西药联合针刺董氏奇穴及玉屏风散治疗肺气虚寒证过敏性鼻炎的临床效果

Clinical Effect of Western Medicine Combined with Acupuncture at Dong's Acupoint and Yupingfeng Powder in Treatment of Allergic Rhinitis with Lung Qi Deficiency Cold Syndrome

目的 研究西药联合针刺董氏奇穴及玉屏风散治疗肺气虚寒证过敏性鼻炎的临床效果。方法 选取2022年1月—2022年12月本院收治的47例肺气虚寒证过敏性鼻炎患者为研究对象,随机分为对照组(23例)与研究组(24例),对照组使用常规西药治疗,研究组在此基础上采用针刺董氏奇穴联合玉屏风散治疗,1个疗程后比较两组患者的治疗总有效率、临床症状、生活质量、不良反应,随访半年比较两组患者的复发率。结果 研究组治疗总有效率高于对照组,组间差异有统计学意义(P<0.05);研究组患者的鼻部主要症状评估、鼻炎生活质量评分显著低于对照组,组间差异有统计学意义(P<0.05);两组的不良反应发生率差异无统计学意义(P>0.05);研究组复发率显著低于对照组,组间差异有统计学意义(P<0.05)。结论 西药联合针刺董氏奇穴及玉屏风散治疗肺气虚寒证过敏性鼻炎,有利于改善临床症状,提高治疗总有效率,提高生活质量,降低复发率,并且不会增加不良反应,具有较好的临床治疗效果。

Objective To study clinical effect of Western medicine combined with acupuncture at Dong's acupoint and Yupingfeng powder in treatment of allergic rhinitis with lung qi deficiency cold syndrome.Methods The paper chose 47 patients with allergic rhinitis of lung qi deficiency cold syndrome admitted to our hospital from January 2022 to December 2022,and divided them into control group(23 cases) and study group(24 cases) randomly.Control group was treated with routine Western medicine treatment,while study group with acupuncture at Dong's acupoint combined with Yupingfeng powder treatment.After one course of treatment,total effective rate,clinical symptoms,life quality,and adverse reactions were compared between two groups,recurrence rate was compared after followup of six months between two groups.Results Total effective rate of study group was 95.83%(23/24),significantly higher than 73.91%(17/23) of control group,(P< 0.05).Main nasal symptom assessment(TNSS) of control group was(3.71±0.35) points,rhinitis life quality scores(RQLQ) were(36.15±3.32) points,those in study group were(3.12±0.29) points and(28.64±2.59) points respectively,significantly lower than control group(P< 0.05).There was no statistically significant difference in incidence of adverse reactions between two groups(P> 0.05).Recurrence rate of patients in control group was 34.78%(8/23),significantly higher than 8.33%(2/24) in study group,(P<0.05).Conclusion Combination of Western medicine and acupuncture at Dong's acupoint and Yupingfeng powder is beneficial for allergic rhinitis with lung qi deficiency cold syndrome,can improve clinical symptoms and overall effective rate,life quality,reduce recurrence rate,without increasing adverse reactions,which has a good clinical treatment effect.