三伏灸与普通穴位贴敷对变应性鼻炎患者临床表现改善情况的比较研究

目的：比较三伏灸和普通穴位贴敷对变应性鼻炎患者的临床症状和体征的改善情况。方法：60例变应性鼻炎患者随机分为两组,每组30例,两组均选用张氏医通天灸方,取穴大椎、风门、肺俞等穴进行穴位贴敷治疗。三伏灸组从2010年7月9日开始,在三伏期间进行治疗,普通穴位贴敷组从2010年6月1日开始,在非三伏灸期间进行治疗,两组患者均10天贴1次,5次为一疗程。治疗前：治疗后和半年后随访时,均由耳鼻喉专科医生按症状、体征分级的记分标准进行量表测评。结果：（1）与同组治疗前分值比较,除三伏灸组患者鼻粘膜颜色在治疗后的分值,以及流清涕症状在半年后随访时的分值较前无差异外（P〉0．05）,其余的分值都下降（P〈0．01—0．05）;与同一组治疗后的分值比较,仅仅只有三伏灸组的患者鼻痒症状较之升高（19〈0．05）;其余分值较之均无差异（P〉0．05）。（2）与普通穴位贴敷组比较,三伏灸患者流清涕症状在半年后随访时分值降低幅度小（P〈0．01）,余症状、各项体征、症状总分、体征总分和临床表现总分改善情况较之均无差异（P〉0．05）。结论：对于变应性鼻炎患者临床表现的改善,普通穴位贴敷和三伏灸的临床疗效几乎相同。可在非三伏天灸的时间,包括本病的急性期,推广张氏医通天灸方,从而有效改善患者的临床表现。

A Comparative Study on Dog-day Moxibustion and General Acupoint Application in Clinical Presentation of Allergic Rhinitis Patients

Objective： Compare and observe the improvement of the clinical signs and symptoms of the allergic rhinitis patients in the treatment of dogday moxibustion and general aeupoint application. Methods：Choose sixty cases of allergic rhinitis patients and divide them into 2 groups according to the table of random numbers. 30 of them are in the dogday moxibustion group （ DDM group） , and 30 of them are in the general acupoint application group （GAA group）. The two groups were selected Zhang＇ s moxibustion prescription, selected DU14, BL12, BL13 and other points. The DDM group from July 9th,2010,in the dog day during treatment;the GAA group from June 1 st,2010, during the non -dog day moxibustion treatment. Patients in both groups were stuck for 10 days,5 times for a course of treatment. Before treatment, after treatment and after six months follow -up,by the ENT specialist on the basis of symptoms, signs, grading scoring criteria scale evaluation. Observe the improve- ment of their clinical presentation. Results：（1）Compared with the same group before treatment score,in addition to DDM group nasal mucosa color scores after treatment, as well as the symptoms of runny score in the follow -up six months after the previous differences（ P 〉 0.05 ）, the rest of scores werc decreased （ P 〈 0.01 - 0.05 ）. Compared with the same group after treatment scores, only DDM group of patients with symptoms of nasal itching was increased （ P 〈 0.05 ）, the rest of scores were no difference （ P 〉 0.05 ）. （2）Compared with the GAA group , DDM group was clear nasal discharge symptoms after six months follow -up, the lower the score the amplitude was small （ P 〈 0.01 ）, others had no statistical difference （ P 〉 0.05 ） Conclusion： For the improvement of the clinical manifcstations of patients with allergic rhinitis, the general acupoint application and the clinical efficacy of the dogday moxibution are almost the same. Available at the time of the non - dogday of moxibution,including the acute phase of the disease, to promote zhang＇ s moxibustion prescription so as to effectively improve the clini- cal manifestations.