穴位埋线配合针灸治疗变应性鼻炎的远期疗效及生活质量观察  

Observation of long-term efficacy and life quality in allergic rhinitis treated with acupoint catgut embedding therapy combined with acupuncture-moxibustion therapy

作　　者：陈超[1] 李迎春[2] 邱宝珊[2] 黄晓萍[2] 庄礼兴[2] 

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510405 [2]广州中医药大学第一附属医院

出　　处：《中国针灸》2014年第5期439-443,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察穴位埋线配合针灸与单纯针灸比较对变应性鼻炎的远期疗效以及对患者生存质量的影响。方法:将69例患者随机分为针灸加埋线组(36例)与针灸组(33例)。针灸组针刺迎香、上迎香、印堂、上星、通天、足三里,并于足三里、肺俞、大椎、风门加艾灸治疗。针灸加埋线组在针灸治疗的基础上采用穴位埋线,于肺俞、风门、脾俞、肾俞、中脘和气海穴埋线。两组均治疗4周,并在治疗前、治疗后及完成治疗后4周随访,观察变应性鼻炎临床疗效及鼻结膜炎相关生活质量量表评分(RQLQ)。结果:观察中,针灸组脱落2例,针灸加埋线组脱落3例。治疗后针灸加埋线组显效率为72.7%(24/33),针灸组为48.4%(15/31),两组疗效相当(P>0.05);治疗后4周随访针灸加埋线组显效率为57.6%(19/33),针灸组为22.6%(7/31),针灸加埋线组的远期疗效优于针灸组(P<0.05)。RQLQ量表方面,两组患者鼻结膜炎相关生活质量各项评分治疗后及治疗后4周随访时均较治疗前改善(均P<0.05);随访时针灸加埋线组在睡眠、情感方面改善优于针灸组(3.27±3.23vs 4.61±3.56,3.48±3.67vs 5.81±4.15,均P<0.05)。结论:穴位埋线配合针灸治疗变应性鼻炎安全有效,其作用更多的表现在远期疗效方面。Objective To observe the impacts of acupoint catgut embedding therapy and acupuncture-moxibus- tion therapy on the long-term efficacy and patient＇s life quality in the treatment of allergic rhinitis. Methods Six- ty-nine patients were randomized into the combined acupuncture-moxibustion and acupoint catgut embedding thera- py group （combined therapy group, 36 cases） and an acupuncture-moxibustion group （33 cases）. In the acupunc- ture-moxibustion group, acupuncture was applied at Yingxiang （LI 20）, Shangyingxiang （EX-HN 8）, Yintang （GV 29）, Shangxing （GV 23）, Tongtian （BL 7） and Zusanli （ST 36）. Moxibustion was applied at Zusanli （ST 36）, Feishu （BL 13）, Dazhui （GV 14） and Fengmen （BL 12）. In the combined therapy group, on the basis of the treatment as acupuncture-moxibustion group, the catgut embedding therapy was applied at Feishu （BL 13）, Feng- men （BL 12）, Pishu （BL 20）, Shenshu （BL 23）, Zhongwan （CV 12） and Qihai （CV 6）. The treatment duration was 4 weeks in the two groups. The clinical efficacy of allergic rhinitis and rhinocon^unctivitis quality of life ques- tionnaire （RQLQ） score were observed before and after treatment as well as in the 4-weeks follow-up after the end of treatment respectively. Results The markedly effective rate was 72.7 % （24/33） in the combined therapy group and 48.4% （15/31） in the acupuncture-moxibustion group after treatment. The efficacy was similar between the two groups （P〉0.05）. It was 57. 6% （19/33） in the combined therapy group and was 22. 6% （7/31） in the 4-week follow-up after treatment, indicating the long-term efficacy in the combined therapy group was superior to that in the acupuncture-moxibustion group （P〈0.05）. Scores of RQLO after treatment and in 4-week follow-up after treatment in both groups were improved as compared with those before treatment （all P〈0.05）. In 4-week follow-up, the improvements in sleep and affection in the combined therapy group were

关 键 词：变应性鼻炎 针灸疗法 穴位埋线 远期疗效 生存质量 

分 类 号：R246.8[医药卫生—针灸推拿学]