穴位贴敷联合中药敷鼻治疗儿童过敏性鼻炎的临床观察及对患儿免疫球蛋白A、免疫球蛋白E的影响

目的观察基于口服地氯雷他定干混悬剂、抗生素抗感染等常规西医治疗,辅助穴位贴敷联合中药敷鼻对儿童过敏性鼻炎患儿血清免疫球蛋白A(IgA)、免疫球蛋白E(IgE)的影响,探索儿童过敏性鼻炎的中医药治疗方案。方法以随机数字表法将2021年7月至2023年6月柳州市妇幼保健院收治的60例过敏性鼻炎患儿分为对照组(30例,给予口服地氯雷他定干混悬剂,合并细菌感染时加口服抗生素治疗)、观察组(30例,在对照组治疗的基础上予穴位贴敷、中药敷鼻治疗)。1周为1个疗程,两组患儿均治疗2个疗程。比较两组患儿临床疗效,治疗前后症状积分及血清IgA、IgE水平。结果对照组与观察组总有效率对比[66.69%(20/30)对比90.00%(27/30)],后者更高;与治疗前比,治疗后两组各项中医证候评分及血清IgE水平均降低,血清IgA均升高,且观察组上述中医证候积分及免疫球单表指标变化幅度均大于对照组(均P<0.05)。结论针对儿童过敏性鼻炎的治疗,在口服地氯雷他定干混悬剂、抗生素抗感染等常规西医治疗的基础上,辅助穴位贴敷联合中药敷鼻可缓解患儿症状,提高血清IgA,降低血清IgE,临床效果显著提升。

External Application of Chinese Medicine following Tapping Using a Plum-blossom Needle for Allergic Rhinitis

Objective： To observe the clinical efficacy of external application of Chinese medicine following tapping using a plum-blossom needle for allergic rhinitis. Methods： All 328 cases were randomized into an observation group of 206 cases, Chinese medicine group of 70 cases and point application group of 52 cases. Results： The differences between the observation and Chinese medicine groups （P〈0.01） and between the observation and point application group （P〈0.05） were both of statistical meaning. The cases in the observation obtained the best effect, the point application group obtained a moderate effect and the Chinese medicine group obtained the least effect. A younger age and an increased number of treatments contributed to a better effect. Conclusion： External application of Chinese medicine following tapping using a plum-blossom needle is safe and effective for allergic rhinitis.