穴位埋线联合体质调理治疗肺气虚寒型持续性变应性鼻炎的疗效评价  

Curative effect evaluation of treating persistent allergic rhinitis with lung yang deficiency type by catgut implantation at acupoint combined with TCM constitution conditioning

作　　者：杨莎莎[1] 刘代恩 刘志庆[1] 高洪娇 阎晓琳 张慧敏[1] 杨左[2] 张勤修[2] YANG Sha-sha;LIU Dai-en;LIU Zhi-qing;GAO Hong-jiaol;YAN Xiao-linl;ZHANG Hui-minl;YANG Zuo;ZHANG Qin-xiu(Chengdu University of Chinese Medicine,Chengdu 610072,China;Department of Otorhinolaryngology,Teaching Hospital of Chengdu University of Chinese Medicine,Chengdu 610072,China)

机构地区：[1]成都中医药大学,成都610072 [2]成都中医药大学附属医院耳鼻咽喉科,成都610072

出　　处：《中华中医药杂志》2018年第8期3700-3703,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81273985;No.81473523);国家"十二五"科技支撑计划项目(No.2015BAI04B00)~~

摘　　要：目的:以单纯穴位埋线作对照,评价穴位埋线联合体质调理治疗肺气虚寒持续性变应性鼻炎的疗效。方法:将符合纳入标准的60例肺气虚寒型持续性变应性鼻炎(PAR)患者按1∶1随机分为2组:治疗组30例为穴位埋线联合体质调理,对照组30例为单纯辨证取穴进行埋线。治疗组首先依据体质九分法进行体质辨识,然后再给予埋线及体质调理。两组均采用相同的取穴方法,均选取迎香穴(LI20)(双侧)、足三里穴(ST36)(双侧)、风池穴(GB20)(双侧)、肺俞(BL13)(左侧)。共接受连续两次穴位埋线治疗,两组治疗的每个疗程均为2周,疗程间隔时间均为2周。以视觉模拟评分量表(VAS)积分及鼻眼结膜相关生活质量问卷调查量表(RQLQ)(中文版自测版本)作为疗效评价指标,在患者治疗前、治疗结束后4、8(第1次随访)、12周(第2次随访)共4个时间点进行鼻部症状VAS评分及相关生活质量RQLQ评分评价两组治疗AR的临床疗效。结果:VAS量表评分及RQLQ问卷调查表结果显示:组内比较:总VAS症状评分及RQLQ评分方面:两组受试者在治疗后4周及第1、2次随访与本组治疗前比较,均显著降低(P<0.01)。组间比较:治疗组在治疗结束后及第1、2次随访与对照组同期比较,均显著降低(P<0.05,P<0.01)。鼻内镜鼻甲肿胀大小比较:组内比较,与本组治疗前比较,两组第2次随访均显著减轻(P<0.01)。组间比较:与对照组同期比较,治疗组治疗后及第2次随访时鼻甲肿胀显著减轻(P<0.05,P<0.01)。结论:穴位埋线结合体质调理及单纯穴位埋线均有助于改善变应性鼻炎受试者的症状、相关的生活质量及鼻甲肿胀体征;且随访期的控制性更好,体现出从中医治病求本,整体调理,采用中医综合疗法治病的优势。Objective： To evaluate the curative effect of catgut implantation at acupoint combined with traditional Chinese medicine （TCM） constitution conditioning in the treatment of persistent allergic rhinitis with lung yang deficiency type. Methods： A randomized controlled clinical trial was conducted in this study. Sixty persistent allergic rhinitis （PAR） patients with lung yang deficiency type were randomly divided into the control group and the treatment group according to the random number table produced by a computer. The treatment group was received catgut implantation at acupoint combined with TCM constitution conditioning therapy. The control group was treated by catgut implantation at the acupoint. The patients in the treatment group were identified according to the nine constitution classification, and then they were given the catgut implantation at acupoint combined with TCM constitution conditioning therapy （mainly from health education, diet, and living）. The two groups were used the same method of taking acupoints, all of which were Yingxiang （LI20） （bilateral）, Zusanli （ST36） （bilateral）, Fengchi （GB20） （bilateral）, Feishu （BL13） （left）. A total of two catgut implantation treatments were received. The two groups were treated for 2 weeks, and the interval between treatment was 2 weeks. The scores of the visual analogue scale （VAS） and the rhinoconjunctivitis quality of life questionnaire （RQLQ） were used as the evaluation indicators. Before treatment, 4 weeks after the end of treatment, 8 weeks after the end of the treatment （first follow-up） and 12 weeks after the end of the treatment （second follow-up）, the VAS score of nasal symptoms and the RQLQ score were evaluated in two groups for the treatment of PAR. Results： VAS scale score and RQLQ questionnaire showed： In terms of total VAS symptom score and RQLQ score, the two groups of subjects significantly decreased after 4 weeks of treatment, the first follow-up visit and the second follow

关 键 词：穴位埋线 持续性变应性鼻炎 肺气虚寒证 体质调理 

分 类 号：R276.1[医药卫生—中医五官科学]