針灸結合隔姜灸印堂穴治療過敏性鼻炎肺氣虛寒證的臨床效果

吳偉斌　趙冉　李璟　范群

[摘要] 目的 觀察針灸結合隔姜灸印堂穴治療過敏性鼻炎肺氣虛寒證的臨床效果，探討其可行性和有效性。 方法 選取2017年1月～2018年1月上海市閔行區中西醫結合醫院針灸科門診收治的過敏性鼻炎患者72例，并采用隱蔽分組法將其隨機分為治療組（n = 36）和對照組（n = 36）。治療組采用針灸結合隔姜灸印堂穴，20 min/次，3次/周;對照組采用常規西藥治療。觀察兩組治療3周后鼻部癥狀評分（TNSS）的變化。 結果 治療前，兩組TNSS評分比較，差異無統計學意義（P > 0.05）。治療1、2周后，兩組TNSS評分均低于治療前，差異有統計學意義（P < 0.05），但兩組間差異無統計學意義（P > 0.05）。治療3周后，兩組TNSS評分均低于治療前，差異有統計學意義（P < 0.05），且治療組低于對照組，差異有統計學意義（P < 0.05）。治療3周后，治療組總有效率為88.92%，對照組總有效率為77.83%;兩組總有效率比較，差異無統計學意義（P > 0.05）。 結論 針灸結合隔姜灸印堂穴治療過敏性鼻炎肺氣虛寒證的效果肯定，且優于西藥治療，無副作用，值得臨床上推廣。

[關鍵詞] 過敏性鼻炎;肺氣虛寒證;針灸;隔姜灸

[中圖分類號] R246.81 ? ? ? ? ?[文獻標識碼] A ? ? ? ? ?[文章編號] 1673-7210（2019）06（c）-0141-04

Clinical effect of acupuncture combined with ginger moxibustion on Yìnt？觃ng to treat allergic rhinitis with syndrome of deficient cold of lung qi

WU Weibin1 ? ZHAO Ran1 ? LI Jing2 ? FAN Qun1

1.Department of Acupuncture， Integrative Medicine Hospital of Minhang District， Shanghai ? 200241， China; 2.Department of Acupuncture， Yueyang Hospital of Integrated Traditional Chinese and Western Medicine， Shanghai University of Traditional Chinese Medicine， Shanghai ? 200437， China

[Abstract] Objective To observe the clinical effect of acupuncture combined with ginger moxibustion on Yìnt？觃ng to treat allergic rhinitis with syndrome of deficient cold of lung qi， and to explore its feasibility and effectiveness. Methods From January 2017 to January 2018， 72 patients with allergic rhinitis admitted to the acupuncture department of Integrative Medicine Hospital of Minhang District in Shanghai from January 2017 to January 2018 were randomly divided into the treatment group （n = 36） and the control group （n = 36） by the method of allocation concealment. The treatment group used acupuncture combined with ginger moxibustion on Yìnt？觃ng， 20 min / time， 3 times / week， and the control group was treated with conventional Western medicine. Changes in nasal symptom scores （TNSS） were observed after 3 weeks of treatment in both groups. Results Before treatment， there was no significant difference in TNSS score between the two groups （P > 0.05）. After 1 and 2 weeks of treatment， the TNSS scores of the two groups were lower than those before treatment， and the differences were statistically significant （P < 0.05）， but the difference between the two groups was not statistically significant （P > 0.05）. After 3 weeks of treatment， the TNSS scores of the two groups were lower than before treatment， the differences were statistically significant （P < 0.05）， and the treatment group was lower than the control group， the difference was statistically significant （P < 0.05）. After 3 weeks of treatment， the total effective rate was 88.92% in the treatment group and 77.83% in the control group. There was no significant difference in the total effective rate between the two groups （P > 0.05）. Conclusion Acupuncture combined with ginger on Yìnt？觃ng is effective in treating allergic rhinitis with syndrome of deficient cold of lung qi， and it is superior to Western medicine treatment. It has no side effects and is worthy of clinical promotion.

[Key words] Allergic rhinitis; Syndrome of deficient cold of lung qi; Acupuncture; Ginger moxibustion

過敏性鼻炎[1-2]是我國呼吸道常見病、多發病。以陣發性鼻癢、打噴嚏、流清涕、鼻塞為主要癥狀。隨著現代社會環境污染加重，人們生活壓力的加劇，免疫力低下，過敏性鼻炎發病率逐年升高，嚴重影響人們的生活質量（睡眠、學習、工作、社交和文娛活動）。因此，該病不僅是醫療問題，而且更是個社會問題。

過敏性鼻炎的治療以西藥、脫敏治療、噴劑、手術治療為主，常有短時療效，但長期服用西藥具有耐藥性，且停藥易復發。早在1978年WHO推薦的針灸適應癥中就包含過敏性鼻炎，針灸治療過敏性鼻炎效果確切。中醫……