不同穴位贴敷对变应性鼻炎患者生活质量影响的比较研究  

Comparative Study of the Effects of Application at Different Acupoints on the Quality of Life in Allergic Rhinitis Patients Based on Treating

作　　者：朱正阳[1] 戚凯明 宣丽华[2] ZHU Zheng-yang;QI Kai-ming;XUAN Li-hua(Zhejiang Chinese Medical University,Hangzhou 310053,China;Zhejiang Provincial Hospital of TCM, Hangzhou 310006,China)

机构地区：[1]浙江中医药大学,杭州310053 [2]浙江省中医院,杭州310006

出　　处：《上海针灸杂志》2017年第12期1396-1400,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省重大科技专项计划(2014C03046-2)

摘　　要：目的观察不同穴位贴敷对过敏性鼻炎患者生活质量的改善情况。方法将77例过敏性鼻炎患者随机分为贴敷12穴组(39例)和贴敷6穴组(38例),用冬病夏治贴膏于三伏天头伏、中伏、末伏期间贴敷于不同穴位,各贴敷2 h。采用鼻结膜炎相关生活质量问卷(RQLQ)评价患者治疗前、治疗后及治疗后半年随访时评分情况。结果治疗后,贴敷12穴组总有效率为92.3%,贴敷6穴组总有效率为71.1%,贴敷12穴组优于贴敷6穴组(P<0.05);治疗后半年随访时,贴敷12穴组总有效率为87.2%,贴敷6穴组总有效率为63.2%,贴敷12穴组优于贴敷6穴组(P<0.05)。RQLQ量表方面,贴敷6穴组治疗后及治疗后半年睡眠状况均无明显改善,差异无统计学意义(P>0.05),贴敷12穴组睡眠状况均好转(P<0.05),两组患者治疗后及半年后随访时鼻结膜炎相关生活质量其余各项评分较前均有所改善(P<0.05);治疗后,除非鼻/眼症状外,贴敷12穴组在降低各项评分及总分上均优于贴敷6穴组(P<0.05),治疗后半年随访时,除非鼻/眼症状及行为问题外,贴敷12穴组在降低各项评分及总分上均优于贴敷6穴组(P<0.05)。结论冬病夏治穴位贴敷可以有效改善过敏性鼻炎患者生活质量,整体取穴治疗效果更好。Objective To observe the effects of application at different acupoints in improving the quality of life in allergic rhinitis patients. Method Seventy-seven patients with allergic rhinitis were randomized into a 12-point application group （39 cases） and a 6-point application group （38 cases）, to receive Dong Bing Xia Zhi （treating cold-induced diseases in summer） application during each of the three periods of canicular days at corresponding points, 2 h each time. Rhinitis Quality of Life Questionnaire （RQLQ） was evaluated before and after the treatment, and half a year later. Result After the treatment, the total effective rate was 92.3% in the 12-point application group versus 71.1% in the 6-point application group, and the 12-point application group was significantly better （P^0.05）; half a year later, the total effective rate was 87.2% in the 12-point application group versus 63.2% in the 6-point application group, and the 12-point group was significantly better （P〈0.05）; regarding the RQLQ, the 6-point application group didn＇t gain marked improvement in sleep quality after the treatment and half a year later （P^0.05）, but the 12-point application group showed marked improvement （P〈0.05）; the rest component scores in RQLQ were significantly improved after the treatment and half a year later compared to those before the treatment in both groups （P〈 0.05）; after the treatment, the 12-point application group was superior to the 6-noint application group in comparing the reduction of all component scores and general score except the non-nose/eye symptoms score （P〈O.05）; half a year later, except the non-nose/eye symptoms and behavior scores, the 12-point application group was superior to the 6-point application group in comparing the reduction of all component scores and general score （P〈0.05）. Conclusion Dong Bing Xia Zhi acupoint application can effectively improve the quality of life in allergic rhinitis patients, especially with acupoints selected based o

关 键 词：穴位贴敷法 冬病夏治 鼻炎 变应性 过敏性鼻炎 生活质量 RQLQ 

分 类 号：R246.8[医药卫生—针灸推拿学]