摘要
目的:评价大椎穴施以三重法治疗变应性鼻炎的近期疗效、远期防复发作用,为变应性鼻炎的治疗提供简便、长效的刺灸法。方法:将120例变应性鼻炎患者随机分为针刺组、针药组、三重法组,每组40例。针刺组取穴大椎、风池、百会、印堂等,施以补虚泻实针法,每天1次;针药组在针刺基础上联合口服开瑞坦(氯雷他定片)10mg,隔日服1次,连服30天;三重法组在针刺基础上联合大椎穴重刺络、重拔罐、重艾灸,前3天每天1次,之后隔日1次。3组均治疗10天为一疗程,疗程间休息3天,共治疗3个疗程。观察治疗前、治疗后及治疗后6个月3组患者症状与体征积分,鼻痒、鼻塞、打喷嚏、流鼻涕单项症状分值变化,并比较3组远期临床疗效。结果:3组治疗后、治疗后6个月症状与体征积分、单项症状分值均降低(P<0.001,P<0.01,P<0.05),且三重法组优于其他两组(均P<0.05);三重法组治疗后6个月随访时总有效率为92.5%(36/40),优于针刺组的60.5%(23/38)及针药组的69.2%(27/39,均P<0.01)。结论:针刺联合大椎穴施以三重法治疗变应性鼻炎临床疗效可靠,且具有较好的预防远期复发的作用。
Objective To evaluate the impacts on the short-term efficacy and the long-term prevention of recur- rence of allergic rhinitis treated with the triple-strong stimulation at Dazhui （GV 14） so as to provide the convenient and long-term effective therapy of acupuncture and moxibustion for allergic rhinitis. Methods One hundred and twenty cases of allergic rhinitis were randomized into an acupuncture group, an acupuncture ＋ medication group and a triple-strong stimulation group, 40 cases in each one. In the acupuncture group, acupuncture was ap- plied at Dazhui （GV 14）, Fengchi （GB 20）, Baihui （GV 20）, Yintang （GV 29） and the others, stimulating with reinforcing manipulation for the deficiency and reducing manipulation for the excess, once every day. In the acu- puncture q- medication group, on the basis of acupuncture therapy, claritin （loratadine tablets） was supplemented for oral administration, 10 rag, once every two days, continuously for 30 days. In the triple-strong stimulation group, on the basis of acupuncture therapy, the strong needling, strong cupping and strong moxibustion were applied at Dazhui （GV 14）. This combined therapy was given once every day in the first 3 days and once every two days afterwards. The 10 day treatment made one session, at the interval of 3 days between the sessions and totally 3 sessions were required in the three groups. Separately, before treatment, after treatment and in 6 months after treatment, the changes of symptom and physical sign score and value of single item symptom including nasal itching, nasal blockage, sneezing and rhinorrhea were observed in the patients of the three groups. And the longterm clinical efficacy was compared among the three groups. Results The symptom and physical sign score and the value of single item symptom were all reduced in the three groups after treatment and in 6 months after treat- ment （P（0. 001, P（0.01, P（0.05）. The results in the triple-strong stimulation group were superior to the other two groups （all P（0.05）. In the triple-strong stimulation group, the total effective rate was 92.5% （36/40） in the follow-up of 6 months after treatment, which was better than 60. 5% （23/38） in the acupuncture group and 69.2% （27/39） in the acupuncture ＋medication group （both P（0.01）. Conclusion The combined therapy of acupuncture and the triple-strong stimulation at Dazhui （GV 14） achieves the reliable and effective result in the clinical treatment of allergic rhinitis and displays the good role on the prevention from long-term recurrence.
出处
《中国针灸》
CAS
CSCD
北大核心
2014年第2期110-114,共5页
Chinese Acupuncture & Moxibustion
基金
河北省中医药管理局2012年度计划课题项目:2012121
关键词
变应性鼻炎
穴
大椎
针刺效应
三重法
随机对照试验
allergic rhinitis
point GV 14 （Dazhui）
acupuncture effect
triple-strong stimulation
randomized controlled trial （RCT）
