Objective:To observe the clinical effect of acupuncture plus acupoint injection and laser radiation on the nasal cavity for allergic rhinitis.Methods:Ninety patients with allergic rhinitis were randomly divided into a...Objective:To observe the clinical effect of acupuncture plus acupoint injection and laser radiation on the nasal cavity for allergic rhinitis.Methods:Ninety patients with allergic rhinitis were randomly divided into a treatment group and a control group,45 cases in each group.The treatment group was treated by acupuncture,acupoint injection method and He-Ne laser radiation on the nasal cavity.The control group was treated by Triamcinolone Acetonide nasal spray.The clinical effects were assessed after two courses of treatment.Results:The clinical curative rate was 88.9%and the total effective rate was 100.0%in the treatment group,versus 57.8%and 80.0%in the control group.The clinical curative rate and total effective rate were remarkably higher in the treatment group than those in the control group(P<0.05).In comparison of the therapeutic effects in the different courses between the two groups,the curative rates in the one course and two courses were higher in the treatment group than those in the control group(P<0.05).In the follow-up visit of the cured patients of the two groups for half a year,the recurrence rate was 2.5%in the treatment group versus 34.6%in the control group,with a statistical difference between the two groups(P<0.01).Conclusion:Acupuncture plus acupoint injection and laser radiation on the nasal cavity for allergic rhinitis has better clinical effect and long-term effect,and can obviously shorten the course,enhance the clinical effect and reduce the recurrence rate.展开更多
目的观察温针灸配合药物治疗过敏性鼻炎-哮喘综合征(combined allergic rhinitis and asthma syndromes,CARAS)的临床疗效及其对血清T细胞免疫球蛋白域黏蛋白域蛋白-1(T-cell immunoglobulin and mucin domain 1,Tim-1)和E-选择素(E-sel...目的观察温针灸配合药物治疗过敏性鼻炎-哮喘综合征(combined allergic rhinitis and asthma syndromes,CARAS)的临床疗效及其对血清T细胞免疫球蛋白域黏蛋白域蛋白-1(T-cell immunoglobulin and mucin domain 1,Tim-1)和E-选择素(E-selectin)水平的影响。方法将70例CARAS患者随机分为治疗组和对照组,每组35例。对照组采用常规药物治疗,治疗组在对照组基础上采用温针灸治疗。观察两组治疗前后鼻部症状总评分(total nasal symptom score,TNSS)、哮喘控制测试(asthma control test,ACT)评分、鼻腔生理功能指标(鼻腔黏液纤毛传输时间和清除速度)、肺功能指标[1秒用力呼气量(forced expiratory volume in one second,FEV1)和最大呼气量(peak expiratory flow,PEF)]及血清Tim-1和E-selection水平的变化,比较两组临床疗效。结果治疗组总有效率为97.0%,明显高于对照组的75.0%(P<0.05)。两组治疗后TNSS评分及血清Tim-1和E-selection水平均较显著下降,鼻腔黏液纤毛传输时间均显著缩短,ACT评分、鼻腔黏液纤毛清除速度及肺功能指标均显著上升,差异均具有统计学意义(P<0.05)。治疗组治疗后TNSS和ACT评分、鼻腔生理功能的指标、肺功能指标及血清Tim-1和E-selection水平均优于对照组,差异均具有统计学意义(P<0.05)。结论温针灸配合药物治疗CARAS可缓解鼻炎症状,控制哮喘,改善鼻腔生理功能和肺功能,疗效优于单纯药物治疗,这可能与其降低血清Tim-1和E-selection水平有关。展开更多
基金the support of Taihe Hospital Affiliated to Hubei Medical College
文摘Objective:To observe the clinical effect of acupuncture plus acupoint injection and laser radiation on the nasal cavity for allergic rhinitis.Methods:Ninety patients with allergic rhinitis were randomly divided into a treatment group and a control group,45 cases in each group.The treatment group was treated by acupuncture,acupoint injection method and He-Ne laser radiation on the nasal cavity.The control group was treated by Triamcinolone Acetonide nasal spray.The clinical effects were assessed after two courses of treatment.Results:The clinical curative rate was 88.9%and the total effective rate was 100.0%in the treatment group,versus 57.8%and 80.0%in the control group.The clinical curative rate and total effective rate were remarkably higher in the treatment group than those in the control group(P<0.05).In comparison of the therapeutic effects in the different courses between the two groups,the curative rates in the one course and two courses were higher in the treatment group than those in the control group(P<0.05).In the follow-up visit of the cured patients of the two groups for half a year,the recurrence rate was 2.5%in the treatment group versus 34.6%in the control group,with a statistical difference between the two groups(P<0.01).Conclusion:Acupuncture plus acupoint injection and laser radiation on the nasal cavity for allergic rhinitis has better clinical effect and long-term effect,and can obviously shorten the course,enhance the clinical effect and reduce the recurrence rate.
文摘目的观察温针灸配合药物治疗过敏性鼻炎-哮喘综合征(combined allergic rhinitis and asthma syndromes,CARAS)的临床疗效及其对血清T细胞免疫球蛋白域黏蛋白域蛋白-1(T-cell immunoglobulin and mucin domain 1,Tim-1)和E-选择素(E-selectin)水平的影响。方法将70例CARAS患者随机分为治疗组和对照组,每组35例。对照组采用常规药物治疗,治疗组在对照组基础上采用温针灸治疗。观察两组治疗前后鼻部症状总评分(total nasal symptom score,TNSS)、哮喘控制测试(asthma control test,ACT)评分、鼻腔生理功能指标(鼻腔黏液纤毛传输时间和清除速度)、肺功能指标[1秒用力呼气量(forced expiratory volume in one second,FEV1)和最大呼气量(peak expiratory flow,PEF)]及血清Tim-1和E-selection水平的变化,比较两组临床疗效。结果治疗组总有效率为97.0%,明显高于对照组的75.0%(P<0.05)。两组治疗后TNSS评分及血清Tim-1和E-selection水平均较显著下降,鼻腔黏液纤毛传输时间均显著缩短,ACT评分、鼻腔黏液纤毛清除速度及肺功能指标均显著上升,差异均具有统计学意义(P<0.05)。治疗组治疗后TNSS和ACT评分、鼻腔生理功能的指标、肺功能指标及血清Tim-1和E-selection水平均优于对照组,差异均具有统计学意义(P<0.05)。结论温针灸配合药物治疗CARAS可缓解鼻炎症状,控制哮喘,改善鼻腔生理功能和肺功能,疗效优于单纯药物治疗,这可能与其降低血清Tim-1和E-selection水平有关。
