滴丸药物冰块治疗甲状腺术后咽痛的疗效及对临床症状和睡眠质量的影响 |
| Efficacy of Qingyan Dropping Pill and Drug Ice in the Treatment of Pharyngeal Pain after Thyroid Surgery and Its Effect on Clinical Symptoms and Sleep Quality |
| 投稿时间：2022-01-22 修订日期：2022-02-18 |
| DOI：10.13241/j.cnki.pmb.2022.14.025 |
| 中文关键词: 清咽滴丸药物冰块 甲状腺手术 咽痛 临床症状 睡眠质量 |
| 英文关键词: Qingyan dropping pill and drug ice Thyroid surgery Pharyngeal pain Clinical symptoms Sleep quality |
| 基金项目:广东省中医药局科研项目（20191147） |
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| 中文摘要: |
| 摘要 目的：探讨清咽滴丸药物冰块治疗甲状腺术后咽痛的疗效，分析其对相关临床症状和睡眠质量的影响。方法：回顾性分析2019年4月至2021年8月期间广东省中医院甲状腺诊治中心收治的甲状腺术后咽痛患者240例的临床资料，根据不同的治疗方法分成三组，每组80例。对照组为药物组，给予清咽滴丸含服；实验I组为冰块组，给予25%高糖冰块含漱；实验II组为药冰组，给予自制清咽滴丸药物冰块含漱。观察比较三组患者治疗48 h后的临床疗效，治疗前和治疗48 h后的中医证候积分、深睡眠质量评分以及治疗前、治疗8 h、24 h和48 h后的视觉模拟评分法（VAS）评分。结果：实验II组治疗48 h后总有效率显著高于实验I组和对照组（P＜0.05）。三组患者治疗48 h后的中医证候积分和深睡眠质量评分均显著低于治疗前（P＜0.05），三组患者治疗8 h、24 h、48 h后的VAS评分均显著低于治疗前（P＜0.05），且实验II组治疗48 h后的中医证候积分和深睡眠质量评分均显著低于实验I组与对照组（P＜0.05），实验II组治疗8 h、24 h、48 h后的VAS评分均显著低于实验I组与对照组（P＜0.05）。结论：清咽滴丸药物冰块治疗可有效缓解甲状腺术后咽痛及相关临床症状，改善患者睡眠质量，具有良好的临床应用价值。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the efficacy of Qingyan dropping pill and drug ice in the treatment of pharyngeal pain after thyroid surgery, and to analyze its effect on related clinical symptoms and sleep quality. Methods: The clinical data of 240 patients with pharyngeal pain after thyroid surgery who were treated in the thyroid diagnosis and treatment center of Guangdong Hospital of traditional Chinese medicine from April 2019 to August 2021 were analyzed retrospectively. They were divided into three groups according to different treatment methods, with 80 cases in each group. The control group was drug group, Qingyan dropping pills were given. Experimental group I was ice group, which was gargled with 25% high sugar ice. Experimental group II was medicine ice group, which was given self-made Qingyan dropping pills and medicine ice for gargling. The clinical efficacy of the three groups at 48 h after treatment, TCM syndrome score, deep sleep quality score before treatment and 48 h after treatment and visual analogue scale (VAS) score before treatment, 8 h, 24 h and 48 h after treatment were observed and compared. Results: The total effective rate in experimental group II was significantly higher than that in experimental group I and control group at 48h after treatment (P<0.05). The TCM syndrome score and deep sleep quality score of patients in the three groups at 48 h after treatment were significantly lower than those before treatment(P<0.05), and the VAS score of patients in the three groups at 8 h, 24 h and 48 h after treatment was significantly lower than that before treatment (P<0.05). The TCM syndrome score and deep sleep quality score of experimental group II at 48 h after treatment were significantly lower than those of experimental group I and control group (P<0.05), and the VAS score of experimental group II at 8 h, 24 h and 48 h after treatment was significantly lower than those of experimental group I and control group (P<0.05). Conclusion: Qingyan dropping pill and drug ice treatment can effectively relieve pharyngeal pain after thyroid surgery and related clinical symptoms, improve the sleep quality of patients, which has a good clinical application value. |
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