单纯针刺治疗过敏性鼻炎的临床疗效观察  

Clinical observation on treating allergic rhinitis by acupuncture

作　　者：苏雅轩 张春雨 赵敏 

机构地区：[1]呼和浩特市蒙医中医医院,内蒙古呼和浩特010000

出　　处：《中医临床研究》2017年第11期7-10,共4页Clinical Journal Of Chinese Medicine

摘　　要：目的:初步对针刺治疗中重度持续性过敏性鼻炎的临床疗效进行客观评价。方法:将符合纳入标准的30例中重度持续性过敏性鼻炎患者随机分为两组:对照组10例,脱落1例;治疗组20例,脱落3例。取穴:鼻根、上星、双迎香、合谷穴、四白、足三里。针具:一次性灭菌毫针,规格:0.2mm*30mm。针刺方法:以针管法进针,刺入1.5cm后,施以捻转手法,得气后令患者平卧20min后出针。疗程:每周3次,连续4周。观察指标:(1)主要观察指标:TNSS总分(鼻炎主要临床症状总分)。比较治疗组与对照组分别在试验开始时(第2次访视)及试验终止时(第14次访视)的测量值的差异。(2)次要观察指标:TNNSS总分(鼻炎伴随症状总分)、RQLQ问答卷评分(生活质量受鼻炎影响的程度)。比较治疗组与对照组分别在试验开始时及试验终止时的测量值的差异。疗效判定标准:鼻炎症状综合疗效判定量表。结果:综合疗效评价:治疗组17人,显效6人,有效9人,好转2人,总有效率为88.235%。治疗组试验前后的TNSS总分变化有显著性差异(P<0.05),对照组的TNSS总分变化有显著性差异(P<0.05)。治疗后,治疗组和对照组的组间TNSS总分无显著性差异(P>0.05);治疗组和对照组的TNNSS总分有显著性差异(P<0.05);RQLQ问答卷显示治疗组和对照组鼻部症状和生活不便有显著性差异(P<0.05),而活动、睡眠、非鼻/眼症状、眼部症状、情感则无显著性差异(P>0.05)。结论:针刺治疗中重度持续性过敏性鼻炎有效,但因其具有一定自愈性,故主要症状相较改善不显著。鼻炎伴随症状改善明显,患者生活质量明显提高,其中以睡眠、鼻部症状和生活不便改善尤为显著。针刺治疗中重度持续性过敏性鼻炎安全性好。Objective:To investigate clinical efficiency of acupuncture on allergic rhinitis.Methods:30patients were divided into2groups.In the control group,1case brushied off;in the treatment group,3cases brushied off.The acupoint goes to Bigen acupoint(EHN-1),Shangxing acupoint(GV23),Shuangyingxiang acupoint(LI20),Hegu acupoint(LI14),Sibai acupoint(ST2),Zusanli acupoint(ST36).Results:After acupuncture treatment,significant recovery in6patients,effective in9patients,a little effective in2patients,the totaleffectiveness was88.235%.Before and after the treatment,there is significant difference for overall TNSS scores(P<0.05)in the treatmentgroup.There is no significant difference for overall TNSS scores(P>0.05)in the control group;there were significant differences for overallTNNSS scores in groups(P<0.05);there is significant difference for overall RQLQ scores in groups(P<0.05).Conclusion:Acupuncturetreatment for allergic rhinitis is a little better than self-recovery,but not significant.

关 键 词：中重度持续性过敏性鼻炎 针刺 临床疗效 

分 类 号：R246.81[医药卫生—针灸推拿学]