腹针结合隔姜灸对治疗肺气虚寒型过敏性鼻炎的临床观察

发布时间：2018-06-08 23:20

本文选题：腹针 + 隔姜灸　；参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:本研究通过随机对照的方法,对比腹针结合隔姜灸疗法与单纯腹针疗法治疗肺气虚寒型过敏性鼻炎的有效性与生活质量改善状况,评价腹针结合隔姜灸对肺气虚寒型过敏性鼻炎的治疗效果,明确腹针结合隔姜灸疗法对于治疗肺气虚寒型过敏性鼻炎与单纯腹针疗法相比是否具有增效作用。方法:病例来源于广州中医药大学的在校学生及在广东省中医院传统疗法科就诊的符合纳入标准的肺气虚寒型过敏性鼻炎患者。将纳入病例按照随机数表分为两组,即观察组:腹针结合隔姜灸组,对照组:腹针组,每组各32例。排除一般资料之差异。然后进行研究前临床评估,指标包括症状评分,体征评分,鼻症状总分表(TNSS)、鼻炎伴随症状总分表(TNNSS)、鼻结膜炎生活质量量表(RQLQ)。观察组每周治疗三次,共治疗四周。对照组治疗频次与观察组相同。结果:1.治疗前对患者的一般资料均衡性进行比较,包括性别,年龄,病程,症状、体征、TNSS、TNNSS、RQLQ。经统计学检验,在治疗前,两组在上述几方面的差异无统计学意义(P0.05)。两组间具有可比性。2.治疗后,两组的症状评分、体征评分、TNSS、TNNSS、RQLQ评分均较治疗前有所下降(P0.05)。两组间比较,腹针结合隔姜灸组在缓解患者症状,降低TNSS评分、TNNSS评分与RQLQ表的日常生活,睡眠,行为问题、眼症状、非鼻眼症状、鼻症状评分等方面优于腹针组。而在降低体征评分与RQLQ表的情感反应评分方面,观察组与对照组无明显差异。3.总体疗效方面。腹针结合隔姜灸组共30例,显效18例,显效率为60%,有效10例,无效两例,总有效率为93.33%;对照组31例,显效10例,显效率为32.26%,有效16例,无效5例,总有效率为83.87%。两组数据经非参数检验秩和检验分析比较,P=0.0280.05,差异有统计学意义。表明两组的疗效不同,且观察组优于对照组。结论:腹针疗法结合隔姜灸疗法与单纯腹针疗法都能够改善过敏性鼻炎患者的症状和体征,提高患者的生存质量,对于治疗过敏性鼻炎具有良好的疗效。腹针结合隔姜灸疗法在总体疗效与提高患者的生存质量方面优于单纯腹针疗法。增加隔姜灸疗法可有效提高单纯腹针疗法治疗过敏性鼻炎的治疗效果。
[Abstract]:Objective: to compare the effectiveness and quality of life of abdominal acupuncture combined with ginger-separated moxibustion and simple abdominal acupuncture in the treatment of allergic rhinitis with deficiency of lung qi and cold. To evaluate the therapeutic effect of abdominal acupuncture combined with ginger separated moxibustion on allergic rhinitis with deficiency of lung qi and cold, and to determine whether abdominal acupuncture combined with ginger partition moxibustion has synergistic effect in treating allergic rhinitis with deficiency of lung qi and cold type compared with simple abdominal acupuncture therapy. Methods: the cases came from the students of Guangzhou University of traditional Chinese Medicine and the patients with allergic rhinitis with lung qi deficiency and cold type who were treated in the Department of traditional Chinese Medicine of Guangdong Provincial Hospital of traditional Chinese Medicine. The patients were divided into two groups according to the random number table: observation group: abdominal acupuncture combined with ginger-separated moxibustion group, control group: abdominal acupuncture group, 32 cases in each group. Rule out differences in general information. Then the clinical evaluation was carried out before the study. The indexes included symptom score, physical sign score, total score of nasal symptoms, TNNSS score of rhinitis associated with symptoms, and RQLQQA of rhinoconjunctivitis quality of life scale. The observation group was treated three times a week for four weeks. The frequency of treatment in the control group was the same as that in the observation group. The result is 1: 1. The balance of general data was compared before treatment, including sex, age, course of disease, symptoms and signs. After statistical test, before treatment, the two groups in the above aspects of the difference was not statistically significant (P 0.05). Comparability between the two groups. After treatment, the scores of symptoms and signs in both groups were significantly lower than those before treatment (P 0.05). Comparison between the two groups, abdominal acupuncture combined with ginger partition moxibustion group was superior to the abdominal acupuncture group in relieving symptoms, reducing TNSS score and TNNSS score and RQLQ table in daily life, sleep, behavioral problems, eye symptoms, non-nasal eye symptoms, nasal symptoms, and so on. However, there was no significant difference between the observation group and the control group in reducing the score of physical signs and the score of emotional reaction in RQLQ table. The overall curative effect. There were 30 cases of abdominal acupuncture combined with ginger-separated moxibustion group, 18 cases of marked effect, effective rate of 60 cases, effective rate of 10 cases, ineffective of 2 cases, total effective rate of 93.33%, control group of 31 cases, remarkable effect of 10 cases, markedly effective rate of 32.26 cases, effective rate of 16 cases, ineffective of 5 cases, total effective rate of 83.87 cases. There was significant difference between the two groups by rank sum test of non-parametric test (P < 0. 0280. 05). The results showed that the curative effect of the two groups was different, and the observation group was superior to the control group. Conclusion: abdominal acupuncture combined with ginger-separated moxibustion and simple abdominal acupuncture can improve the symptoms and signs of allergic rhinitis, improve the quality of life of the patients, and have a good effect on the treatment of allergic rhinitis. Abdominal acupuncture combined with ginger-separated moxibustion is superior to simple abdominal acupuncture in the overall curative effect and the improvement of patients' quality of life. Increasing ginger-separated moxibustion therapy can effectively improve the therapeutic effect of simple abdominal acupuncture therapy on allergic rhinitis.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.81

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