走罐配合姜汁敷擦治疗变应性鼻炎疗效观察  

Therapeutic Observation of Moving Cupping with Applying Ginger Juice for Allergic Rhinitis

作　　者：范少挺 

机构地区：[1]深圳市罗湖区中医院,深圳518001

出　　处：《上海针灸杂志》2016年第3期308-310,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察走罐配合姜汁敷擦治疗变应性鼻炎的临床疗效。方法将60例变应性鼻炎患者随机分为治疗组和对照组,每组30例。治疗组先用姜汁敷擦后背部膀胱经区域皮肤,然后采用走罐治疗,以起痧为度。对照组采用口服氯雷他定分散片治疗。观察两组治疗前后症状评分,并比较两组临床疗效。结果治疗组治疗后各项症状(喷嚏、流涕、鼻堵、鼻痒)评分与同组治疗前比较,差异均具有统计学意义(P<0.05,P<0.01)。对照组治疗后喷嚏、流涕及鼻痒评分与同组治疗前比较,差异具有统计学意义(P<0.05)。治疗组治疗后流涕和鼻堵评分与对照组比较,差异均具有统计学意义(P<0.01)。治疗组总有效率和显效率分别为90.0%和70.0%,对照组分别为70.0%和33.3%,两组比较差异均具有统计学意义(P<0.05)。结论走罐配合姜汁敷擦是一种治疗变应性鼻炎的有效方法。Objective To observe the effect of acupuncture on the expressions of serum corticotropin-releasing hormone（CRH）, pituitary adrenocorticotropic hormone（ACTH） and its m RNA, to discuss the predominant and secondary factors that influence the efficacy of acupuncture, and to explore the optimal combination of acupuncture parameters. Method The rat model of kidney yang deficiency was made by muscular injection with hydrocortisone. Serum CRH, pituitary ACTH and its m RNA expressions were taken as the observation indexes, and 4 influential factors（i.e. selection of acupoints, angle of needle twisting, frequency of needle twisting, and time of needle twisting） plus 3 levels of each factor were arranged to L9（34） orthogonal table. A computer-controlled acupuncture manipulation device was used to treat the kidney yang rats. Serum CRH and pituitary ACTH were detected by enzyme-linked immunosorbent assay（ELISA） and pituitary ACTH m RNA expression by real time fluorescent quantitative PCR, to illustrate the primary and secondary factors that affect the acupuncture effectiveness. Results Regarding the effect on acupuncture effectiveness, the time of needle twisting ranked the top, followed by frequency of needle twisting, angle of needle twisting, and selection of acupoints. Angle of needle twisting, frequency of needle twisting, and time of needle twisting should be the predominant factors or secondary factors in influencing acupuncture effectiveness（p〈0.01 or p〈0.05）. Selection of acupoints should be an important factor or secondary factor in influencing acupuncture effectiveness（p〈0.05 or p〈0.05）. Conclusion For rats with kidney yang deficiency, the optimal acupuncture parameters combination should be acupuncture at Shenshu（BL 23）, with twisting angle by 90°, twisting frequency at 180/min, and needle twisting time 120 s. Different factors can produce different effects on the therapeutic efficacy of acupuncture in treating rats with kidney yang deficiency; among the factors, the time

关 键 词：推罐 鼻炎 变应性 外治法 

分 类 号：R246.87[医药卫生—针灸推拿学]