论文部分内容阅读
目的探讨口腔负压对咽炎患者微循环的影响，并对其疗效进行评价。方法观察４５例咽炎患者，治疗组３０例，对照组１５例。治疗前通过微循环显微电视技术对患者进行常规甲襞微循环观察并采用田牛加权积分法对结果进行统计分析。治疗组应用口腔负压（负压０．０５±０．０１ｍＰａ）治疗，每日１次，每次持续１０ｍｉｎ，连续治疗１５ｄ后，对其疗效和微循环的变化进行评价。对照组在相应间隔时间进行疗效和微循环的观察，但不给负压治疗。结果治疗组治疗前甲壁微循环明显障碍，总积分值为 ４． ７９０±０． ２４８，血液流态 １．８７０±０．１１５与对照组无显著差异（Ｐ＞０．０５）。１６项指标中有多项异常，主要表现为微血流变慢，呈粒流、粒缓流、血细胞中度聚集。治疗后微循环障碍明显改善，总积分降为１．９４０±０．１７１，微血流变为线流、粒线流，与对照组及治疗前比较有明显差异（Ｐ＜０．０１）。治疗组经治疗后，症状和体征明显改善，以咽部疼痛、粘膜充血改善最为理想，总有效率为９０％。结论口腔负压治疗能改善咽炎时的微循环障碍，对咽炎有明显治疗作用。
Objective To investigate the effect of oral negative pressure on the microcirculation in patients with pharyngitis and to evaluate its efficacy. Methods 45 cases of pharyngitis were observed in the treatment group 30 cases and control group 15 cases. Before treatment, the microcirculation microsurgery technique was used to observe the patients’ regular meridian microcirculation, and the results were statistically analyzed by using the calf weighted integration method. The treatment group was treated with oral negative pressure (negative pressure 0.05 ± 0.01mPa) once a day for 10 minutes each time, and after 15 days of continuous treatment, the changes of curative effect and microcirculation were evaluated. Control group in the corresponding time interval for the observation of efficacy and microcirculation, but not to negative pressure therapy. Results The treatment group had obvious obstruction of the peritoneal microcirculation before treatment, with a total score of 4. 790 ± 0. 248, blood flow 1.870 ± 0.115 and the control group no significant difference (P> 0.05). 16 indicators in a number of abnormalities, mainly manifested as slow micro-blood flow, was granular flow, tablets slow flow, moderate aggregation of blood cells. After treatment, microcirculation was significantly improved. The total score was reduced to 1.940 ± 0.171. The micro-blood flow changed into linear flow and granular flow. There was a significant difference (P <0.01) compared with the control group and before treatment. The treatment group after treatment, symptoms and signs improved significantly pharyngeal pain, mucosal congestion improved the most ideal, the total effective rate was 90%. Conclusion oral negative pressure therapy can improve microcirculation pharyngitis, pharyngitis has a significant therapeutic effect.