以浅刺法为对照的感传手法治疗变应性鼻炎的即刻疗效

Real-time Therapeutic Efficacy of Sensation-transmission Manipulation in Treatment of Allergic Rhinitis Taking Superficial Needling as Control

目的观察不同针刺手法(感传针刺手法、浅刺手法)治疗变应性鼻炎(AR)的即刻疗效。方法 96例AR患者随机分为感传组48例,浅刺组48例。治疗前后采用变应性鼻炎症状体征量表、变应性鼻炎视觉模拟量表(VAS)进行评分。结果感传组总有效率为52.1%,优于浅刺组的33.3%(X^2=1.725,P=0.049)。两组治疗后临床症状评分均较治疗前降低(P <0.05)。两组治疗前后临床症状评分差值比较,差异无统计学意义(Z=﹣1.780,P=0.075)。两组治疗后临床体征评分均较治疗前降低(P<0.05);两组治疗前后临床体征评分差值比较,差异有统计学意义(Z=﹣2.345,P=0.019)。两组治疗后鼻炎症状VAS总体评分均较治疗前降低(P<0.05),感传组治疗前后VAS总体评分差值大于浅刺组(Z=﹣2.708,P=0.007)。两组鼻塞症状VAS评分较治疗前降低(P<0.05),感传组治疗前后VAS鼻塞症状评分差值大于浅刺组,(Z=﹣2.032,P=0.042);两组喷嚏、流涕、鼻痒、眼痒、流泪VAS评分均较治疗前降低(P<0.05),两组治疗前后喷嚏、流涕、鼻痒、眼痒、流泪VAS评分差值比较,差异无统计学意义(P>0.05)。结论感传针刺手法在缓解AR临床症状体征优于浅刺手法。

Objective To observe the real-time therapeutic efficacy of different needling manipulations(sensationtransmission needling manipulation and superficial needling manipulation) in treatment of allergic rhinitis(AR). Method Ninety-six AR patients were randomized into a sensation-transmission group of 48 cases and a superficial needling group of 48 cases. They were scored using the symptom and sign scale and Visual Analogue Scale(VAS) for AS before and after treatment. Result The total effective rate was 52.1% in the sensation-transmission group, better than 33.3% in the superficial needling group(X^2=1.725, P=0.049). The clinical symptom score declined after treatment in both groups(P<0.05). There was no significant difference comparing the post-treatment change of the clinical symptom score between the two groups(Z=﹣1.780, P=0.075). The clinical sign score declined after treatment in both groups(P<0.05). There was significant difference comparing the post-treatment change of the clinical sign score between the two groups(Z=﹣2.345, P=0.019). The total rhinitis symptom VAS score dropped after treatment in the two groups(P<0.05), and the post-treatment change of total VAS score in the sensation-transmission group was more significant than that in the superficial needling group(Z=﹣2.708, P=0.007). The VAS score of stuffy nose declined after treatment in both groups(P<0.05), and the post-treatment change of the VAS score of stuffy nose was more significant in the sensation-transmission group than in the superficial needling group(Z=﹣2.032, P=0.042). The VAS scores of sneezing, runny nose, itching nose, itching eyes and tears declined after treatment in both groups(P<0.05), and there were no significant differences comparing the post-treatment changes of the VAS scores of sneezing, runny nose, itching nose, itching eyes and tears between the two groups(P>0.05). Conclusion Sensation-transmission needling manipulation is superior to superficial needling manipulation in releasing AR clinical symptoms and signs.