“邵氏五针法”为主对过敏性鼻炎-哮喘综合征单项症状体征疗效评价

Efficacy evaluation of single symptom and sign of allergic rhinitis-asthma treated mainly by‘SHAOs’method of Wuzhen’

目的:观察"邵氏五针法"为主对过敏性鼻炎-哮喘综合征单项症状体征的疗效。方法:采用随机对照方法将来自3个中心的210例患者随机分为试验组和对照组,每组105例。试验组采用"邵氏五针法"为主治疗,对照组取常规穴位治疗,均每日治疗1次,每周治疗6次,连续治疗4周。观察单项症状体征变化和鼻腔检查积分,比较两组临床疗效情况。结果:试验组临床总有效率显著高于对照组(98.02%vs 94.06%,P<0.01)。治疗后第1、2、3、4周,除治疗后第1周对照组哮鸣音积分外,两组10项症状积分较治疗前均降低(P<0.01)。治疗后第1周,试验组鼻塞、喘息、哮鸣音3项积分均低于对照组(P<0.05);治疗后第2周,试验组鼻塞、喘息、哮鸣音、喷嚏、鼻痒、咳痰6项积分均低于对照组(P<0.05);治疗后第3周,除胸膈满闷、气短2项积分外,其他8项积分比较,试验组均显著低于对照组(P<0.05);治疗后第4周,除胸膈满闷积分外,其他9项积分比较,试验组均低于对照组(P<0.05)。治疗4周后,两组鼻腔检查积分较治疗前均降低(P<0.01),且试验组改善差值优于对照组(P<0.01)。结论:"邵氏五针法"为主治疗对过敏性鼻炎-哮喘综合征单项症状体征改善明显,值得临床推广。

Objective:To observe the effects of’SHAOs’method of Wuzhen’on single symptom and sign of allergic rhinitis-asthma.Methods:A total of 210 patients from three centers were randomly divided into trial group and control group with 105 cases in each group.The trial group was treated mainly by’SHAOs’method of Wuzhen’;the control group was treated with conventional acupoints.Both groups were treated once a day,6 times a week for 4 weeks.The changes of single symptoms and signs and nasal examination scores were observed,and the clinical efficacy of the two groups was compared.Results:The total clinical effective rate of the trial group(98.02%)was significantly higher than that of the control group(94.06%)(P<0.01).After 1,2,3,4 weeks,the scores of 10 symptoms in the two groups were lower than those before treatment(P<0.01),except for wheezing rale score of the first week after treatment in the control group.At the first week after treatment,the scores of nasal congestion,wheezing and wheezing rale in trial group were lower than those in the control group(P<0.05).At the 2 nd week after treatment,the scores of nasal congestion,wheezing,wheezing rale,sneezing,nasal itching and expectoration in trial group were significantly lower than those in the control group(P<0.05);At the 3 rd week after treatment,there was no significant difference in chest and diaphragm full of stuffy,short breath between the two groups,but the other 8 items of scores in the trial group were lower than those in the control group(P<0.05);At the 4 th week after treatment,there was no significant difference in chest and diaphragm full of stuffy between the two groups,but the other nine items of scores in the trial group were lower than those in the control group(P<0.05).After 4 weeks of treatment,the nasal examination scores in the two groups were lower than those before treatment(P<0.01),and the scores in the trial group were lower than those in the control group(P<0.01).Conclusion:’SHAOs’method of Wuzhen’is effective in the treatment of allergic rhinitis-asthma single syndrome.