雷火灸联合针刺治疗虚证型变应性鼻炎的疗效观察  

Observation on Effect of Thunder-Fire Moxibustion Combined with Acupuncture for Allergic Rhinitis of Deficiency Syndrome

作　　者：谭淑仪 李凯[1,2] 黄唯 冯小聪 罗秋兰 陈海[1,2] TAN Shu-Yi;LI Kai;HUANG Wei;FENG Xiao-Cong;LUO Qiu-Lan;CHEN Hai(The Second Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Dept.of Head-neck Otorhinolaryngology,ihe Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120 Guangdong,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510006 [2]广州中医药大学第二附属医院耳鼻咽喉头颈科,广东广州510120

出　　处：《广州中医药大学学报》2021年第12期2687-2693,共7页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金青年基金资助项目(编号:81603667);广东省中医药局科研资助项目(编号:20192039)。

摘　　要：【目的】观察雷火灸联合针刺治疗虚证型变应性鼻炎的临床疗效。【方法】将90例虚证型变应性鼻炎患者随机分为雷针组、雷火灸组与针刺组,每组各30例。针刺组给予针刺治疗,雷火灸组给予雷火灸治疗,雷针组给予雷火灸联合针刺治疗。1周为1个疗程,均治疗3个疗程。治疗3周后,评价3组的临床疗效,观察3组患者治疗前后鼻部症状总评分(TNSS)及鼻结膜炎生活质量调查问卷(RQLQ)评分的变化情况。【结果】(1)研究过程中,雷针组失访5例,雷火灸组失访5例,针刺组失访3例,最终雷针组25例、雷火灸组25例、针刺组27例纳入疗效统计。(2)治疗后,3组患者的TNSS评分均明显改善(P<0.05),且雷针组在改善TNSS评分方面明显优于雷火灸组与针刺组,差异均有统计学意义(P<0.05)。(3)治疗后,3组患者的RQLQ评分均明显改善(P<0.05),且雷针组在改善RQLQ评分方面明显优于雷火灸组与针刺组,差异均有统计学意义(P<0.05)。(4)雷针组总有效率为92.00%(23/25),雷火灸组总有效率为84.00%(21/25),针刺组为85.19%(23/27)。雷针组疗效优于雷火灸组与针刺组,差异均有统计学意义(P<0.05)。【结论】雷火灸联合针刺治疗虚证型变应性鼻炎能够有效地缓解患者鼻部的过敏症状,从而提高患者的生活质量,疗效显著。Objective To observe the clinical effect of thunder-fire moxibustion combined with acupuncture in treating allergic rhinitis of deficiency syndrome. Methods Ninety cases of allergic rhinitis of deficiency syndrome were randomly divided into the thunder fire moxibustion combined acupuncture group, the thunder-fire moxibustion group and the acupuncture group, 30 cases in each group. The acupuncture group was given acupuncture treatment,the thunder-fire moxibustion group was given thunder-fire moxibustion treatment,and the thunder-fire moxibustion combined acupuncture group was given thunder-fire moxibustion combined with acupuncture. One week as one course of treatment and lasted for three courses of treatment. After 3 weeks of treatment, the clinical efficacy of the 3 groups was evaluated, and the changes of total nasal symptom scores(TNSS)and rhinitis related quality of life questionnaire(RQLQ)scores were observed before and after treatment.Results(1) During the trial, 5 cases were lost to follow-up in the thunder-fire moxibustion combined acupuncture group,5 cases in the thunder-fire moxibustion group and 3 cases in the acupuncture group. Finally,25 cases in the thunder-fire moxibustion combined acupuncture group,25 cases in the thunder-fire moxibustion group and 27 cases in the acupuncture group were included in the therapeutic effect statistics.(2)After treatment,TNSS of all 3 groups were significantly improved(P < 0.05), and the thunder-fire moxibustion combined acupuncture group was significantly superior to the thunder-fire moxibustion group and acupuncture group in improving TNSS,the difference being statistically significant(P < 0.05).(3)After treatment,the RQLQ scores of the 3 groups were significantly improved(P < 0.05),and the improvement of RQLQ scores in the thunder-fire moxibustion combined acupuncture group was significantly superior to that in the thunder-fire moxibustion group and the acupuncture group,the differences were statistically significant(P < 0.05).(4)The total effective rate was92.00%(

关 键 词：雷火灸 针刺 变应性鼻炎 虚证 疗效观察 

分 类 号：K246.9[历史地理—历史学]