温脐贴对改善变应性鼻炎症状与生存质量的疗效观察  

Observations on Improving Effect of Warming Umbilical Patch on Symptoms and Quality of Life in Allergic Rhinitis

作　　者：陈惠冰[1] 徐庆文[1] 胡伟妮 CHEN Huibing;XU Qingwen;HU Weini(Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528401,China)

机构地区：[1]中山市中医院,中山528401

出　　处：《上海针灸杂志》2022年第8期812-817,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：中山市社会公益科技研究项目(2019B1032)。

摘　　要：目的观察温脐贴对改善变应性鼻炎患者症状与生存质量的临床疗效。方法选取变应性鼻炎患者64例,按照随机数字表法分为两组,各32例。试验组脱落3例,对照组脱落2例;最终试验组纳入29例,对照组30例。对照组予口服氯雷他定片治疗,试验组在对照组治疗基础上予中药温脐贴治疗。比较两组患者的鼻症状、鼻体征及鼻结膜炎生存质量量表(RQLQ)评分的变化。结果治疗后,两组患者各项症状评分均较治疗前降低(P<0.01),且试验组的鼻塞、喷嚏以及症状总积分均低于对照组(P<0.05)。治疗后,两组各项鼻体征评分均较治疗前降低(P<0.05);且试验组下鼻甲水肿、鼻腔分泌物以及鼻体征总积分均低于对照组(P<0.05)。治疗后,试验组RQLQ各项评分均较治疗前降低(P<0.01),对照组RQLQ中日常生活、眼部症状以及总评分均较治疗前降低(P<0.05);且试验组RQLQ中非鼻/眼症状、实际问题、鼻部症状以及总分均低于对照组(P<0.05)。结论在口服氯雷他定片治疗基础上,温脐贴可显著缓解变应性鼻炎患者鼻症状及鼻部体征,提高患者生存质量,疗效优于单纯口服氯雷他定片。Objective To observe the clinical improving effect of warming umbilical patch on symptoms and quality of life in patients with allergic rhinitis.Method Sixty-four patients with allergic rhinitis were enrolled and allocated,using a random number table,to two groups,with 32 cases in each group.Three cases dropped out in the experimental group and two cases dropped in the control group.Finally,29 cases were included in the experimental group and 30 cases in the control group.The control group received oral administration of loratadine and the experimental group,warming umbilical patch of Chinese herbal medicine additionally.Nasal symptom scores,nasal sign scores and the rhinoconjunctivitis quality of life questionnaire(RQLQ)scores were compared between the two groups of patients.Result After treatment,the symptom item scores decreased in both groups compared with before(P<0.01)and the nasal obstruction score,the sneeze score and the symptom total score were lower in the experimental group than in the control group(P<0.05).After treatment,the items scores of nasal signs in both groups were lower than those before treatment(P<0.05),and the scores of edema of inferior turbinate,nasal secretions and total score of signs were lower in the experimental group than those in the control group(P<0.05).After treatment,the RQLQ item scores decreased in the experimental group compared with before(P<0.01),the RQLQ daily life,eye symptom and total scores decreased in the control group compared with before(P<0.05)and the RQLQ non nasal/eye symptom,actual problem,nasal symptom and total scores were lower in the experimental group than in the control group(P<0.05).Conclusion Warming umbilical patch based on oral administration of loratadine tablets can markedly relieve nasal symptoms and signs and improve the quality of life in patients with allergic rhinitis.It is more effective than oral administration of loratadine tablets alone.

关 键 词：穴位疗法 脐疗 穴位贴敷法 鼻炎 变应性 生存质量 

分 类 号：R246.81[医药卫生—针灸推拿学]