温针灸联合丙酸氟替卡松鼻喷雾剂治疗肺气虚寒型鼻鼽的临床观察

Clinical observation of warm acupuncture and moxibustion combined with fluticasone propionate nasal spray in the treatment of pulmonary qi deficiency and cold allergic rhinitis

关键词:  过敏性鼻炎  温针灸  大椎

Key words:  allergic rhinitis  warm acupuncture and moxibustion  Dazhui point

摘要:

[目的] 观察大椎温针灸配合丙酸氟替卡松鼻喷雾剂喷鼻治疗肺气虚寒型鼻鼽的临床疗效。[方法] 选取符合纳入标准的患者64例，随机分为对照组与治疗组。对照组予丙酸氟替卡松鼻喷雾剂喷鼻，每日晨起使用1次，喷双侧鼻腔，14 d为1个疗程，治疗2个疗程。治疗组在对照组基础上予针刺大椎温针灸，每周治疗3次，隔日治疗1次。14 d为1个疗程，治疗2个疗程（共治疗12次）。观察并记录两组患者治疗前后各项积分，并对获取的数据进行统计学处理及治疗结果分析。[结果] 1）总有效率比较：治疗组为87.1%，优于对照组的64.5%（P<0.05）。2）症状与体征积分比较：治疗后，两组患者各项积分均较治疗前降低，治疗组低于对照组（P<0.05）。[结论] 大椎温针灸配合丙酸氟替卡松鼻喷雾剂喷鼻治疗肺气虚寒型鼻鼽的疗效优于丙酸氟替卡松鼻喷雾剂喷鼻，能够有效改善患者鼻部症状、伴随症状和鼻部体征，且应用便捷，安全性较高，具有一定的临床应用意义及推广价值。

Abstract:

[Objective] To observe the clinical effects of warm acupuncture and moxibustion at the Dazhui point(DU14) combined with fluticasone propionate nasal spray in the treatment of nasal congestion,lung qi deficiency and common cold. [Methods] Sixty-four patients who met the inclusion criteria were selected and randomly divided into two groups. The control group was given fluticasone propionate nasal spray,which was sprayed into the bilateral nasal cavity once a day in the morning for a 14 days treatment cycle. The treatment group received acupuncture based on the control group,with warm acupuncture and moxibustion at acupoints behind the greater vertebrae three times a week,every other day for two 14 days treatment cycles(12 treatments in total). The pre-treatment and post-treatment scores of both patient groups were observed and recorded,and the obtained data were statistically processed to analyze the treatment results. [Results] 1) Comparison of overall efficacy:87.1% of the treated group was superior to 64.5% of the control group(P<0.05). 2) Comparison of symptom and symptom scores:after treatment,all scores in both groups were lower than before treatment,and scores in the treated group were lower than in the control group(P<0.05). [Conclusion] The efficacy of warm acupuncture and moxibustion at the DU14 combined with fluticasone propionate nasal spray in the treatment of congested nose with pulmonary qi deficiency and cold allergic rhinitis is better than that of fluticasone propionate nasal spray control group,effectively improving patients' nasal symptoms,accompanying symptoms,and nasal signs,and being convenient and safe in application,which has important value in clinical application and dissemination.