针刺蝶腭神经节治疗变应性鼻炎远期疗效观察

Long-term Therapeutic Observation of Acupuncture at Phenomaxillary Ganglia for Allergic Rhinitis

目的观察针刺蝶腭神经节治疗变应性鼻炎近期疗效与远期疗效。方法对纳入研究的变应性鼻炎患者进行针刺蝶腭神经节治疗。每星期1次,6次为1个疗程。采用VAS评分对患者总体症状和鼻部分类症状进行评价以及RQLQ量表评价患者生存质量。治疗前、后及治疗结束后2年各评估1次。结果所有患者临床症状经6次治疗后均获得显著改善,其总体症状、鼻部分类症状VAS评分及反映患者生活质量的RQLQ量表评分均明显降低,差异有统计学意义(P<0.01),2年后随访时除"非鼻眼症状"外均较治疗前降低(P<0.05,P<0.01),且与治疗后比较差异无统计学意义(P>0.05)。结论针刺蝶腭神经节治疗变应性鼻炎具有确定的临床疗效,且2年内效果稳定。

Objective To observe the short-term and long-term efficacies of acupuncture at phenomaxillary ganglia in treating allergic rhinitis.Method The recruited subjects were intervened by acupuncture at phenomaxillary ganglia,once a week and 6 times as a treatment course.Visual Analogue Scale（VAS） was adopted to evaluate the general condition and nasal symptoms,and the Rhinoconjunctivitis Quality of Life Questionnaire（RQLQ） was used to estimate the quality of life（QOL）.The evaluations were performed before and after intervention,as well as 2 years after the intervention.Result The subjects all had significant improvements in the clinical symptoms after 6 sessions,and the VAS scores of the general conditional nasal symptoms and RQLQ score were significantly decreased（P〈0.01）;in the follow-up study conducted 2 years later,except for the scores of the non-nasal/eye symptoms,all symptoms scores were significantly lower compared to that before intervention（P〈0.05,P〈0.01）,and the results were insignificantly different from that after intervention（P〈0.05）.Conclusion Acupuncture at phenomaxillary ganglia is effective in treating allergic rhinitis,and the efficacy lasts stably within 2 years.