穴位埋线联合枸地氯雷他定片治疗肺脾气虚型变应性鼻炎的效果

The effect of acupoint catgut embedding combined with Desloratadine Citrate Disodium Tablets in the treatment of allergic rhinitis with syndrome of qi deficiency of lung and spleen

目的观察穴位埋线联合枸地氯雷他定片治疗肺脾气虚型变应性鼻炎的临床效果。方法回顾性分析2016年4月～2017年3月浙江省温岭市中医院确诊的214例肺脾气虚型变应性鼻炎病例的临床资料,按就诊时间顺序将患者分成两组,对照组(2016年4～9月)106例口服枸地氯雷他定片治疗,治疗组(2016年10月～2017年3月)108例在此基础上加用穴位埋线法治疗,共治疗1个月。疗程结束后,采用视觉模拟评分(VAS)、鼻炎体征分级评分及治疗期间的不良反应情况来综合评价两组的临床疗效。结果治疗前,两组患者VAS评分和鼻炎体征评分比较差异无统计学意义(P>0.05)。治疗后,两组VAS评分和鼻炎体征评分均较本组治疗前明显下降(P<0.01),且治疗组上述评分均明显低于对照组(P<0.05)。两组患者治疗期间均未出现明显的不良反应。结论穴位埋线联合枸地氯雷他定片能明显改善变应性鼻炎患者的临床症状,提高其生活质量,具有较好的疗效,值得临床推广。

Objective To observe the clinical effect of acupoint catgut embedding combined with Desloratadine Citrate Disodium Tablets in the treatment of allergic rhinitis with syndrome of qi deficiency of lung and spleen. Methods The clinical data of 214 allergic rhinitis patients with syndrome of qi deficiency of lung and spleen diagnosed in Wenling Hospital of Traditional Chinese Medicine from April 2016 to March 2017 was analyzed retrospectively, and the patients were divided into two groups according to the registration order; 106 cases（from April to September 2016） in the control group were treated with oral administration of Desloratadine Citrate Disodium Tablets, on basis of which, 108 cases（from October 2016 to March 2017） in the treatment group were treated with acupoint catgut embedding. The two groups were treated for 1 month. After treatment, the visual analogue scale（VAS）, grading of rhinitis signs and adverse reactions during the treatment period were used to comprehensively evaluate the clinical efficacy of the two groups.Results Before treatment, there were no statistically significant differences of the scores of VAS and the grading of rhinitis signs between the two groups（P〈0.05）. After treatment, the scores of VAS and the grading of rhinitis signs in the two groups were significantly lower than those before treatment（P〈0.01）. The scores above of the treatment group were significantly lower than those of the control group（P〈0.05）. There were no obvious adverse reactions in the two groups during the treatment. Conclusion Acupoint catgut embedding therapy combined with Desloratadine Citrate Disodium Tablets can significantly improve the clinical symptoms and quality of life of patients with allergic rhinitis, which has good clinical efficacy, and it is worthy of clinical promotion.