Liu Tan-shu, Qiu Rui, Lai Xin-sheng
Zhongguo Zhen Jiu. 2014 Nov;34(11):1083-6.
To compare the difference in the clinical efficacy on perennial allergic rhinitis between three nasal points acupuncture therapy and the oral administration of loratadine so as to provide the better acupuncture program in clinical treatment.
Sixty cases were randomized into an acupuncture group (30 cases) and a medication group (30 cases). In the acupuncture group, acupuncture was applied to three nasal points [Yingxiang (LI 20), Yintang (EX-HN 3), Bitong (Extra)] and acupoints selected by syndrome differentiation. Acupuncture was given once every two days, three times a week, for 4 weeks totally. In the medication group, loratadine was prescribed for oral administration, 10 mg every day, for 4 weeks. The symptom and physical sign scores before and after treatment, as well the short-term and long-term efficacy were compared between the two groups.
The total effective rate was 96.7% (29/30) in the acupuncture group and was 93.3% (28/30) in the medication group after treatment. The efficacy was similar between the two groups (P>0.05). In follow-up, the total effective rate was 86.7% (26/30) in the acupuncture group, which was better than 56.7% (17/30, P<0.05) in the medication group. The scores of symptoms and physical signs after treatment and in follow-up were all reduced apparently as compared with those before treatment in the patients of the two groups (all P<0.05). The scores of symptoms and physical signs were reduced more apparently in the acupuncture group as compared with those in the medication group in follow-up (all P<0.05).
The acupuncture at three nasal points and the acupoints selected by syndrome differentiation achieves the similar short-term efficacy on perennial allergic rhinitis as compared with the oral administration of loratadine. The acupuncture therapy presents the obvious advantages on long-term efficacy.
比较三点针刺疗法与口服氯雷他定治疗常年性变应性鼻炎的临床疗效差异，为临床治疗提供更优的针刺方案。
将60例患者随机分为针刺组（30例）和药物组（30例）。针刺组针刺三个鼻部穴位[迎香（LI 20）、印堂（EX-HN 3）、鼻通（奇穴）]及辨证选穴。每两天针刺1次，每周3次，共治疗4周。药物组口服氯雷他定，每日10 mg，共治疗4周。比较两组治疗前后的症状体征评分及近期和远期疗效。
治疗后针刺组总有效率为96.7%（29/30），药物组为93.3%（28/30）。两组疗效相似（P>0.05）。随访时，针刺组总有效率为86.7%（26/30），优于药物组的56.7%（17/30，P<0.05）。两组患者治疗后及随访时的症状体征评分均较治疗前明显降低（均P<0.05）。随访时针刺组症状体征评分较药物组降低更明显（均P<0.05）。
三点针刺及辨证选穴治疗常年性变应性鼻炎与口服氯雷他定近期疗效相似。针刺疗法在远期疗效上具有明显优势。
