刮痧治疗不同证型变应性鼻炎的临床疗效观察

发布时间：2018-02-27 10:29

本文关键词： 变应性鼻炎刮痧辨证取穴　出处：《中国针灸》2017年09期 　论文类型：期刊论文

【摘要】：目的:比较刮痧与西药西替利嗪治疗变应性鼻炎的疗效差异,并观察刮痧疗法对不同证型变应性鼻炎的临床疗效差异。方法:将符合纳入标准的变应性鼻炎患者随机分为西药组、肺气虚寒型刮痧组(肺气虚寒组)、脾气虚弱型刮痧组(脾气虚弱组)和肾阳亏虚型刮痧组(肾阳亏虚组),每组20例。西药组每日口服西替利嗪10 mg,每日1次,共治疗4周。3个刮痧组采用刮痧疗法,刮拭的部位包括手阳明大肠经、督脉和足太阳膀胱经循行部位,重点刮拭迎香、印堂、合谷、风门。肺气虚寒组重点刮拭手太阴肺经及肺俞、太渊、风池、列缺;脾气虚弱组重点刮拭足太阴脾经及脾俞、足三里;肾阳亏虚组重点刮拭足少阴肾经及命门、肾俞。每周刮痧1次,4次为一疗程,治疗1个疗程(4周)。观察治疗前、治疗后、治疗后3个月随访时变应性鼻炎主要症状(喷嚏、流涕、鼻塞、鼻痒)总积分,并评价临床疗效。结果:4组患者主要症状总积分治疗后较治疗前均降低(均P0.05);治疗后以及随访时,3个刮痧组症状总积分低于西药组(均P0.05),且肺气虚寒组低于脾气虚弱组和肾阳亏虚组(均P0.05)。治疗后及随访时,3个刮痧组疗效均优于西药组(均P0.05),且肺气虚寒组优于脾气虚弱组和肾阳亏虚组(均P0.05)。结论:变应性鼻炎根据不同证型辨证选经选穴进行刮痧治疗效果确切,优于西替利嗪治疗,且对肺气虚寒型的近期和远期疗效更加显著。
[Abstract]:Objective: to compare the curative effect of scraping and cetirizine in the treatment of allergic rhinitis. The clinical effect of scraping therapy on allergic rhinitis of different syndromes was observed. Methods: the patients with allergic rhinitis who met the inclusion criteria were randomly divided into western medicine group. There were 20 cases in each group in guasha group with deficiency of lung qi (lung qi deficiency cold group), guasha group with weak temper type (weak temper group) and guasha group with deficiency of kidney-yang type (20 cases in each group). The western medicine group took cetirizine 10 mg daily once a day. Three scraping groups were treated with scraping therapy for 4 weeks. The scraping sites included the large intestine meridian of hand Yangming, du pulse and foot sun bladder meridian, with emphasis on wiping Yingxiang, Yintang, Hegu, and so on. Wind door. Lung qi deficiency cold group focus on wiping hands Taiyin, lung meridian and Fesu, Taiyuan, Fengchi, lack of column; temper weak group focus on wiping foot Taiyin spleen channel and spleen Shu, Zusanli; kidney yang deficiency group focus on wiping foot less yin and kidney meridian and life gate, Shenshu. Scraping once a week as a course of treatment and one course of treatment for 4 weeks. The main symptoms of chronic rhinitis (sneezing, runny, nasal congestion, itching) before and after treatment were observed and followed up for 3 months. Results the total score of the main symptoms of the patients in the 4 groups was lower than that before treatment (all P 0.05); after treatment and follow-up, the total score of symptoms in the three scraping groups was lower than that in the western medicine group (all P 0.05), and that in the lung qi deficiency cold group was lower than that in the control group. After treatment and follow-up, the curative effect of the three scraping groups was better than that of the western medicine group (all P 0.05), and the lung qi deficiency cold group was superior to the weak temper group and the kidney yang deficiency group (all P 0.05). Conclusion: allergic rhinitis is based on different syndromes. The effect of scraping treatment by selecting acupoints according to syndrome differentiation is effective. It is superior to cetirizine in the treatment of lung qi deficiency cold and the short-and long-term curative effect is more obvious than that of cetirizine.
【作者单位】：南京中医药大学护理学院;江苏省中医院刮痧门诊;
【基金】：江苏省护理学优势学科二期项目指令性课题:YSHL 2016-011
【分类号】：R244.4

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