隔姜药灸联合针刺治疗脾肾阳虚型过敏性鼻炎的疗效观察  

Observations on the Efficacy of Ginger Moxibustion plus Acupuncture for Allergic Rhinitis of Spleen-kidney Yang Deficiency Type

作　　者：夏得胜 马晓凤 张烨[1] 李林蔚 高丽娟[1] 张昌云[2] 张昕[1,2] XIA Desheng;MA Xiaofeng;ZHANG Ye;LI Linwei;GAO Lijuan;ZHANG Changyun;ZHANG Xin(Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Affiliated Hospital of Shandong University of TCM,Jinan 250014,China)

机构地区：[1]山东中医药大学,济南250014 [2]山东中医药大学附属医院,济南250014

出　　处：《上海针灸杂志》2022年第11期1111-1116,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家科学技术部国家重点研发计划(2017YFC1703601);山东省中医药科技发展计划“治未病小镇”示范模式研究(2019-063)。

摘　　要：目的观察隔姜药灸联合针刺治疗脾肾阳虚型过敏性鼻炎(AR)的临床疗效。方法将64例脾肾阳虚型AR患者按随机数字表法分为试验组(32例)和对照组(32例)。对照组予常规西药治疗,试验组在对照组的基础上予隔姜药灸联合针刺治疗。观察两组治疗前后过敏性鼻炎鼻部症状总分(TNSS)、鼻部伴随症状总分(TNNSS)、鼻结膜炎生活质量问卷(RQLQ)评分及血清总免疫球蛋白E(IgE)水平变化,并比较两组临床疗效。结果试验组总有效率(93.8%)明显高于对照组(62.5%),差异有统计学意义(P<0.05);两组治疗后TNSS、TNNSS、RQLQ评分及血清总IgE水平较治疗前显著降低(P<0.05),且试验组优于对照组(P<0.05)。结论在常规西药治疗的基础上,隔姜药灸联合针刺治疗脾肾阳虚型AR能够有效改善患者鼻部症状与伴随症状,提高生活质量,抑制血清总IgE水平,疗效显著。Objective To observe the clinical efficacy of ginger moxibustion plus acupuncture for allergic rhinitis(AR)of spleen-kidney yang deficiency type.Method Sixty-four patients with AR of spleen-kidney yang deficiency type were allocated,using a random number table,to an experimental group(32 cases)and a control group(32 cases).The control group received conventional western drug therapy and the experimental group,ginger moxibustion plus acupuncture in addition.The total nasal symptom score(TNSS),the total non-nasal symptom score(TNNSS),the quality of life score and serum total immunoglobulin E(IgE)levels were observed in the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Result The total efficacy rate was significantly higher in the experimental group(93.8%)than in the control group(62.5%)with a statistically significant difference(P<0.05).After treatment,TNSS,TNNSS,the quality of life score and serum total IgE levels increased significantly in the two groups compared with before(P<0.05)and were better in the experimental group than in the control group(P<0.05).Conclusion Ginger moxibustion plus acupuncture on the basis of conventional western drug therapy can effectively relieve nasal and clinical symptoms,improve the quality of life and reduce serum total IgE levels with a marked clinical effect in treating patients with AR of spleen-kidney yang deficiency type.

关 键 词：灸法 间接灸 针灸疗法 针药并用 鼻炎 变应性 鼻部症状总分 鼻部伴随症状总分 

分 类 号：R246.81[医药卫生—针灸推拿学]