天灸配合神阙穴闪火罐治疗阳虚型过敏性鼻炎:随机对照研究  

Medicinal vesiculation combined with quick cupping at Shenque(CV 8) for allergic rhinitis with syndrome of yangdeficiency:a randomized controlled trial

作　　者：柯正华[1] 龙升华 

机构地区：[1]黄石市中心医院呼吸内科,湖北黄石435000

出　　处：《中国针灸》2014年第9期853-856,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较天灸配合神阙穴闪火罐与常规药物治疗阳虚型过敏性鼻炎的临床疗效差异。方法:82例患者随机分为观察组(42例)和对照组(40例)。观察组采用天灸配合神阙穴闪火罐治疗,天灸穴取肺俞、膏肓、风门、命门,在夏季三伏天治疗,初伏、中伏、末伏各治疗1次,间隔时间10天,3次为一疗程,共治疗1个疗程;神阙穴闪火罐,每天1次,10天为一疗程,共治疗3个疗程。对照组口服氯雷他定,每次10mg,每天1次,连用14天;布地奈德鼻喷剂喷鼻,每天1次,10天为一疗程,治疗3个疗程。观察两组治疗后临床疗效,并测定治疗前后血清免疫球蛋白E(IgE)、白介素4(IL-4)、白介素5(IL-5)和肿瘤坏死因子α(TNF-α)含量。结果:全部82例患者中,完成治疗79例,其中观察组脱落1例,对照组脱落2例。观察组有效率为87.8%(36/41),对照组有效率为78.9%(30/38),观察组优于对照组(P<0.05);两组治疗后均能有效降低血液中IgE、IL-4、IL-5、TNF-α含量,观察组在降低IgE、IL-4水平方面优于对照组(P<0.05)。结论:天灸配合神阙穴闪火罐治疗对阳虚型过敏性鼻炎患者有更好的临床疗效,优于口服氯雷他定联合布地奈德鼻喷剂。Objective To compare the clinical efficacy differences between medicinal vesiculation combined with quick cupping at Shenque （CV 8） and regular medication for allergic rhinitis with syndrome of yang deficiency. Methods Eighty-two cases were randomly divided into an observation group （42 cases） and a control group （40 cases）. The observation group was treated with medicinal vesiculation combined with quick cupping at Shenque （CV 8）. The medicinal vesiculation was applied at Feishu （BL 13）, Gaohuang （BL 43）, Fengmen （BL 12）, Mingmen （GV 4） on the dog days in the summer, one treatment on the 1st dog-day, 2nd dog-day and last dog-day respectively with an interval of 10 days between two treatments. Three treatments were taken as one course, and totally one course was given. The quick cupping was applied at Shenque （CV 8）, once a day, ten treatments were taken as one course, and totally three courses was given. The control group was treated with oral administration of loratadine and nasal spray of budesonide. The loratadine was given 10 mg per time, once a day for continuous 14 days; budesonide was given once a day, ten treatments were taken as one course, and totally three courses was given. The clinical efficacy in two groups after treatment was observed, and the contents of immune globulin E （IgE）, interleukin-4 （IL-4）, interleukin-5 （IL-5） and tumor necrosis factor-α （TNF-α） in peripheral serum were measured before and after the treatments. Results Of all the 82 patients, 79 cases completed the treatment, and 1 patient in the observation group and 2 patients in the control group dropped out. The effective rate was 87.8% （36/41） in the observation group, which was superior to 78.9% （30/38） in the control group （P〈0.05）. After treatment, both groups effectively reduced the contents of IgE, IL-4, IL-5 and TNF-α, and the observation group had superior effect on reducing IgE and IL-4 to the control group （P〈0.05）. Conclusion The medicinal vesicul

关 键 词：过敏性鼻炎 天灸 阳虚型 神阙穴 随机对照试验 

分 类 号：R246.8[医药卫生—针灸推拿学]