针刺蝶腭神经节技术治疗变应性鼻炎临床研究  

Clinical Study on Acupuncture at Sphenopalatine Ganglion for Treatment of Allergic Rhinitis

作　　者：陈柳晶 孙旭鸯[1] 刘敏妃 CHEN Liujing;SUN Xuyang;LIU Minfei(Department of Otolaryngology,Lishui Central Hospital,Lishui Zhejiang 323000,China)

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》2025年第6期137-141,共5页New Chinese Medicine

基　　金：浙江省医药卫生科技计划项目(2021ZH063)。

摘　　要：目的:观察针刺蝶腭神经节技术治疗变应性鼻炎(AR)的临床疗效。方法:将2021年9月—2023年10月于丽水市中心医院接受针刺蝶腭神经节和西药常规治疗的49例AR患者纳入针刺组,另按1∶1比例选取同期于同一医院接受相同西药治疗的49例AR患者作为常规组。比较2组临床疗效,以及治疗前后鼻炎症状量表(TNSS)评分、鼻结膜炎生活质量问卷调查量表(RQLQ)评分、疼痛视觉模拟评分法(VAS)评分和并发症发生率。结果:针刺组总有效率为97.96%(48/49),常规组为85.71%(42/49),组间比较,差异有统计学意义(P<0.05)。治疗2、3、4、8周,2组TNSS评分均较治疗前降低(P<0.05),且针刺组TNSS评分在治疗4、8周时低于常规组(P<0.05)。治疗2、3、4、8周,2组RQLQ评分均较治疗前降低(P<0.05);治疗2、3周,2组RQLQ评分比较,差异无统计学意义(P>0.05);治疗4、8周,针刺组RQLQ评分均低于常规组(P<0.05)。治疗2、3、4周,2组疼痛VAS评分均较治疗前降低(P<0.05),但2组3个时间点VAS评分比较,差异均无统计学意义(P>0.05);治疗8周,2组VAS评分均较治疗前降低(P<0.05),且针刺组VAS评分低于常规组(P<0.05)。治疗后,2组恶心、下眼睑肿胀淤血、上颚麻木、鼻灼热感等并发症发生率比较,差异均无统计学意义(P>0.05)。结论:针刺蝶腭神经节是提升AR临床疗效的辅助手段,有利于缓解流涕、鼻塞等症状,减轻疼痛,改善患者生活质量,且具有良好安全性。Objective:To observe the clinical effect of acupuncture at the sphenopalatine ganglion in the treatment of allergic rhinitis(AR).Methods:A total of 49 AR patients who received acupuncture at the sphenopalatine ganglion and conventional western medicine treatment at Lishui Central Hospital from September 2021 to October 2023 were included in the acupuncture group,and another 49 AR patients who received western medicine treatment at the same hospital during the same period were selected in a 1∶1 ratio as the conventional group.Clinical effects in the two groups were compared.The Total Nasal Symptoms Score(TNSS),the Rhinoconjunctivitis Quality of Life Questionnaire(RQLQ),the Visual Analogue Scale(VAS)for pain evaluation,and complications were compared between the two groups before and after treatment.Results:The total effective rate in the acupuncture group was 97.96%(48/49),which was higher than that of 85.71%(42/49)in the conventional group,with the difference being significant(P<0.05).After two,three,four and eight weeks of treatment,the TNSS scores in the two groups were decreased when compared with those before treatment(P<0.05),and the TNSS scores in the acupuncture group were lower than those in the conventional group at four and eight weeks of treatment(P<0.05).After two,three,four,and eight weeks of treatment,the RQLQ scores in the two groups were declined when compared with those before treatment(P<0.05);however,there was no significant difference in RQLQ scores between the two groups at two and three weeks of treatment(P>0.05);the RQLQ scores in the acupuncture group were lower than those in the conventional group at four and eight weeks of treatment(P<0.05).After two,three,four weeks of treatment,both groups showed a decrease in VAS scores when compared with those before treatment(P<0.05),but there was no significant difference in pain VAS scores between the two groups at the three time points(P>0.05);after eight weeks of treatment,the VAS scores in the two groups were decreased compared to those befor

关 键 词：变应性鼻炎 针刺 蝶腭神经节 鼻炎症状量表 鼻结膜炎生活质量问卷调查量表 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]