补肺止流方联合揿针、穴位贴敷治疗过敏性鼻炎的临床研究  

Clinical study of Bufei Zhiliu decoction combined with press-needle and acupoint application in the treatment of allergic rhinitis

作　　者：孙涛[1] 何蕾[1] 徐家新[1] Sun Tao;He Lei;Xu Jiaxin

机构地区：[1]蚌埠医学院第一附属医院,安徽蚌埠233004

出　　处：《中医临床研究》2021年第6期58-61,共4页Clinical Journal Of Chinese Medicine

基　　金：蚌埠医学院自然科学基金重点项目(BYKY2019098ZD)。

摘　　要：目的:观察补肺止流方联合揿针、穴位贴敷治疗过敏性鼻炎的疗效。方法:将就诊于蚌埠医学院第一附属医院的60例过敏性鼻炎患者,随机分为观察组(内外法合治)与对照组(单用中药)各30例。对照组:予以补肺止流方治疗;辨证为肺虚感寒证的患者,加用桂枝10 g,辛夷15 g(布包),附子5 g;辨证为肺经郁热证的患者,加用苍耳子10 g,栀子10 g,蒲公英20 g。水煎服400 mL,每日2次,早晚分服。观察组:在对照组治疗基础上予以康琦贴贴敷肺俞(双)、脾俞(双)、肾俞(双)穴位,每周贴敷2次,每次留置12 h;揿针迎香穴(双)皮下埋针,每周治疗2次,每次留置2 d。上述两组以治疗1个月为1个疗程,两组均按3个疗程评定疗效。结果:治疗前两组的血清免疫球蛋白E(Immunoglobulin E,IgE)、血清免疫球蛋白G(Immuno-globulin G,IgG)水平比较差异无统计学意义(P>0.05);治疗后,与对照组相比观察组的IgE降低,IgG升高,差异有统计学意义(P<0.01)。治疗前,两组的鼻炎症状量表(Total Nasal Symptom Score,TNSS)、鼻炎伴随症状量表(Total Nonnasal Symptom Score,TNNSS)积分差异无统计学意义(P>0.05);治疗后,与对照组相比观察组的TNSS、TNNSS积分降低,差异有统计学意义(P<0.05);总有效率比较差异均具有统计学意义(χ^(2)=6.648,P=0.01)。结论:补肺止流方联合揿针、穴位贴敷治疗过敏性鼻炎较单用补肺止流方治疗有更好的疗效。Objective:To observe the curative effect of Bufei Zhiliu decoction(补肺止流方)combined with press-needle and acupoint application in the treatment of allergic rhinitis.Methods:60 patients diagnosed allergic rhinitis in The First Affiliated Hospital of Bengbu Medical College were randomly divided into the observation group(combined treatment with internal and external methods)and the control group(single use of traditional Chinese medicine),with 30 patients in each group.The control group received treatment of Bufei Zhiliu decoction;for patients with syndrome differentiation of lung deficiency and cold syndrome,Guizhi(桂枝)10 g,Xinyi(辛夷)15 g(put it in cloth bag),Fuzi(附子)5 g were added;For patients with syndrome differentiation of lung heat stasis syndrome,Xanthium strumarium(苍耳子)10 g,Zhizi(栀子)10 g,Dandelion 20 g were added.All patients took 400 mL decoction twice a day,in the morning and evening separately.The observation group:on the basis of treatment of the control group,Kangqi stickers(康琦贴)were applied to the acupoints of Feishu(肺俞)(both),Pishu(脾俞)(both)and Shenshu(肾俞)(both)twice a week,and left for 12 hours at a time.Press-needles were buried to Yingxiang acupoint(both)in the skin,twice a week,and were left for 2 days at a time.The above two groups were treated for 1 month,which was a course of treatment,and the efficacy of the two groups was evaluated after three courses of treatment.Results:There was no significant difference in the serum IgE and IgG levels in the two groups before treatment(P>0.05).After treatment,immunoglobulin E(IgE)was decreased and immuno-globulin G(IgG)was increased in the observation group compared with that of the control group,which was statistically significant(P<0.01).Before treatment,there was no significant difference in total nasal symptom score(TNSS)and total nonnasal symptom score(TNNSS)scores between the two groups(P>0.05).After treatment,the TNSS)and TNNSS scores of the observation group were lower than those of the control group,

关 键 词：补肺止流方 揿针 穴位贴敷 过敏性鼻炎 炎证+ 

分 类 号：R246.81[医药卫生—针灸推拿学]