针刺蝶腭神经节联合阿托品肌注治疗慢性鼻炎的临床研究

Clinical Research of Electro-acupuncture on Sphenopalatine Ganglion Combined Intramuscular Atropine on Chronic Rhinitis

目的:对针刺蝶腭神经节联合阿托品肌注治疗慢性鼻炎、改善鼻塞症状效果进行临床分析,初步探讨其发生机制。方法:临床筛选78例慢性鼻炎患者,在阿托品肌肉注射后以电针刺激蝶腭神经节20 min,分别于治疗后即刻与治疗后2周对疗效进行主客观评估,并对治疗前后上述指标的变化进行分别比较。结果:多数患者治疗后鼻塞症状缓解明显,其中治疗后即刻缓解率为96.2%(75/78),治疗后2周则为89.7%(70/78),差异有统计学意义(P<0.05)。结论:针刺蝶腭神经节联合阿托品肌注对慢性鼻炎患者疗效显著,可很好地缓解鼻塞,可能机制为:针刺主要兴奋鼻腔交感神经,肌注阿托品则抑制了鼻腔副交感神经兴奋,二者协同作用改善了鼻塞状况。

Objective：To analyze the clinical curative effect of electro-acupuncture on sphenopalatine ganglion combined intramuscular Atropine on chronic rhinitis,and to discuss the possible mechanism.Method：78 patients with chronic rhinitis were clinically screened and treated by electro-acupuncture on sphenopalatine ganglion lasted 20 minutes,after intramuscular Atropine.Subjective and objective evaluation were used to assess the curative effect respectively after treatment immediately and after 2 weeks of treatment,and the changes of above indexes before and after treatment were compared.Result：Most of the patients＇ nasal obstruction reduced significantly,the remission rate of after treatment immediately was 96.2%（75/78）,and it was 89.7%（70/78） after 2 weeks of treatment,the difference was statistically significant（P〈0.05）.Conclusion：Acupuncture on sphenopalatine ganglion after intramuscular Atropine has significant efficacy,it can significantly relieve the nasal obstruction on chronic rhinitis;the probably mechanism of this therapy is electro-acupuncture on sphenopalatine ganglion excites sympathetic nerve,while intramuscular Atropine inhibit the parasympathetic nerve,and the synergistic effect relieve nasal congestion on chronic rhinitis.