鼻三针治疗过敏性鼻炎的临床研究

发布时间：2018-06-09 14:20

本文选题：过敏性鼻炎 + 针刺　；参考：《广州中医药大学》2016年博士论文

【摘要】：目的本研究旨在通过客观指标全面量化评估鼻三针治疗过敏性鼻炎的疗效,并分析其作用机理,为今后临床进一步推广作出贡献。方法将符合各项标准的64例过敏性鼻炎患者随机分配入针刺组和西药组,每组各32例。其中针刺组采用鼻三针治疗方案进行治疗,西药组口服氯雷他定片治疗方案。治疗后通过症状积分量表、血清特异性IgE抗体及鼻腔分泌物涂片嗜酸性粒细胞计数等多项疗效指标进行治疗前后的对照观察和量化评估,相关数据输入Excel建立数据库后,通过SPSS19.0统计软件进行数据统计分析及描述。结果1、两组性别、年龄及病程均无统计学上差异,故具有可比性。2、两组患者在治疗前后比较,症状积分量表、血清特异性IgE抗体及鼻腔分泌物涂片嗜酸性粒细胞计数均有显著差异(P0.05),表明两种治疗方案都能有效改善患者症状积分、血清特异性IgE抗体及鼻腔分泌物涂片嗜酸性粒细胞计数。3、两组患者治疗后症状积分组间比较P0.01,针刺组优于西药组,表明鼻三针治疗过敏性鼻炎相比于口服氯雷他定片抗过敏更能有效缓解过敏性鼻炎患者喷嚏、流涕、鼻塞、鼻痒等症状。结论鼻三针治疗过敏性鼻炎是一种2疗程内即快速起效、疗效持久、安全清洁、操作性强、易于标准化并广泛推广应用的治疗过敏性鼻炎的针灸疗法,能为制定过敏性鼻炎规范化外治方案提供高质量的循证医学证据。
[Abstract]:Objective the purpose of this study was to evaluate the curative effect of nasal three needles in the treatment of allergic rhinitis, and to analyze its mechanism in order to contribute to further clinical application. Methods 64 patients with allergic rhinitis were randomly assigned to the acupuncture group and the western medicine group, 32 cases in each group. The acupuncture group was used in the nose. Three acupuncture treatment regimens were treated, and the western medicine group was treated with Loratadine Tablets. After treatment, a number of therapeutic indexes, such as the symptom integral scale, serum specific IgE antibody and the eosinophil count of nasal secretions, were observed and evaluated before and after treatment. The related data were entered into a database by Excel and S Statistical analysis and description of PSS19.0 statistics software. Results 1, two groups of sex, age and course of disease were not statistically different, so there were comparable.2. The two groups of patients were compared before and after treatment, the symptom integral scale, serum specific IgE antibody and nasal secretion eosinophilic granulocyte count were significantly different (P0.05), indicating two species. The treatment scheme can effectively improve the patient's symptom integral, serum specific IgE antibody and nasal secretion eosinophil count.3. The two groups of patients after treatment are compared with P0.01, and the acupuncture group is better than the western medicine group. It shows that the nasal three needle is more effective in alleviating allergy than oral Loratadine Tablets. Nosanrhinitis patients' sneezing, runny nose, nasal congestion, nasal itching and other symptoms. Conclusion nasal three needle treatment for allergic rhinitis is a 2 course of rapid onset, lasting effect, safe and clean, strong operational, easy to standardize and widely popularized in the treatment of allergic rhinitis, can provide high quality for the formulation of allergic rhinitis external treatment scheme. Evidence of evidence based evidence-based medicine.
【学位授予单位】：广州中医药大学
【学位级别】：博士
【学位授予年份】：2016
【分类号】：R246.81

【相似文献】