雷火灸联合针刺治疗虚证型变应性鼻炎的疗效观察

Observation on Effect of Thunder-Fire Moxibustion Combined with Acupuncture for Allergic Rhinitis of Deficiency Syndrome

【目的】观察雷火灸联合针刺治疗虚证型变应性鼻炎的临床疗效。【方法】将90例虚证型变应性鼻炎患者随机分为雷针组、雷火灸组与针刺组,每组各30例。针刺组给予针刺治疗,雷火灸组给予雷火灸治疗,雷针组给予雷火灸联合针刺治疗。1周为1个疗程,均治疗3个疗程。治疗3周后,评价3组的临床疗效,观察3组患者治疗前后鼻部症状总评分(TNSS)及鼻结膜炎生活质量调查问卷(RQLQ)评分的变化情况。【结果】(1)研究过程中,雷针组失访5例,雷火灸组失访5例,针刺组失访3例,最终雷针组25例、雷火灸组25例、针刺组27例纳入疗效统计。(2)治疗后,3组患者的TNSS评分均明显改善(P<0.05),且雷针组在改善TNSS评分方面明显优于雷火灸组与针刺组,差异均有统计学意义(P<0.05)。(3)治疗后,3组患者的RQLQ评分均明显改善(P<0.05),且雷针组在改善RQLQ评分方面明显优于雷火灸组与针刺组,差异均有统计学意义(P<0.05)。(4)雷针组总有效率为92.00%(23/25),雷火灸组总有效率为84.00%(21/25),针刺组为85.19%(23/27)。雷针组疗效优于雷火灸组与针刺组,差异均有统计学意义(P<0.05)。【结论】雷火灸联合针刺治疗虚证型变应性鼻炎能够有效地缓解患者鼻部的过敏症状,从而提高患者的生活质量,疗效显著。

Objective To observe the clinical effect of thunder-fire moxibustion combined with acupuncture in treating allergic rhinitis of deficiency syndrome. Methods Ninety cases of allergic rhinitis of deficiency syndrome were randomly divided into the thunder fire moxibustion combined acupuncture group, the thunder-fire moxibustion group and the acupuncture group, 30 cases in each group. The acupuncture group was given acupuncture treatment,the thunder-fire moxibustion group was given thunder-fire moxibustion treatment,and the thunder-fire moxibustion combined acupuncture group was given thunder-fire moxibustion combined with acupuncture. One week as one course of treatment and lasted for three courses of treatment. After 3 weeks of treatment, the clinical efficacy of the 3 groups was evaluated, and the changes of total nasal symptom scores(TNSS)and rhinitis related quality of life questionnaire(RQLQ)scores were observed before and after treatment.Results(1) During the trial, 5 cases were lost to follow-up in the thunder-fire moxibustion combined acupuncture group,5 cases in the thunder-fire moxibustion group and 3 cases in the acupuncture group. Finally,25 cases in the thunder-fire moxibustion combined acupuncture group,25 cases in the thunder-fire moxibustion group and 27 cases in the acupuncture group were included in the therapeutic effect statistics.(2)After treatment,TNSS of all 3 groups were significantly improved(P < 0.05), and the thunder-fire moxibustion combined acupuncture group was significantly superior to the thunder-fire moxibustion group and acupuncture group in improving TNSS,the difference being statistically significant(P < 0.05).(3)After treatment,the RQLQ scores of the 3 groups were significantly improved(P < 0.05),and the improvement of RQLQ scores in the thunder-fire moxibustion combined acupuncture group was significantly superior to that in the thunder-fire moxibustion group and the acupuncture group,the differences were statistically significant(P < 0.05).(4)The total effective rate was92.00%(23/25)in the thunder-fire moxibustion combined acupuncture group,84.00%(21/25)in the thunderfire moxibustion group,and 85.19%(23/27)in the acupuncture group. The effect of the thunder-fire moxibustion combined with acupuncture group was superior to that of the thunder-fire moxibustion group and acupuncture group,and the difference was statistically significant(P < 0.05). Conclusion Thunder-fire moxibustion combined with acupuncture in treating allergic rhinitis of deficiency syndrome can effectively relieve the nasal allergy symptoms,so as to improve the quality of life of patients with significant curative effect.