热敏灸配合药物治疗对过敏性鼻炎患者睡眠质量及远期疗效的影响  

Effects of Heat-sensitive Point Moxibustion plus Medication on Sleep Quality and Long-term Efficacy in Patients with Allergic Rhinitis

作　　者：谢秀俊 姜伟强 陈日新[2] 郑嵩[1] 滕飞 朱希法[1] 蒋行敏 XIE Xiujun;JIANG Weiqiang;CHEN Rixin;ZHENG Song;TENG Fei;ZHU Xifa;JIANG Xingmin(Taizhou Hospital of Traditional Chinese Medicine,Taizhou 318000,China;Jiangxi Hospital of Traditional Chinese Medicine,Nanchang 330006,China)

机构地区：[1]台州市中医院,台州318000 [2]江西省中医院,南昌330006

出　　处：《上海针灸杂志》2022年第5期499-503,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省台州市科技局资助项目(1901ky82)。

摘　　要：目的观察热敏灸配合药物治疗对过敏性鼻炎患者睡眠质量及远期临床疗效的影响。方法将72例过敏性鼻炎患者随机分为治疗组和对照组,每组36例。治疗组采用热敏灸配合药物治疗,对照组采用单纯药物治疗。比较两组治疗前后及治疗后3个月随访时匹兹堡睡眠质量量表(PSQI)各项评分、视觉模拟量表(VAS)评分及鼻结膜炎生活质量调查问卷表(RQLQ)评分的变化情况。结果治疗组治疗后及随访时PSQI中睡眠质量、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍评分均较同组治疗前显著降低(P<0.01,P<0.05);对照组治疗后及随访时PSQI中睡眠质量及睡眠障碍评分均较同组治疗前显著降低(P<0.01)。两组治疗后及随访时VAS评分、RQLQ评分均较同组治疗前显著降低(P<0.01)。两组治疗后及随访时PSQI中睡眠质量、睡眠效率、睡眠障碍、日间功能障碍评分及VAS评分、RQLQ评分比较,差异均具有统计学意义(P<0.05,P<0.01)。结论热敏灸配合药物治疗能改善过敏性鼻炎患者的睡眠质量,缓解其临床症状,具有更好远期疗效。Objective To observe the effect of heat-sensitive point moxibustion plus medication on sleep quality and long-term clinical efficacy in patients with allergic rhinitis.Method Seventy-two patients with allergic rhinitis were randomized to treatment and control groups,with 36 cases in each group.The treatment group received heat-sensitive point moxibustion plus medication and the control group,medication alone.The Pittsburgh sleep quality index(PSQI)scores,the visual analog scale(VAS)scores and the rhinoconjunctivitis quality of life questionnaire(RQLQ)scores were compared between the two groups before and after the treatment and at the three-month follow-up after the treatment.Result After the treatment and at follow-up,the PSQI sleep quality,sleep duration,sleep efficiency,sleep disturbances and daytime dysfunction scores decreased significantly in the treatment group compared with before(P<0.01,P<0.05).After the treatment,the PSQI sleep quality and sleep disturbances scores decreased significantly in the control group compared with before(P<0.01).After the treatment and at follow-up,the VAS and RQLQ scores decreased significantly in the two group compared with before(P<0.01).After the treatment and at follow-up,the PSQI sleep quality,sleep efficiency,sleep disturbances and daytime dysfunction scores,the VAS score and the RQLQ score had statistically significant differences between the two groups(P<0.05,P<0.01).Conclusion Heat-sensitive point moxibustion plus medication can improve sleep quality and relive the clinical symptoms with a better long-term efficacy in patients with allergic rhinitis.

关 键 词：灸法 热敏灸 鼻炎 变应性 睡眠质量 匹兹堡睡眠质量量表 鼻结膜炎生活质量调查问卷表 

分 类 号：R246.81[医药卫生—针灸推拿学]