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[长蛇灸治疗变应性鼻炎患者免疫功能的临床试验]

[Clinical Trial of Long-snake Moxibustion Treatment for Immune Function in Allergic Rhinitis Disease Patients].

作者信息

Ding Ding-Ming, Li Si-Kang, Zhang Zheng-Long, Ma Lan, Huang Hai-Yan, Li Tao

机构信息

Department of Acu-moxibustion, Wuhu Municipal Hospital of Traditional Chinese Medicine, Wuhu 241000, China.

出版信息

Zhen Ci Yan Jiu. 2016 Aug 25;41(4):338-42.

Abstract

OBJECTIVE

To observe the curative effect of long-snake moxibustion in the treatment of allergic rhinitis.

METHODS

A total of 66 patients with allergic rhinitis were randomized into moxibustion group (=34) and control (herbal medicine) group (=32) according to a computer-aided random digit table. Long-snake moxibustion stimulation over the Governor Vessel from Dazhui (GV 14) to Mingmen (GV 4) was performed for 30 min, once a week for 2 consecutive months. Patients of the control group were treated by oral administration of "Yupingfeng" Granules (containing , etc.) one bag (5 g) every time, 3 times a day for 2 months. Plasma IL-2, IL-6, cAMP and cGMP contents were detected using ELISA.

RESULTS

After the treatment, of the 32 and 34 cases in the control and moxibustion groups, 2 and 6 were cured, 12 and 16 experienced marked improvement in their symptoms (nasal mucosal edema, obstruction and discharging, sneezing), 12 and 9 were improved, 6 and 3 invalid, with the effective rates being 81.3% and 91.2%, respectively. Results of ELISA showed that after the treatment, plasma IL-2, IL-6, and cGMP contents were significantly decreased in both the moxibustion and control groups (<0.01), while plasma cAMP levels and cAMP/cGMP ratios were significantly up-regulated in both groups (<0.01). The therapeutic effects of moxibustion were considerably superior to those of herbal medicine "Yupingfeng" in clinical effective rate and lowering plasma IL-2, IL-6, cGMP contents (<0.01), and in raising plasma cGMP level and cAMP/cGMP ratio(<0.01).

CONCLUSIONS

Long-snake moxibustion treatment is effective in improving symptoms of allergic rhinitis patients, which may be related to its function in mobilizing the body's immune function.

摘要

目的

观察长蛇灸治疗变应性鼻炎的疗效。

方法

将66例变应性鼻炎患者按计算机辅助随机数字表法随机分为灸法组(n = 34)和对照组(中药组,n = 32)。于督脉自大椎(GV 14)至命门(GV 4)行长蛇灸刺激30分钟,每周1次,连续2个月。对照组患者口服“玉屏风”颗粒(含……等),每次1袋(5克),每日3次,共2个月。采用酶联免疫吸附测定法检测血浆白细胞介素-2(IL-2)、白细胞介素-6(IL-6)、环磷酸腺苷(cAMP)和环磷酸鸟苷(cGMP)含量。

结果

治疗后,对照组32例、灸法组34例中,治愈分别为2例和6例,症状(鼻黏膜水肿、鼻塞、流涕、喷嚏)显著改善分别为12例和16例,好转分别为12例和9例,无效分别为6例和3例,有效率分别为81.3%和91.2%。酶联免疫吸附测定结果显示,治疗后,灸法组和对照组血浆IL-2、IL-6及cGMP含量均显著降低(P<0.01),而两组血浆cAMP水平及cAMP/cGMP比值均显著上调(P<0.01)。灸法在临床有效率及降低血浆IL-2、IL-6、cGMP含量(P<0.01),升高血浆cAMP水平及cAMP/cGMP比值(P<0.01)方面疗效明显优于中药“玉屏风”。

结论

长蛇灸治疗可有效改善变应性鼻炎患者症状,其机制可能与调动机体免疫功能有关。

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