腕踝针联合西药治疗儿童变应性鼻炎的临床观察

Clinical observation of wrist-ankle acupuncture combined with western medicine in treatment of allergic rhinitis in children

目的观察腕踝针联合西药治疗儿童变应性鼻炎的临床疗效。方法将100例变应性鼻炎患儿随机分为对照组和治疗组,每组50例。对照组根据指南予以西药治疗,治疗组在对照组治疗措施的基础上加用腕踝针。两组疗程均为4周,观察临床疗效和疾病复发率,比较临床症状和体征积分、血清免疫球蛋白E(IgE)水平的变化情况,同时进行安全性评价。结果(1)治疗组总有效率90.00%,对照组总有效率58.00%,治疗组临床疗效优于对照组(P<0.05)。(2)治疗前后组内比较,两组症状和体征积分、血清IgE水平均较治疗前降低(P<0.05);组间治疗后比较,治疗组症状和体征积分、血清IgE水平低于对照组(P<0.05)。(3)随访3个月,治疗组复发率为6.67%,明显低于对照组的27.59%(P<0.05)。(4)治疗期间,两组患儿安全性相关监测指标均未见异常,亦无明显不良反应发生。结论与单纯采用西药治疗相比,加用腕踝针治疗儿童变应性鼻炎疗效满意,能更好地改善患儿的临床症状,降低疾病复发率,且安全性良好。

Objective To observe the clinical efficacy of wrist-ankle acupuncture combined with western medicine on allergic rhinitis in children.Methods One hundred children with allergic rhinitis were randomly divided into the control group and treatment group,50 cases in each group.The control group was treated with western medicine according to the guidelines,and the treatment group was treated with wrist-ankle acupuncture based on the treatment for the control group.The course of treatment in both groups was 4 weeks.The clinical efficacy and the recurrence rate were observed,the clinical scores of symptoms and signs and the serum immunoglobulin E(IgE)level were compared,and the safety evaluation was performed.Results(1)The total effective rate of the treatment group was 90.00%,the that of the control group was 58.00%,the clinical efficacy of the treatment group was better than that of the control group(P<0.05).(2)Compared with those before treatment,the scores of symptoms and signs and the serum IgE level in both groups were decreased after treatment(P<0.05).After treatment,the scores of symptoms and signs and the serum IgE level in the treatment group were lower than those in the control group(P<0.05).(3)Followed up for 3 months,the recurrence rate of the treatment group was 6.67%,which significantly lower than that of the control group(27.59%)(P<0.05).(4)During the treatment,there were no abnormalities in the safety related indexes of children in both groups,and no obvious adverse reactions were found.Conclusion Compared with the treatment with western medicine alone,wrist-ankle acupuncture combined with western medicine shows good efficacy in the treatment of allergic rhinitis in children,which can better improve the clinical symptoms and reduce the recurrence rate,with good safety.