摘要
目的观察透灸治疗肺气虚寒型持续性变应性鼻炎的远期疗效。方法选取2017年11月—2018年11月期间,河南中医药大学第一附属医院收治的50例肺气虚寒型持续性变应性鼻炎患者作为调研内容,将其分为常规组与观察组,常规组患者单用孟鲁司特钠咀嚼片口服,在常规组的基础上,观察组患者加用透灸治疗,比较两组患者治疗总有效率、临床症状评分、VAS困扰程度、RQLQ鼻眼结膜生活质量评分、血清总Ig E与IL-4水平、睡眠质量、复发情况。结果相比于常规组患者80%的治疗有效率,观察组患者96%的治疗有效率,治疗效果更为显著(P<0.05);治疗前,两组鼻塞、鼻痒、喷嚏以及清水涕并没明显差异(P>0.05),治疗后,观察组鼻塞、鼻痒、喷嚏以及清水涕评分均比常规组低(P<0.05);治疗前,两组VAS困扰程度无明显差异(P>0.05),治疗后,两组VAS疼痛评分有明显差异,且观察组VAS困扰程度明显低于常规组(P<0.05);治疗前,两组生活质量评分无明显差异(P>0.05),治疗后,两组患者RQLQ鼻眼结膜生活质量评分有明显差异,且观察组患者生活质量遭受的影响明显低于常规组患者(P<0.05);治疗前,两组血清总Ig E、IL-4水平无明显差异(P>0.05),治疗后,两组血清总IgE、IL-4水平有明显差异,且观察组总Ig E、IL-4水平低于常规组(P<0.05);两组患者睡眠质量有明显差异,且观察组患者睡眠时间、睡眠障碍、入睡时间、睡眠效率、安眠药物、睡眠质量、日间功能均明显低于常规组患者(P<0.05);两组患者复发率有明显差异,且观察组患者低于常规组患者(P<0.05)。结论将透灸应用到肺气虚寒型持续性变应性鼻炎患者治疗中,能够取得较好的近期疗效与远期疗效,其效果显著,可以考虑积极推广。
Objective To observe the long-term effect of penetrating moxibustion on persistent allergic rhinitis with lung Qi deficiency and cold syndrome.Methods From November 2017 to November 2018,50 patients with persistent allergic rhinitis with lung Qi deficiency and cold syndrome admitted to the First Affiliated Hospital of Henan University of Traditional Chinese Medicine were selectedanddivided into the conventional group and the observation group.The patients in the conventional group orally took montelukast sodium chewable tablets.On the basis of the conventional group,those in the observation group were treated with penetratingmoxibustion.We comparedthe efficiency,clinical symptom score,VAS distress level,RQLQ nasal-ocular conjunctiva quality of life score,serum total levels of Ig E and IL-4,sleep quality and relapse.Results Compared with80%in the conventional group,the treatment efficiency was 96%in the observation group,and the treatment effect was more significant(P<0.05).Before treatment,the two groupshad nasal congestion,nasal itching and sneezing.There was no significant difference(P>0.05).After treatment,the observation groups nasal congestion,nasal itching and sneezingscores were lower than those of the conventional group(P<0.05).Before treatment,there was no significant difference in the degree of VASbetween the two groups(P>0.05).After treatment,the VAS pain scores of the two groups were significantly different,and the VAS distress of the observation group was significantly lower than that of the conventional group(P<0.05).Before treatment,there was no significant difference in the quality of life scores of the two groups(P>0.05).After treatment,the RQLQ nasopharyngeal and conjunctival quality of life scores of the two groups were significantly different,and the quality of life of the observation group was significantly lower than that of the conventional group(P<0.05).Before treatment,the total serum levels of Ig E and IL-4 of the two groups had no significant difference(P>0.05).After treatment,the to
作者
姚卫杰
YAO Weijie(The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 45000,Henan,China)
出处
《实用中医内科杂志》
2021年第3期101-104,共4页
Journal of Practical Traditional Chinese Internal Medicine
基金
河南省中医药科学研究专项(2017ZY2049)。
关键词
透灸
肺气虚寒型
变应性鼻炎
远期疗效
复发率
生活质量
睡眠质量
困扰程度
penetrating moxibustion
lung Qi deficiency and cold syndrome
allergic rhinitis
long-term efficacy
recurrence rate
quality of life
sleep quality
degree of trouble
