杜氏金针手法下的蝶腭神经节针刺联合糠酸莫米松鼻喷雾剂治疗变应性鼻炎临床研究  

Clinical Study on Acupuncture at Ganglion Sphenopalatinum Under Du’s Gold Needle Technique Combined with Mometasone Furoate Nasal Spray for Allergic Rhinitis

作　　者：刘芳卉[1] 孙旭鸯[1] 陈婷婷[1] LIU Fanghui;SUN Xuyang;CHEN Tingting

机构地区：[1]丽水市中心医院耳鼻咽喉科,浙江丽水323000

出　　处：《新中医》2022年第19期186-191,共6页New Chinese Medicine

基　　金：浙江省医药卫生科技计划项目(2021ZH063)。

摘　　要：目的:观察杜氏金针手法下的蝶腭神经节针刺联合糠酸莫米松鼻喷雾剂治疗变应性鼻炎(AR)的临床疗效。方法:选取80例AR患者,按随机数字表法分为对照组及观察组各40例,对照组行糠酸莫米松鼻喷雾剂治疗,观察组在对照组基础上配合杜氏金针手法下的蝶腭神经节针刺治疗。观察2组临床疗效及不良反应发生率,比较2组治疗前后症状评估量表(TNSS)、鼻结膜炎生活质量调查问卷(RQLQ)、疼痛视觉模拟评分法(VAS)评分、血清免疫球蛋白E (IgE)、外周嗜酸性粒细胞(EOS)及人血清P物质(SP)水平的变化。结果:治疗后,观察组与对照组临床疗效总有效率分别为97.50%、85.00%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组TNSS量表各症状评分、总分及体征评分均较治疗前下降,观察组TNSS量表各症状评分、总分及体征评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组RQLQ各项评分及总分均较治疗前下降,观察组RQLQ各项评分及总分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组VAS评分均较治疗前下降,观察组VAS评分低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组血清IgE、EOS、SP水平均较治疗前下降,观察组上述3项水平均低于对照组,差异均有统计学意义(P<0.05)。治疗期间,观察组不良反应发生率为5.00%,对照组不良反应发生率为20.00%,2组比较,差异有统计学意义(P<0.05)。结论:杜氏金针手法下的蝶腭神经节针刺联合糠酸莫米松鼻喷雾剂治疗可有效促进AR患者病情恢复,炎性反应得到有效控制,缓解患者疼痛,提高生活质量,用药安全性较高。Objective:To observe the clinical effect of acupuncture at ganglion sphenopalatinum under Du’s gold needle technique combined with mometasone furoate nasal spray for allergic rhinitis(AR).Methods:A total of 80 cases of AR patients were divided into the control group and the observation group according to the random number table method,with 40 cases in each group. The control group was treated with mometasone furoate nasal spray,and the observation group was additionally treated with acupuncture at ganglion sphenopalatinum under Du’s gold needle technique based on the treatment of the control group.The clinical effects and the incidences of adverse reactions in the two groups were observed. Before and after treatment,the changes in scores of Total Nasal Symptom Score(TNSS),Rhinoconjunctivitis Quality of Life Questionnaire(RQLQ) and Visual Analogue Scale of pain(VAS),and scores of immunoglobulin E(IgE),peripheral blood eosinophils(EOS) and substance P(SP) in serum in the two groups were compared.Results:After treatment,the total effective rate of clinical effect was 97.50% in the observation group and85.00% in the control group, the difference being significant(P<0.05). After treatment, the symptom scores,the total scores and the sign scores in TNSS in the two groups were decreased when compared with those before treatment,and the symptom scores,the total score and the sign scores in TNSS in the observation group were lower than those in the control group,differences being significant(P<0.05). After treatment,the scores and the total scores in RQLQ in the two groups were decreased when compared with those before treatment,and the scores and the total score in RQLQ in the observation group were lower than those in the control group, differences being significant(P<0.05). After treatment, the VAS scores in the two groups were decreased when compared with those before treatment,and the VAS score in the observation group was lower than that in the control group,differences being significant(P<0.05).After treatment,

关 键 词：变应性鼻炎 杜氏金针手法 糠酸莫米松鼻喷雾剂 蝶腭神经节 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]