针灸结合隔姜灸印堂穴治疗过敏性鼻炎肺气虚寒证的临床效果

Clinical effect of acupuncture combined with ginger moxibustion on Yìntáng to treat allergic rhinitis with syndrome of deficient cold of lung qi

目的观察针灸结合隔姜灸印堂穴治疗过敏性鼻炎肺气虚寒证的临床效果,探讨其可行性和有效性。方法选取2017年1月~2018年1月上海市闵行区中西医结合医院针灸科门诊收治的过敏性鼻炎患者72例,并采用隐蔽分组法将其随机分为治疗组(n=36)和对照组(n=36)。治疗组采用针灸结合隔姜灸印堂穴,20 min/次,3次/周;对照组采用常规西药治疗。观察两组治疗3周后鼻部症状评分(TNSS)的变化。结果治疗前,两组TNSS评分比较,差异无统计学意义(P> 0.05)。治疗1、2周后,两组TNSS评分均低于治疗前,差异有统计学意义(P <0.05),但两组间差异无统计学意义(P> 0.05)。治疗3周后,两组TNSS评分均低于治疗前,差异有统计学意义(P <0.05),且治疗组低于对照组,差异有统计学意义(P <0.05)。治疗3周后,治疗组总有效率为88.92%,对照组总有效率为77.83%;两组总有效率比较,差异无统计学意义(P> 0.05)。结论针灸结合隔姜灸印堂穴治疗过敏性鼻炎肺气虚寒证的效果肯定,且优于西药治疗,无副作用,值得临床上推广。

Objective To observe the clinical effect of acupuncture combined with ginger moxibustion on Yìntáng to treat allergic rhinitis with syndrome of deficient cold of lung qi, and to explore its feasibility and effectiveness. Methods From January 2017 to January 2018, 72 patients with allergic rhinitis admitted to the acupuncture department of Integrative Medicine Hospital of Minhang District in Shanghai from January 2017 to January 2018 were randomly divided into the treatment group(n = 36) and the control group(n = 36) by the method of allocation concealment. The treatment group used acupuncture combined with ginger moxibustion on Yìntáng, 20 min/time, 3 times/week, and the control group was treated with conventional Western medicine. Changes in nasal symptom scores(TNSS) were observed after 3 weeks of treatment in both groups. Results Before treatment, there was no significant difference in TNSS score between the two groups(P > 0.05). After 1 and 2 weeks of treatment, the TNSS scores of the two groups were lower than those before treatment, and the differences were statistically significant(P < 0.05), but the difference between the two groups was not statistically significant(P > 0.05). After 3 weeks of treatment, the TNSS scores of the two groups were lower than before treatment, the differences were statistically significant(P < 0.05), and the treatment group was lower than the control group, the difference was statistically significant(P < 0.05). After 3 weeks of treatment, the total effective rate was 88.92% in the treatment group and 77.83% in the control group. There was no significant difference in the total effective rate between the two groups(P > 0.05). Conclusion Acupuncture combined with ginger on Yìntáng is effective in treating allergic rhinitis with syndrome of deficient cold of lung qi, and it is superior to Western medicine treatment. It has no side effects and is worthy of clinical promotion.