Acupuncture Clinical Study For The Treatment Of Hoarseness

ObjectiveThis study attempts to acupuncture as the starting point, through observation compared with acupuncture group, Chinese medicine group and voice function in patients with acupuncture-Chinese medicine group, the influence of to modern medicine voice evaluation index, study the clinical curative effect of acupuncture, is willing to provide a meaningful for laryngeal staple treatment for clinical reference.MethodsTo collect outpatient of the hoarseness (including vocal nodules and polyp of vocal cord and chronic laryngitis) at the First Affiliated Hospital of Guangzhou University of Chinese Medicine from 1st May 2015 to 31st January 2016, according to the traditional Chinese, western medicine diagnosis and differential diagnosis standard,60 outpatients were collected as subjects according to the requirements and were randomly divided into 3 groups: acupuncture-Chinese medicine group, acupuncture group and Chinese medicine group. The Chinese medicine group was required to to take Chinese herbal; the acupuncture group accepted acupuncture; and those who were acupuncture-Chinese medicine group was required to combine the both therapy. The therapy last for 4 weeks, after that, patient were required to finish a questionnaire survey. We also collected the statistics of TCM symptoms, VHI-10, MPT, F0, Jitter, Shimmer, NHR and G, on the otherhand, we also request patients to check the fibre laryngoscope to appraise the patients'promotional function and the vocal cord lesion.ResultsThe 3 groups have got a balance on the general information (age, gender, course of disease and type of disease), therefore they are comparable before the cure. And there is no significant difference among the statistics (TCM symptoms, VHI-10, MPT, F0, Jitter, Shimmer,NHR and G) before the treatment (P<0.05).After the treatment, we have 5 clinical cure cases,15 improved cases and no inefficient case in the acupuncture-Chinese medicine group, there is 6 clinical cure case,12 improved cases and 2 inefficient case in acupuncture group, then there is 2 clinical cure case,13 improved cases and 5 inefficient case in Chinese medicine group. Through statistical analysis of curative effect difference between three groups have statistical significance (P< 0.05).Acupuncture-Chinese medicine group got a better clinical effect than Chinese medicine group (P<0.017), and no diffence between acupuncture group and Chinese medicine group, or acupuncture-Chinese medicine group (P>0.017)After the treatment, according to the improvement of 3 group about TCM symptoms, VHI-10, MPT, F0, Jitter, Shimmer, NHR and G, there were statistical significance in every groups through statistical analysis (P< 0.05) Acupuncture-Chinese medicine group was better than Chinese medicine group in TCM symptoms, VHI-10, NHR and G (P<0.05), and no diffence between acupuncture group and Chinese medicine group (P>0.05). For MPT, Acupuncture-Chinese medicine was even better than acupuncture group (P<0.05).We found no statistical significance among 3 groups in F0, Jitter, Shimmer (P>0.05)Conclusion3 groups all play positive roles in the treatment of hoarseness according to TCM symptoms, VHI-10, MPT, F0, Jitter, Shimmer, NHR and G for the 60 patient chosen. And acupuncture group got the same clinical effect as Chinese medicine group. Treatment of laryngeal though should attach importance to the meridian and the combination and Zangfu differentiation, and acupuncture combine with Chinese medicine can improve patients with voice disorders, relieve symptoms and it can improve the living quality, that is why they can be used as comprehensive clinical treatment of patients with hoarseness.