通调法针灸治疗长新冠后嗅觉障碍28例  

Acupuncture and Moxibustion Therapy for 28 Cases of Postcoronal Olfactory Dysfunction Based on the Theory of"Tongtiao"

作　　者：姜天鑫 杨琪琪 李飞[1] Jiang Tianxin;Yang Qiqi;Li Fei(Second Department of Rehabilitation,The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学第二附属医院康复二科,合肥230061

出　　处：《中国针灸》2025年第3期331-334,共4页Chinese Acupuncture & Moxibustion

基　　金：2022年度国家中医药管理局青年岐黄学者支持项目:国中医药人教函[2022]256号;安徽省重点研究与开发计划项目:2022e07020080;2023年度安徽省自然科学基金面上项目:2308085MH297;2024年度安徽省高等学校科学研究项目:2024AH050918;2023年度安徽中医药大学第二附属医院杏林人才项目:院发[2023]118号。

摘　　要：目的:观察通调法针灸治疗长新冠后嗅觉障碍的临床疗效。方法:选取28例长新冠后嗅觉障碍患者,予通调法(通窍、醒脑、调气血)针灸治疗,穴取印堂、百会、风府、气海和双侧迎香、风池、血海、足三里,印堂深刺至鼻骨骨膜,并予温针灸。每次治疗40 min,每天1次,每周治疗6 d后休息1 d,连续治疗4周。比较患者治疗前后T&T嗅觉测试评分、中医症状评分、血清皮质醇含量、汉密尔顿抑郁量表(HAMD)评分和汉密尔顿焦虑量表(HAMA)评分,并根据T&T嗅觉测试分级评定临床疗效。结果:治疗后,患者T&T嗅觉测试评分、各项中医症状评分、HAMD评分和HAMA评分均较治疗前降低(P<0.01,P<0.05);血清皮质醇含量较治疗前升高(P<0.01)。总有效率为96.4%(27/28)。结论:通调法针灸可改善长新冠后嗅觉障碍患者的症状,升高血清皮质醇含量,缓解焦虑抑郁情绪。Objective To observe the clinical efficacy of acupuncture and moxibustion based on the"Tongtiao"theory in the treatment of post coronal olfactory dysfunction.Methods Twenty eight patients with postcoronal olfactory impairment were selected and treated with acupuncture and moxibustion therapy(unblocking,refreshing,regulating qi and blood).Yintang,Yingxiang,Baihui,Fengfu,Zusanli,etc.were selected as acupoints.When Yintang was acupunctured,deep needling was performed to the nasal bone periosteum,and warm acupuncture and moxibustion was given.Treat for 40 minutes each time,once a day,6 days a week followed by 1 day of rest, and continue treatment for 4 weeks. The T&T olfactory test score, TCM symptomscore, serum cortisol content, Hamilton Depression Rating Scale (HAMD) score and HamiltonAnxiety Rating Scale (HAMA) score of the patients before and after treatment were compared,and the clinical efficacy was evaluated. Results After treatment, the scores of T&Tolfactory test, TCM symptom scores, HAMD scores and HAMA scores of patients withChangxin Corona were lower than those before treatment ( P<0.01, P<0.05);The serumcortisol content increased compared to before (P<0.01). The total effective rate was96.4% (27/28).Conclusion Acupuncture and moxibustion and moxibustion withTongtiao method can improve the symptoms of olfactory impairment after Changxincoronation, increase the content of serum cortisol, and improve anxiety anddepression.

关 键 词：长新冠 嗅觉障碍 针灸 通调法 

分 类 号：R246[医药卫生—针灸推拿学]