基于经络理论的火龙罐综合灸在肺脾气虚型鼻鼽患者中的应用  

Effects of comprehensive moxibustion with Huolong cupping based on meridian theory in patients with lung-spleen qi deficiency type allergic rhinitis

作　　者：王智慧 龙秀红[2] 丁丽云 罗芬[3] 韦韩萍[3] 明爱红 林思慧 杨云帆 冯甜 Wang Zhihui;Long Xiuhong;Ding Liyun;Luo Fen;Wei Hanping;Ming Aihong;Lin Sihui;Yang Yunfan;Feng Tian(School of Nursing,Guangxi University of Chinese Medicine,Nanning 530001,China;Nursing Department,Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning 530011,China;Otolaryngology Head and Neck Clinic,Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning 530011,China)

机构地区：[1]广西中医药大学护理学院,南宁530001 [2]广西中医药大学附属瑞康医院护理部,南宁530011 [3]广西中医药大学附属瑞康医院耳鼻咽喉科头颈科门诊,南宁530011

出　　处：《中华现代护理杂志》2024年第5期666-671,共6页Chinese Journal of Modern Nursing

基　　金：广西中医药管理局自筹经费科研课题(GXZYZ20210550)。

摘　　要：目的探讨火龙罐综合灸在肺脾气虚型鼻鼽患者中的应用。方法本研究为随机对照试验。采用便利抽样法,选取2022年10月—2023年4月在广西中医药大学附属瑞康医院耳鼻咽喉科头颈科门诊就诊的66例肺脾气虚型鼻鼽患者作为研究对象,随机分为试验组(n=33)与对照组(n=33)。两组均进行常规口服中药治疗;试验组在常规口服中药治疗基础上于督脉、膀胱经等循行部位进行火龙罐综合灸。比较干预前后两组患者鼻气道阻力指数(NAR),鼻部症状评分量表(TNSS)、视觉模拟量表(VAS)和汉化版鼻结膜炎生活质量调查问卷(RQLQ)得分。结果最终试验组、对照组各30例患者完成研究。干预后,试验组NAR评分低于对照组,差异有统计学意义(P<0.05);重复测量方差分析结果显示,随着治疗时间的增加,试验组的TNSS、VAS及RQLQ得分均低于对照组(P<0.05),且时间效应、组间效应及交互效应均具有统计学意义(P<0.05)。结论火龙罐综合灸能够降低患者鼻阻力,改善患者鼻部症状及鼻部伴随症状,提高患者的生活质量。Objective To explore the effect of comprehensive moxibustion with Huolong cupping in patients with lung-spleen qi deficiency type allergic rhinitis.Methods This study was a randomized controlled trial.From October 2022 to April 2023,convenience sampling was used to select 66 patients with lung-spleen qi deficiency type allergic rhinitis who visited the Otolaryngology Head and Neck Clinic of Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine as the research subject.The patients were randomly divided into an experimental group(n=33)and a control group(n=33).Both groups received routine oral Chinese medicine treatment.On the basis of routine treatment,the experimental group performed comprehensive moxibustion with Huolong cupping on the meridians of the Du meridian and bladder meridian.This study compared the scores of Nasal Airway Resistance(NAR),Total Nasal Symptom Score(TNSS),Visual Analogue Scale(VAS),and Chinese version of Rhinoconjunctivitis Quality of Life Questionnaire(RQLQ)between two groups of patients before and after intervention.Results Eventually 30 patients in each of the experimental group and control group completed the study.After intervention,the NAR score of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05).Repeated measures analysis of variance showed that with the increase of treatment time,the TNSS,VAS,and RQLQ scores of the experimental group were lower than those of the control group with statistical differences(P<0.05),and the time effect,inter group effect,and interaction effect were statistically significant(P<0.05).Conclusions Huolong cupping comprehensive moxibustion can reduce nasal resistance,meliorate nasal symptoms and accompanying nasal symptoms,and improve the quality of life of patients.

关 键 词：鼻鼽 经络 肺脾气虚 火龙罐 中医护理 

分 类 号：R246.81[医药卫生—针灸推拿学]