中医特色预防调养干预过敏性鼻炎的疗效观察

Clinical Efficacy Observation of Prevention and Recuperation with Traditional Chinese Medicine Characteristics in Treating Allergic Rhinitis

目的观察中药内服配合中医特色预防调养治疗过敏性鼻炎的临床疗效。方法将符合诊断标准的过敏性鼻炎(肺脾阳虚证)患者90例随机分为研究组及对照组各45例。研究组给予中药内服结合中医特色预防调养法治疗,对照组给予中药内服治疗。分别于治疗前、治疗2周、治疗4周观察、记录并评价两组患者的临床疗效。结果治疗2周后总有效率研究组88.89%,对照组84.44%,差异无统计学意义(P>0.05)。治疗4周后总有效率研究组93.33%,高于对照组的77.78%(P<0.05)。治疗2周后及治疗4周后两组的鼻部主要症状积分及体征积分、sIgE水平均有不同程度的改善。治疗2周后,两组患者症状及体征、sIgE水平比较,差异无统计学意义(P>0.05);治疗4周后,研究组各项症状及体征改善情况、sIgE水平的变化均优于对照组(P<0.05)。结论中药内服结合中医特色预防调养法治疗过敏性鼻炎优于单纯中药内服法,中医特色预防调养法在治疗后期能起到降低病情复发的作用。

Objective:To observe the clinical efficacy of oral Chinese materia medica combined with traditional Chinese medicine characteristics to prevent and recuperate allergic rhinitis.Methods:A total of 90 patients with allergic rhinitis(deficiency of lung and spleen yang syndrome)were randomly divided into the study group and control group,45 cases in each group.The study group was treated with oral Chinese materia medica combined with traditional Chinese medicine characteristics for prevention and recuperation;the control group was treated with oral Chinese materia medica only.The clinical efficacies of the two groups were observed,recorded and evaluated at 0,2 and 4 weeks respectively.Results:After 2 weeks of treatment,the total effective rate was 88.89% in the study group,84.44% in the control group,there was no significant difference between two groups(P>0.05).After 4 weeks,the total effective rate was 93.33% in the study group,which was higher than 77.78% in the control group(P<0.05).After 2 and 4 weeks,the scores of major nasal symptoms and signs,and sIgE levels were improved to varying degrees in the two groups.After 2 weeks there was no statistically significant difference in symptoms and signs and sIgE levels between the two groups(P>0.05);after 4 weeks,the improvement in symptoms and signs and the changes in sIgE levels in the study group were better than those of the control Group(P<0.05).Conclusion:The treatment efficacy of oral Chinese materia medica combined with traditional Chinese medicine prevention and recuperation method is better than that of oral Chinese medicine only,and also could reduce the recurrence of the disease in the later stage of treatment.