鼻三针为主辨证取穴治疗常年性变应性鼻炎疗效观察  

Efficacy on perennial allergic rhinitis treated with acupuncture at three nasal points and the acupoints selected by syndrome differentiation

作　　者：刘坛树[1] 邱蕊[1] 赖新生[2] 

机构地区：[1]福建省龙岩市第一医院针灸科,龙岩366400 [2]广州中医药大学针灸推拿学院

出　　处：《中国针灸》2014年第11期1083-1086,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较针刺鼻三针为主与口服氯雷他定治疗常年性变应性鼻炎的临床疗效差异,为临床治疗本病提供较佳针刺方案。方法:将60例患者随机分为针刺组(30例)与药物组(30例)。针刺组采用针刺鼻三针(迎香、印堂、鼻通)为主并配合辨证取穴治疗,隔日1次,每周3次,共治疗4周;药物组口服氯雷他定,每天10mg,服药4周。比较两组患者治疗前后症状和体征评分及两组的近期和远期疗效。结果:针刺组治疗后总有效率为96.7%(29/30)、药物组为93.3%(28/30),两组疗效相当(P>0.05);针刺组随访时总有效率为86.7%(26/30),优于药物组的56.7%(17/30,P<0.05);两组患者症状、体征评分在治疗后及随访时较治疗前明显降低(均P<0.05),随访时针刺组症状、体征评分较药物组降低更明显(均P<0.05)。结论:针刺鼻三针为主辨证取穴治疗常年性变应性鼻炎的近期疗效与口服氯雷他定相当,而远期疗效却有明显的优势。Objective To compare the difference in the clinical efficacy on perennial allergic rhinitis between three nasal points acupuncture therapy and the oral administration of loratadine so as to provide the better acupuncture program in clinical treatment.Methods Sixty cases were randomized into an acupuncture group（30cases）and a medication group（30cases）.In the acupuncture group,acupuncture was applied to three nasal points[Yingxiang（LI 20）,Yintang（EX-HN 3）,Bitong（Extra）]and acupoints selected by syndrome differentiation.Acupuncture was given once every two days,three times a week,for 4weeks totally.In the medication group,loratadine was prescribed for oral administration,10 mg every day,for 4weeks.The symptom and physical sign scores before and after treatment,as well the short-term and long-term efficacy were compared between the two groups.Results The total effective rate was 96.7%（29/30）in the acupuncture group and was 93.3%（28/30）in the medication group after treatment.The efficacy was similar between the two groups（P〉0.05）.In follow-up,the total effective rate was 86.7%（26/30）in the acupuncture group,which was better than 56.7%（17/30,P〈0.05）in the medication group.The scores of symptoms and physical signs after treatment and in follow-up were all reduced apparently as compared with those before treatment in the patients of the two groups（all P〈0.05）.The scores of symptoms and physical signs were reduced more apparently in the acupuncture group as compared with those in the medication group in follow-up（all P〈0.05）.Conclusion The acupuncture at three nasal points and the acupoints selected by syndrome differentiation achieves the similar short-term efficacy on perennial allergic rhinitis as compared with the oral administration of loratadine.The acupuncture therapy presents the obvious advantages on long-term efficacy.

关 键 词：常年性 变应性鼻炎 针刺疗法 鼻三针 

分 类 号：R246.1[医药卫生—针灸推拿学]