隔姜温针灸治疗持续性变应性鼻炎的随机对照试验  

Ginger moxibustion and warm needling method on persistent allergic rhinitis: A randomized controlled trial

作　　者：林驰[1,2] 田楠[1,2] 叶永铭[1] 

机构地区：[1]中国中医科学院广安门医院针灸科,北京100053 [2]北京中医药大学针灸推拿学院,北京100029

出　　处：《北京中医药》2013年第5期339-342,共4页Beijing Journal of Traditional Chinese Medicine

摘　　要：目的观察隔姜温针灸大椎穴治疗持续性变应性鼻炎的临床疗效。方法采用前瞻性随机平行对照设计,将60例持续性变应性鼻炎患者随机分为隔姜温针灸组、单纯针刺组、药物对照组各20例。2个针刺组选穴相同,区别为是否于大椎穴隔姜温针灸,药物组口服氯雷他定片。3组均治疗4周,并于治疗前后评估疗效,6个月后随访,2个针刺组另于首次和末次治疗后的1、8、24、48 h共8个时点进行TNSS+TNNSS量表自评。结果 3组治疗后症状计分、TNSS+TNNSS评分和RQLQ评分均较同组治疗前明显降低(P<0.01),但3组组间比较差异均无统计学意义(P>0.05)。隔姜温针灸组和单纯针刺组在8个时点的TNSS+TNNSS量表得分均较同组治疗前明显下降(P<0.01),2组相同时点的组间比较差异无统计学意义(P>0.05)。单纯针刺组末次治疗后,第8、24、48 h的得分较第1h均有增加(P<0.05);隔姜温针灸组末次疗后四时点得分差异无统计学意义(P>0.05)。单项症状分数比较,隔姜温针灸组疗后鼻塞症状得分明显低于药物对照组(P<0.05),单纯针刺组疗后眼部症状得分明显高于药物对照组(P<0.05)。3组6个月后症状计分和生活质量得分均较同组治疗前明显降低(P<0.05),且隔姜温针灸组6个月后症状计分明显低于单纯针刺组(P<0.05)。结论隔姜温针灸疗法比单纯针刺疗法有更长的疗效持续时间和更好的远期疗效,且该疗法对鼻塞的疗效优于氯雷他定。Objective To observe the clinical efficacy of ginger moxibustion and warm needling at Dazhui（GV 14） for persistent allergic rhinitis.Methods A prospective,randomized,parallel,controlled study was conducted of sixty cases with persistent allergic rhinitis who were randomly assigned into a ginger moxibustion and warm needling group（Group A）,a single acupuncture group（Group B） and a medicine control group（Group C）,20 cases in each one.The same acupoints were selected in the Group A and B,in addition ginger moxibustion and warm needling at Dazhui（GV 14） was given in the Group A,while loratadine tablets were orally administrated in the Group C.4 weeks were required.The efficacy was evaluated before and after the treatment with 6-month follow-up,and total nasal symptom score plus total non nasal symptom score（TNSS＋TNNSS） scale was applied for self-assessment at eight time points,the 1st,8th,24th,48th hours of the first and the last treatment in two treated groups.Results After the treatment,the symptom score,TNSS＋TNNSS and rhinoconjunctivitis quality of life questionnaire（RQLQ） scores were all decreased in the three groups（P0.01）,but there was insignificant difference between the three groups（P0.05）.The TNSS＋TNNSS at eight time points in the Group A and B were apparently lowered after treatment（P0.01） with insignificant between-group difference at the same time point（P0.05）.After the last treatment for the Group B,score of the 8th,24th and 48th hours was increased when compared with that of the 1st hour（P0.05）;there was insignificant difference in the scores of the Group A at four time points after the last treatment（P0.05）.Comparing the score of single symptom,the score of nasal obstruction in the Group A was obviously lower than that in the Group C（P0.05）,while the score of eye symptoms in the Group B was apparently higher than that in the Group C（P0.05）.After 6 months,symptom and RQLQ scores in the three groups were reduced compared those before the t

关 键 词：持续性变应性鼻炎 大椎穴 隔姜灸 针刺疗法 

分 类 号：R246[医药卫生—针灸推拿学]