Song Ting-Ting, Jing Xiang-Hong, Guo Wei, Han Guan-Xiong, Du Shuo, Zhao Ji-Ping
Department of TCM Physiotherapy, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China; Department of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of CM, Beijing 100700.
Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences.
Zhongguo Zhen Jiu. 2023 Feb 12;43(2):123-7. doi: 10.13703/j.0255-2930.20220414-k0004.
To observe the clinical efficacy of acupuncture for prevention of moderate to severe seasonal allergic rhinitis.
A total of 105 patients with moderate to severe seasonal allergic rhinitis were randomly divided into an observation group (53 cases, 3 cases dropped off) and a control group (52 cases, 4 cases dropped off). The patients in the observation group were treated with acupuncture at Yintang (GV 24), Yingxiang (LI 20), Hegu (LI 4), Zusanli (ST 36), Fengchi (GB 20), Feishu (BL 13), etc. 4 weeks before the seizure period, once every other day, 3 times a week for 4 weeks. The patients in the control group were not given any intervention before the seizure period. Emergency drugs can be given appropriately during the seizure period in both groups. After seizure period, the seizure rate was recorded in the two groups; before treatment and on week 1, 2, 4, 6 of seizure period after treatment, the rhinoconjunctivitis quality of life questionnaire (RQLQ) score and total nasal symptom score (TNSS) were observed in the two groups; the rescue medication score (RMS) was recorded on week 1-6 of seizure period in the two groups.
The seizure rate of the observation group was 84.0% (42/50), which was lower than 100.0% (48/48) in the control group (<0.05). After treatment, the scores of RQLQ and TNSS at each time point of seizure period were decreased compared with before treatment in the observation group (<0.01), which were lower than the control group (<0.01). The RMS score at each time point of seizure period in the observation group was lower than the control group (<0.05, <0.01).
Acupuncture can reduce the incidence of moderate to severe seasonal allergic rhinitis, relieve the symptoms, improve the quality of life and reduce the use of emergency drugs.
观察针刺预防中重度季节性变应性鼻炎的临床疗效。
将105例中重度季节性变应性鼻炎患者随机分为观察组(53例,脱落3例)和对照组(52例,脱落4例)。观察组患者于发作期前4周针刺印堂(GV 24)、迎香(LI 20)、合谷(LI 4)、足三里(ST 36)、风池(GB 20)、肺俞(BL 13)等穴位,隔日1次,每周3次,共4周。对照组患者在发作期前未给予任何干预。两组在发作期均可适当给予急救药物。发作期后,记录两组的发作率;治疗前及治疗后发作期第1、2、4、6周,观察两组的鼻结膜炎生活质量问卷(RQLQ)评分和总鼻症状评分(TNSS);记录两组发作期第1 - 6周的急救药物评分(RMS)。
观察组发作率为84.0%(42/50),低于对照组的100.0%(48/48)(P<0.05)。治疗后,观察组发作期各时间点的RQLQ和TNSS评分均较治疗前降低(P<0.01),且低于对照组(P<0.01)。观察组发作期各时间点的RMS评分低于对照组(P<0.05,P<0.01)。
针刺可降低中重度季节性变应性鼻炎的发病率,缓解症状,提高生活质量,并减少急救药物的使用。