邵氏“五针法”为主治疗过敏性鼻炎-哮喘综合征临床研究

Clinical Research on SHAO's Five Needling as the Main Method in Treating for Allergic Rhinitis and Asthma Syndrome

目的:观察邵氏"五针法"为主治疗过敏性鼻炎-哮喘综合征的临床疗效。方法:60例过敏性鼻炎-哮喘综合征患者,按就诊顺序随机分为观察组30例和对照组30例。观察组给予邵氏"五针法"为主治疗;对照组给予常规针刺治疗。两组患者均每日治疗1次,每周6次,共治疗4周,患者在治疗结束后的第1个月、第2个月及第3个月的时间各随访1次。结果:本次研究共完成56例病例,观察组28例,临床控制16例(57.1%),显效11例(39.3%),有效1例(3.6%);对照组28例,临床控制10例(35.7%),显效10例(35.7%),有效8例(28.6%),两组比较,差异有统计学意义(P<0.05)。在症状总分方面,两组治疗前后自身比较,差异具有统计学意义(P<0.05);组间比较,差异具有统计学意义(P<0.05)。两组治疗前后鼻黏膜情况、第1秒用力呼气量%、呼气峰流速值%及外周血嗜酸性粒细胞计数自身比较,有显著性差异(P<0.05);组间比较,有显著性差异(P<0.05)。观察组3次随访与末次治疗后症状体征总分比较,均无显著性差异(P>0.05);对照组治疗后第1次随访与末次治疗症状体征总分比较,无显著性差异(P>0.05);但两组间第2次、第3次随访与末次治疗症状体征总分比较,有显著性差异(P<0.05)。结论:邵氏"五针法"能够显著改善过敏性鼻炎-哮喘综合征患者临床症状体征,改善患者肺功能和鼻黏膜情况,降低患者外周血嗜酸性粒细胞计数。

Objective：To observe the clinical curative effect of Shao＇s five needling as the main method in treating allergic rhinitis and asthma syndrome. Methods ：60 patients with allergic rhinitis and asthma syndrome were randomly divided into the observation group （n = 30） and the control group （n = 30）. The observation group was treated with Shao＇s five needling as the main method, and the control group was given conventional acupuncture treatment. Two groups of patients were treated I time a day, a total of 6 times a week for a total of 4 weeks, the patients were followed up at the end of treatment in month 1, month 2, month 3. Results ： This study completed a total of 56 cases,28 cases in the observation group, 16 cases of clinical control （57.1% ） , 11 cases were markedly improved （ 39.3% ） , effectiveness in 1 case （ 3.6% ） ; the control group of 28 cases, 10 eases of clinical control （35.7%） ,10 cases were markedly improved （35.7%）,effectiveness in 8 cases （28.6%）,and the difference of the two groups was statistically significant （P 〈 0.05 ）. In the total score of symptoms, the two groups before and after treatment of their own com- parison, the difference was statistically significant （P 〈 0.05） ; comparison between groups, the difference was statistically signifi- cant （P 〈0.05）. Comparison of nasal mucosa,FE^1% ,PEF% and peripheral blood eosinophil count in the two groups before and after treatment, there was significant difference （P 〈 O. 05） ;comparison between groups, there was significant difference （P 〈 0.05）. There was no significant difference between 3 times follow-up and after the last treatment in symptoms and signs scores of the observation group （ P 〉 0.05） ; after treatment, the first follow-up and final treatment in symptoms and signs scores of the con- trol group had no significant difference （P 〉 0.05） ; but comparison follow-up in month 2,3 and the last treatment in the symptoms signs score of the two groups showed that there were significant differences （P 〈 0.05）. Conclusion：Shao＇s five needling can sig- nificantly improve clinical symptoms of the allergic rhinitis and asthma syndrome in patients, improve lung function and nasal mu- cosa of patients, reduce patient peripheral blood eosinophil count.