针灸对比氯雷他定对肺虚感寒型过敏性鼻炎患者生活质量的影响OA
The Effect of Acupuncture and Moxibustion on Quality of Life in Patients with Allergic Rhinitis of Lung Deficiency and Cold Type
目的:观察针灸联用对肺虚感寒型过敏性鼻炎患者生活质量的影响是否优于氯雷他定.方法:将59例肺虚感寒型过敏性鼻炎患者随机分为针灸组(29例,其中1例因工作脱落)和西药组(30例),针灸组给予针刺(头部:通天、囟会;面部:印堂、上迎香、迎香;上肢:尺泽、列缺、合谷)+隔姜灸(神阙),每周2次;西药组口服氯雷他定片,每晚1粒,均治疗4周.主要指标以鼻结膜炎生存质量量表(RQLQ)评价患者治疗前、治疗后、治疗后结束3个月随访的评分情况;次要指标以鼻部症状(TNSS)总评分、血清嗜酸性粒细胞总数评价患者治疗前、治疗后情况.结果:治疗前,两组各项RQLQ生活质量评分、TNSS总评分、血清嗜酸性粒细胞总数等指标差异均无统计学意义(P>0.05);治疗后及随访评分均较治疗前显著降低(P<0.05),针灸组在长期疗效上表现更优.在随访期,针灸组在"日常活动""实际问题""鼻部症状"及总分上均显著优于西药组(P<0.05).治疗后,两组患者TNSS总评分较治疗前均有下降(P<0.05),但TNSS总评分组间差异无统计学意义(P>0.05).两组患者血清嗜酸性粒细胞总数较治疗前均有下降,但治疗前后差异均无统计学意义(P>0.05),组间差异也无统计学意义(P>0.05).结论:针灸组、西药组对肺虚感寒型过敏性鼻炎患者的生活质量均有明显改善;其中治疗后针灸组更加全面改善了患者的生活质量,且日常活动版块较西药更佳;治疗后3个月随访时,针灸组疗效延续较西药更佳,尤其是在日常活动、实际问题、鼻部症状等板块.
Objective:To compare the effects of acupuncture with moxibustion and loratadine on the quality of life of patients with allergic rhinitis of lung deficiency and cold type.Methods:59 patients were randomly divided into an acupuncture group(29 cases,of which 1 case dropped out due to work)and a western medicine group(30 cases).In the acupuncture group,acupuncture(head:Tongtian BL7,Xinhui DU22;face:Yintang EX-HN3,Shangyingxiang EX-HN8,Yingxiang LI20;upper limbs:Chize LU5,Lieque LU7,Hegu LI4)+Shenque(RN8)ginger moxibustion twice a week.The western medicine group took loratadine tablets 1 qn orally.Both were treated for 4 weeks.Primary indicators:Patients'scores before,after and 3 months after treatment were evaluated with the Rhinoconjunctivitis Quality of Life Questionnaire(RQLQ);Secondary indicators were nasal symptom score(TNSS)and serum eosinophil count before and after treatment.Results:Before treatment,there was no significant difference between the two groups in RQLQ score,TNSS total score,serum eosinophil count and other indicators(P>0.05).After treatment and follow-up scores were significantly lower than those before treatment(P<0.05),and the acupuncture group performed better in the long-term efficacy.During the follow-up period,the acupuncture group was significantly better than the western medicine group in"daily activities","practical problems","nasal symptoms"and total scores(P<0.05).After treatment,the total scores of TNSS in the two groups were lower than those before treatment(P<0.05),but there was no significant difference in the total scores of TNSS between the two groups(P>0.05).The total number of serum eosinophils in the two groups was lower than that before treatment,but there was no significant difference before and after treatment(P>0.05),and there was no significant difference between the two groups(P>0.05).Conclusion:Both the acupuncture group and the western medicine group have significantly improved the quality of life of patients with allergic rhinitis of lung deficiency and cold type;among them,the acupuncture group has more comprehensively improved the quality of life of patients after treatment,and the daily activities section is better than that of western medicine;At the 3-month follow-up after treatment,the efficacy of the acupuncture group has continued to be better than that of western medicine,especially in the daily activities,practical problems,and nasal symptoms sections.For patients with allergic rhinitis of lung deficiency and cold type,the acupuncture group has better efficacy,whether it is treated immediately or the effect is continued after treatment.
及维明;陈泽雄
中山大学附属第一医院,广东 广州 510030中山大学附属第一医院,广东 广州 510030
医药卫生
过敏性鼻炎肺虚感寒针灸隔姜灸氯雷他定生活质量鼻结膜炎生存质量量表(RQLQ)嗜酸性粒细胞
allergic rhinitislung deficiency and cold typeacupunctureginger moxibustionloratadinequality of lifeRhinoconjunctivitis Quality of Life Questionnaire(RQLQ)eosinophils
《中医康复》 2026 (7)
46-50,5
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