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\u98a8\u96aa\ufe55\u5f71\u97ff\u8840\u7cd6\u3001\u6fc0\u767c\u809d\u708e<\/strong><\/p>\n

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\u6587\uff1a\u912d\u5bf6\u83ef\u3001\u5433\u7a4e\u6e58<\/p>\n

\u5716\uff1a\u8607\u667a\u946b\u3001\u8cc7\u6599\u5716\u7247<\/p>\n

\u7de8\u8f2f\uff1a\u6881\u5c0f\u73b2<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20160926\/news\/_26YD009_.jpg\u91dd\u7078\u958b\u8072\u2014\u2014\u912d\u79c0\u6587\u56e0\u70ba\u5589\u56a8\u767c\u708e\u5f71\u97ff\u8072\u7dda\uff0c\u5728\u6f14\u5531\u6703\u4e2d\u8aaa\u8a71\u8d70\u97f3\uff0c\u5531\u6b4c\u5931\u6e96\u3002\u5979\u96a8\u5f8c\u5728\u793e\u4ea4\u7db2\u7ad9\u8cbc\u5716\uff0c\u8868\u793a\u63a5\u53d7\u4e2d\u91ab\u91dd\u7078\u958b\u8072\uff0c\u982d\u548c\u9838\u63d2\u4e86\u8d85\u904e\u5341\u652f\u91dd\uff0c\u6cbb\u7642\u5f8c\u60c5\u51b5\u597d\u8f49\u3002\uff08\u8cc7\u6599\u5716\u7247\uff09;https:\/\/health2.mingpao.com\/ftp\/Health2\/20160926\/news\/_26yd101.jpg\u6e05\u71b1\u5229\u54bd\u2014\u2014\u6cbb\u7642\u5931\u8072\u7684\u85e5\u7269\u6709\u5f88\u591a\u9078\u64c7\uff0c\u4f8b\u5982\ufe55\u6851\u8449\u3001\u767e\u5408\u3001\u7518\u8349\u3001\u677f\u85cd\u6839\u3001\u6854\u6897\u3001\u9673\u76ae\uff0c\u77f3\u654f\u68cb\u4e0d\u5efa\u8b70\u80e1\u4e82\u98f2\u7528\u958b\u8072\u8336\u3002\uff08\u5716\uff1a\u8607\u667a\u946b\uff09;https:\/\/health2.mingpao.com\/ftp\/Health2\/20160926\/news\/_26YD008_x.jpg\u6cbb\u6a19\u4e0d\u6cbb\u672c\u2014\u2014\u6cbb\u7642\u5931\u8072\uff0c\u77f3\u654f\u68cb\u6307\u51fa\uff0c\u91dd\u7078\u53ef\u4ee5\u6cbb\u6a19\uff0c\u91dd\u7078\u5f8c\u60a3\u8005\u5373\u6642\u611f\u5230\u5589\u90e8\u653e\u9b06\u4e86\uff0c\u4f46\u9084\u9700\u8981\u914d\u5408\u4e2d\u85e5\u548c\u91ab\u56d1\u3002\uff08\u5716\uff1a\u8607\u667a\u946b\uff09;https:\/\/health2.mingpao.com\/ftp\/Health2\/20160926\/news\/_26yd102.jpg\u53d6\u7a74\u4f4d\u7f6e\u2014\u2014\u91dd\u5c0d\u5931\u8072\u6216\u8072\u6c99\uff0c\u77f3\u654f\u68cb\u6307\u51fa\uff0c\u53d6\u7a74\u65b9\u9762\uff0c\u4e3b\u8981\u7a74\u4f4d\u5305\u62ec\u63a5\u8fd1\u5589\u90e8\u7684\u4eba\u8fce\u3001\u5ec9\u6cc9\uff0c\u9084\u6709\u9060\u7aef\u53d6\u7a74\uff0c\u5305\u62ec\u624b\u90e8\u7684\u5408\u8c37\u3001\u5217\u7f3a\uff0c\u4ee5\u53ca\u8db3\u8e1d\u5167\u5074\u7684\u7167\u6d77\uff1b\u4ea6\u6703\u56e0\u61c9\u75c5\u4eba\u4e0d\u540c\u5fb5\u72c0\u800c\u52a0\u6e1b\u7a74\u4f4d\u3002\uff08\u5716\uff1a\u8607\u667a\u946b\uff09;<\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】鄭秀文紅館開騷，失聲影響演出，針灸救聲。之後一場演唱會，情况好轉！<\/p>\n

中醫針灸，究竟有何幫助？不時有歌手突然在演唱會前失聲，急急打支「開聲針」，到底又是什麼？急救失聲，還有坊間流傳的鹹竹蜂冲水或蜜糖水，又有沒有用？<\/p>\n

鄭秀文剛舉行過八場演唱會，但因喉嚨發炎和咳嗽影響聲帶，第一場演唱會唱到一半，失聲兼走音。之後她在社交網站貼圖，接受針灸治療開聲，在頭頂、眉心及喉嚨插針。<\/p>\n

咳最傷聲 針灸六成療效<\/p>\n

對付聲沙、失聲，香港大學聲線研究所一直研究以針灸治療聲帶病變。當中一項研究結果顯示，對於經常要說話的職業如教師、接待員等，出現聲線疾病後，若接受針灸治療，聲線功能、沙啞程度和說話出現困難的情况，明顯有改善。<\/p>\n

失聲，西醫將病因分為急性感染或慢性勞損。註冊中醫石敏棋指出，中醫將失聲列入「喉喑」診斷範圍，亦分為「急喉喑」和「慢喉喑」兩大類﹕<\/p>\n

．急喉喑<\/p>\n

發病急，病程短，通常伴隨感冒<\/p>\n

．慢喉喑<\/p>\n

與用聲不當、勞損、體虛有關；亦可能因為「急喉喑」未有妥善治理，演變成「慢喉喑」<\/p>\n

「半夜三點咳到六點，幾乎棚牙都咳埋出嚟！」鄭秀文在社交網站上說自己整晚咳不停。石敏棋指出，「咳，最傷聲，因為每咳一下，聲帶都用力拍合，出現勞損，引起紅腫、發炎，甚至導致小結、瘜肉、聲帶肥厚等疾病」。針灸對聲帶小結、聲帶瘜肉、聲帶肥厚等，有六至八成療效；亦可紓緩炎症、水腫，改善局部血液循環，促進傷口癒合和新陳代謝。<\/p>\n

須配合中藥 多飲水少用聲<\/p>\n

然而，治療失聲不能單靠針灸。石敏棋表示，針灸可治標，針灸後患者即時感到喉部放鬆了，但還需要配合中藥和醫囑。醫囑包括﹕少用聲、多飲水、不捱夜、吸蒸氣，還可按摩頸部，使用放濕機，「聲帶每秒拍打200下，最怕缺水。飲水毋須多，但要密密飲，保持聲帶滋潤」。<\/p>\n

蜂蜜反效果 鹹竹蜂苦寒<\/p>\n

至於坊間流傳，蜜糖水有助開聲。石敏棋指，飲用蜜糖水，感覺好像可以紓緩不適，但蜂蜜會使咽喉分泌增加及黏着，反而導致「封喉」，即聲音不夠清晰或發聲困難，病人自然地發出「咔咔聲」清喉嚨，此舉令聲帶互相撞擊，護聲不成反而加重病情。<\/p>\n

另外，亦有人以鹹竹蜂焗水自製開聲茶，治療失聲，石敏棋亦不建議。「鹹竹蜂十分苦寒，且帶有毒性，脾胃差的人服用後，可能會胃痛、嘔、暈、瀉。」她指出，治療失聲的藥物有很多選擇，如﹕清熱利咽的桑葉、枇杷葉、桔梗、板藍根、薄荷；生津的北沙參、天冬、麥冬、百合、葛根，毋須以鹹竹蜂入藥。<\/p>\n

秋風起，天氣轉涼，容易感冒，石敏棋建議用北沙參、麥冬、枇杷葉、甘草、百合、龍脷葉加入瘦肉煲湯，有潤燥功效。<\/p>\n

■西醫角度<\/p>\n

類固醇「開聲針」 效用快而短暫<\/p>\n

「『開聲針』其實是類固醇針劑，作用是消炎、消腫，的確有助急救失聲。」耳鼻喉科專科醫生陳鍵明說。以注射方式，因藥物入血的速度較口服方式快，較快見效。<\/p>\n

突然失聲，通常因感冒令聲帶發炎及水腫，西醫角度，注射類固醇，可在短時間內為聲帶消炎及消腫，快則可在一至兩小時內見效。「曾有一名當律師的病人，在開庭前感冒失聲，急需開聲，結果需要打開聲針，以便能繼續上庭。」陳鍵明說。<\/p>\n

除了打針之外，亦有其他輔助方法，因咽喉乾涸、痰液積聚，都會影響發聲，可吸聞熱水蒸氣、服食化痰藥，或配合口服的類固醇或非類固醇消炎藥物等，生活上亦要避免食辛辣、煎炸及甜食。<\/p>\n

「別以為打完開聲針就了事，只是治標不治本，而勉強開聲後持續用聲，又可能令聲帶再受傷。」當失聲的病人處理完緊急事務後，還要覆診及減少說話以護聲。若感冒致失聲，通常再跟進治療一星期左右便會康復。<\/p>\n

聲帶結節生繭未必有效<\/p>\n

不過，陳鍵明補充﹕「『開聲針』未必一定見效，曾有歌手失聲後無奈要取消演唱會，估計是打針後無效。」即使「開聲針」見效，亦不代表回復正常的聲線，「藥效會因人而異，病情較嚴重的，可能只會好轉五成」。開聲針效用亦較短暫，如歌手連開幾日演唱會，可能翌日或隔日又要再次注射才能再唱歌。<\/p>\n

可是，若失聲由其他因素引起，打「開聲針」未必能「江湖救急」。陳鍵明指，當遇到失聲的病人，通常會詳問病歷，了解生活習慣、評估因什麼原因引致聲沙、有否感冒徵狀等，初步分辨屬慢性抑或急性的失聲。繼而以咽喉內窺鏡檢查，診斷病人有否聲帶水腫及發炎，若失聲成因由感冒令聲帶腫脹發炎而起，「開聲針」的效果會較好；但若檢查發現病因是聲帶結節、微絲血管破裂，或生繭、生瘜肉等問題引致，打針亦未必有助開聲，需要其他針對治療。<\/p>\n

風險﹕影響血糖、激發肝炎<\/p>\n

陳鍵明指，如非必要，醫生不建議注射「開聲針」，因效用短暫，且注射類固醇有影響身體機能的風險，例如影響血糖指數，故糖尿病人士不適宜注射；肝炎帶菌者注射後亦有可能激發肝炎發作。<\/p>\n

文：鄭寶華、吳穎湘<\/p>\n

圖：蘇智鑫、資料圖片<\/p>\n

編輯：梁小玲<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20160926\/news\/_26YD009_.jpg針灸開聲——鄭秀文因為喉嚨發炎影響聲線，在演唱會中說話走音，唱歌失準。她隨後在社交網站貼圖，表示接受中醫針灸開聲，頭和頸插了超過十支針，治療後情况好轉。（資料圖片）;https:\/\/health2.mingpao.com\/ftp\/Health2\/20160926\/news\/_26yd101.jpg清熱利咽——治療失聲的藥物有很多選擇，例如﹕桑葉、百合、甘草、板藍根、桔梗、陳皮，石敏棋不建議胡亂飲用開聲茶。（圖：蘇智鑫）;https:\/\/health2.mingpao.com\/ftp\/Health2\/20160926\/news\/_26YD008_x.jpg治標不治本——治療失聲，石敏棋指出，針灸可以治標，針灸後患者即時感到喉部放鬆了，但還需要配合中藥和醫囑。（圖：蘇智鑫）;https:\/\/health2.mingpao.com\/ftp\/Health2\/20160926\/news\/_26yd102.jpg取穴位置——針對失聲或聲沙，石敏棋指出，取穴方面，主要穴位包括接近喉部的人迎、廉泉，還有遠端取穴，包括手部的合谷、列缺，以及足踝內側的照海；亦會因應病人不同徵狀而加減穴位。（圖：蘇智鑫）;<\/inline><\/p>\n","protected":false},"author":2,"featured_media":6795,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[5063],"tags":[906,177,56,847],"class_list":["post-5405","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-5063","tag-906","tag-177","tag-56","tag-847"],"publishpress_future_action":{"enabled":false,"date":"2026-11-16 14:24:34","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/5405"}],"collection":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/comments?post=5405"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/5405\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/6795"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=5405"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=5405"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=5405"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}