改良针刺蝶腭神经节治疗变应性鼻炎:随机对照试验  

Modified acupuncture at sphenopalatine ganglion for allergic rhinitis:a randomized controlled trial

作　　者：鲍佳迎 李新伟[2] 张伟波 杜嘉[2] BAO Jia-ying;LI Xin-wei;ZHANG Wei-bo;DU Jia(Second Clinical Medical College,Zhejiang Chinese Medical University,Hangzhou 310053,China;Department of Acupuncture and Moxibustion,Tongde Hospital of Zhejiang Province,Hangzhou310012)

机构地区：[1]浙江中医药大学第二临床医学院,杭州310053 [2]浙江省立同德医院针灸科,杭州310012

出　　处：《中国针灸》2023年第5期522-526,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察改良针刺蝶腭神经节对变应性鼻炎的影响。方法:将80例变应性鼻炎患者随机分为观察组和对照组,每组40例。观察组采用改良针刺蝶腭神经节治疗,每次30 min,每周2次,间隔3~4 d;对照组给予布地奈德鼻喷雾剂喷鼻。两组均连续治疗4周。观察两组患者治疗前、第1次治疗后、末次治疗后及疗程结束后4周鼻症状总分(TNSS)、鼻炎伴随症状总分(TNNSS),治疗前、末次治疗后及疗程结束后4周视觉模拟量表(VAS)、鼻结膜炎生活质量问卷(RQLQ)评分,于疗程结束后4周评估两组复发情况。于末次治疗后评定两组临床疗效。结果:第1次治疗后、末次治疗后和疗程结束后4周,两组患者TNSS总分及各分项评分、TNNSS评分均较治疗前降低(P<0.01,P<0.05)。第1次治疗后,观察组患者TNSS总分及鼻塞、鼻痒评分,TNNSS评分低于对照组(P<0.01,P<0.05);末次治疗后,观察组患者TNSS总分及鼻塞、鼻痒评分低于对照组(P<0.01);疗程结束后4周,观察组TNSS总分及各分项评分、TNNSS评分均低于对照组(P<0.01,P<0.05)。末次治疗后和疗程结束后4周,两组患者VAS、RQLQ评分均较治疗前降低(P<0.01),且观察组低于对照组(P<0.01)。观察组复发率为13.5%(5/37),低于对照组的44.8%(13/29,P<0.01)。观察组总有效率为92.5%(37/40),高于对照组的72.5%(29/40,P<0.05)。结论:改良针刺蝶腭神经节能有效缓解变应性鼻炎患者症状、改善生活质量,且复发率低。Objective To observe the effect of modified acupuncture at sphenopalatine ganglion for allergic rhinitis(AR).Methods A total of 80 patients with AR were randomly divided into an observation group and a control group,40 cases in each group.In the observation group,modified acupuncture at sphenopalatine ganglion was given,30 min each time,2 times a week and with an interval of 3-4 days.In the control group,budesonide nasal spray was given.Both groups were treated for 4weeks.The total nasal symptom score(TNSS)and total non-nasal symptom score(TNNSS)were observed before treatment,after first treatment,after last treatment and 4 weeks after treatment;the scores of visual analogue scale(VAS)and rhinoconjunctivitis quality of life questionnaire(RQLQ)were observed before treatment,after last treatment and 4 weeks after treatment;the recurrence condition was evaluated 4 weeks after treatment;the clinical efficacy was evaluated after last treatment in the two groups.Results Compared with before treatment,the total scores and each score of TNSS,TNNSS scores after first treatment,after last treatment and 4 weeks after treatment were decreased in both groups(P<0.01,P<0.05).After first treatment,the total score,stuffy nose score,itchy nose score of TNSS and TNNSS score in the observation group were lower than the control group(P<0.01,P<0.05).After last treatment,the total score,stuffy nose score,itchy nose score of TNSS in the observation group were lower than the control group(P<0.01).Four weeks after treatment,the total score and each score of TNSS,TNNSS score in the observation group were lower than the control group(P<0.01,P<0.05).Compared with before treatment,the scores of VAS and RQLQ after last treatment and 4 weeks after treatment were decreased in both groups(P<0.01),and those in the observation group were lower than the control group(P<0.01).The recurrence rate was13.5%(5/37)in the observation group,which was lower than 44.8%(13/29)in the control group(P<0.01).The total effective rate was 92.5%(37/40)in the observat

关 键 词：变应性鼻炎 蝶腭神经节 针刺 随机对照试验 

分 类 号：R246.81[医药卫生—针灸推拿学]