针刺治疗中重度变应性鼻炎疗效观察  

Efficacy of acupuncture on moderate and severe allergic rhinitis

作　　者：陈益丹[1,2] 金肖青[1] 俞迈红[1] 邱华平 房瑛[2] 章淑萍 诸剑芳[1] 许敏达[5] 

机构地区：[1]浙江医院针灸科,杭州310013 [2]浙江中医药大学第三临床医学院 [3]杭州市上城区紫阳街道社区卫生服务中心针灸科 [4]绍兴市中心医院康复科 [5]浙江医院耳鼻喉科

出　　处：《中国针灸》2015年第4期339-343,共5页Chinese Acupuncture & Moxibustion

基　　金：浙江省中医药管理局重点项目:2010ZZ 001;浙江省中西医结合老年医学重点学科项目:2012-XK-A04

摘　　要：目的:通过与西药对照评价针刺疗法治疗中重度变应性鼻炎的疗效和安全性。方法:将60例中重度变应性鼻炎患者分为针刺组(30例)和西药组(30例)。针刺组主穴为迎香、上星、风池、曲池、血海、肺俞、膈俞、脾俞等,并配合辨证取穴;西药组采用布地奈德鼻喷雾剂联合西替利嗪片进行治疗,两组均治疗8周。分别于治疗前、治疗4周、治疗8周后进行临床症状、体征评分,并比较两组临床疗效及安全性。结果:治疗4周、8周后两组喷嚏、流涕、鼻塞、鼻痒、眼痒、鼻甲各项症状、体征评分及总评分较治疗前均明显下降(均P<0.05),针刺组与西药组组间比较差异无统计学意义(均P>0.05);治疗4周、8周后针刺组总有效率分别为90.0%(27/30)、93.4%(28/30),西药组分别为76.6%(23/30)、80.0%(24/30),两组比较差异无统计学意义(均P>0.05)。结论:针刺治疗中重度变应性鼻炎疗效与西药相当,且安全、无明显不良反应。Objective To observe the efficacy and safety of acupuncture therapy on moderate and severe allergic rhinitis via the comparison evaluation of western medicine.Methods Sixty cases of moderate and severe allergic rhinitis were divided into an acupuncture group（30cases）and a western medicine group（30cases）.In the acupuncture group,the main acupoints included Yingxiang（LI 20）,Shangxing（GV 23）,Fengchi（GB 20）,Quchi（LI 11）,Xuehai（SP 10）,Feishu（BL 13）,Geshu（BL 17）,Pishu（BL 20）,etc.The supplementary points were selected according to syndrome differentiation.In the western medicine group,budesonide nasal spray and cetirizine tablets were prescribed.All the cases were treated for 8weeks in the two groups.Separately,before treatment,in 4weeks and 8weeks of treatment,the scores of clinical symptoms and physical signs were observed and the clinical efficacy and safety were compared between the two groups.Results In 4weeks and 8weeks of treatment,the scores of symptoms such as sneezing,nasal discharge,nasal obstruction,nasal itching,eye itching and turbinate hypertrophy,the score of physical signs and total score were all reduced apparently as compared with those before treatment（all P〈0.05）.The differences were not significant between the acupuncture group and the western medicine group（all P〉0.05）.The total effective rates were 90.0%（27/30）and 93.4%（28/30）in the acupuncture group after4 and 8weeks of treatment,and were 76.6%（23/30）and 80.0%（24/30）in the western medicine group separately,without significant difference in comparison（all P〉0.05）.Conclusion Acupuncture achieves the similar efficacy on moderate and severe allergic rhinitis as western medicine.It is the safe therapy and has no apparent adverse reactions.

关 键 词：变应性鼻炎 中重度 针刺疗法 

分 类 号：R246.8[医药卫生—针灸推拿学]