大椎穴为主施三重法防治儿童变应性鼻炎:随机对照研究  

Triple-strong stimulation therapy at Dazhui(GV 14) in prevention and treatment of children allergic rhinitis:a randomized controlled trial

作　　者：曹文忠[1,2,3] 乔萍[4] 庞文儒[1,2] 刘明[1,2] 李爱敏[1] 

机构地区：[1]河北省沧州中西医结合医院中医保健中心针灸科,沧州061001 [2]国家中医药管理局"十二五"重点建设专科 [3]沧州市针灸研究所 [4]沧州医学高等专科学校

出　　处：《中国针灸》2015年第1期38-42,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的：评价大椎穴为主施三重法和穴位贴敷法防治儿童变应性鼻炎的短期疗效和远期预防复发作用。方法：将120例儿童变应性鼻炎患者随机分为三重法组和穴位贴敷组,每组60例。三重法组主穴取大椎,酌配肺俞、至阳、肾俞中的1个穴,采用三棱针重刺,然后于刺络部位重拔罐、重艾灸法治疗,每3日治疗1次,连续治疗10次;穴位贴敷组取穴与三重法组相同,采用自制中药贴敷治疗,每次贴敷4~8h,每3日贴敷1次,连续贴敷10次。观察治疗前、治疗后、治疗后6个月随访两组患儿各项症状与体征积分变化,并比较两组的临床疗效。结果：治疗后、治疗后6个月随访,三重法组症状积分、体征积分、各项症状积分与治疗前比较差异均有统计学意义（P〈0.01,P〈0.05）,且三重法组优于穴位贴敷组（均P〈0.01）;穴位贴敷组治疗后6个月随访各积分与治疗前比较差异均无统计学意义（均P〉0.05）;6个月后随访,三重法组的总有效率为94.6%（53/56）,穴位贴敷组为25.9%（15/58）,差异有统计学意义（P〈0.001）。结论：大椎穴为主施三重法防治儿童变应性鼻炎疗效优于穴位贴敷,具有较好的远期预防复发作用。Objective To evaluate the short-term efficacy and long-term preventive effect on recurrence in pre- vention and treatment of children allergic rhinitis treated with the multiple therapy at Dazhui （GV 14） as the main acupoint and acupoint plaster therapy. Methods One hundred and twenty cases of children allergic rhinitis were randomized into a triple-strong stimulation therapy group and an acupoint plaster therapy group, 60 cases in each one. In the triple-strong stimulation therapy group, Dazhui （GV 14） was the main acupoint, combined with one of Feishu （BL 13）, Zhiyang （GV 9） and Shenshu （BL 23） accordingly. The heavy needling technique was adopted with the three-edged needle, followed by heavy cupping and heavy moxibustion. The treatment was given once every 3 days, conti-nuously for 10 times. In the acupoint plaster therapy group, the acupoints selected were same as the triple-strong stimulation therapy group. The self-prepared Chinese herbal plaster was used, 4 h to 8 h each one time, once every 3 days, continuously for 10 times. The changes in the symptom and physical sign scores were observed before treatment, after treatment and in 6 months follow-up visit after treatment in the two groups. The clinical efficacy was compared between the two groups. Results After treatment and in 6 months follow-up visit after treatment, the symptom scores, physical sign scores and symptom scores of each item were different signi- ficantly as compared with those before treatment in the triple-strong stimulation therapy group （P〈0.01, P〈 0.05）, and the results in the triple-strong stimulation therapy group were better than those in the acupoint plaster therapy group （all P〈0.01）. In 6 months follow-up visit, the total effective rate was 94.6% （53/56） in the tri- ple-strong stimulation therapy group and was 25.9 % （15/58） in the acupoint plaster therapy group, indicating the significant difference （P〈0. 001）. Conclusion The triple-strong stimulation therapy at Dazhui （GV 14）

关 键 词：儿童变应性鼻炎 三重法 穴位贴敷 大椎穴 随机对照试验 

分 类 号：R246.4[医药卫生—针灸推拿学]