热敏灸联合穴位贴敷治疗过敏性鼻炎临床研究
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R765.21

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Clinical study on Thermal Moxibustion Combined with Point Application for Allergic Rhinitis
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    摘要:

    目的:观察热敏灸联合穴位贴敷治疗过敏性鼻炎的临床疗效。方法:将84 例过敏性鼻炎患者按随机数字表法分为对照组和观察组各42 例。对照组给予传统的非敏感穴位贴敷治疗,观察组给予热敏灸联合穴位贴敷治疗。比较2 组临床疗效,检测鼻部症状评分、Th1/Th2 细胞因子谱及血清嗜酸性粒细胞阳离子蛋白(ECP)、人特异性免疫球蛋白E(sIgE) 水平。结果:观察组总有效率为88.10%,对照组为66.67%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组鼻塞、鼻痒、流鼻涕、打喷嚏评分较治疗前降低(P<0.05),且观察组治疗后鼻塞、鼻痒、流鼻涕、打喷嚏评分均低于对照组(P<0.05)。治疗后,2 组干扰素-γ(IFN-γ)、白细胞介素-2(IL-2) 水平较治疗前升高,白细胞介素-4(IL-4)、白细胞介素-13(IL-13) 水平较治疗前降低(P<0.05);观察组治疗后IFN-γ、IL-2 水平高于对照组,IL-4、IL-13 水平低于对照组(P<0.05)。治疗后,2 组血清sIgE、ECP 水平较治疗前降低(P<0.05);观察组治疗后血清sIgE、ECP 水平低于对照组(P<0.05)。结论:热敏灸联合穴位贴敷能够调节过敏性鼻炎患者Th1/Th2 细胞因子谱表达,降低血清sIgE、ECP 水平,有助于改善患者临床症状,提高预后效果。

    Abstract:

    Abstract: Objective: To observe the clinical effect of thermal moxibustion combined with point application on the treatment of allergic rhinitis. Methods:A total of 84 patients with allergic rhinitis were randomly divided into the control group and the observation group,with 42 cases in each group. The control group was treated with traditional non-sensitive point application,and the observation group was with thermal moxibustion combined with point application. The clinical effects in the two groups were compared,and nasal symptom scores and levels of Th1/Th2 cytokine profile,serum eosinophil cationic protein(ECP) and human specific immunoglobulin E(sIgE) were detected. Results:The total effective rate was 88.10% in the observation group and 66.67% in the control group,the difference being significant(P<0.05). After treatment,the scores of nasal congestion,nasal itching,runny nose and sneezing in both groups were decreased when compared with those before treatment(P<0.05),and the above scores in the observation group were lower than those in the control group(P<0.05). After treatment, the levels of interferon- γ(IFN- γ) and interleukin- 2(IL- 2) in both groups were increased, and the levels of interleukin- 4(IL- 4) and interleukin- 13(IL- 13) were decreased when compared with those before treatment(P<0.05). After treatment,the levels of IFN-γ and IL-2 in the observation group were higher than those in the control group,and the levels of IL-4 and IL-13 were lower(P<0.05). After treatment,the levels of serum sIgE and ECP in both groups were decreased when compared with those before treatment(P<0.05),and the levels of serum sIgE and ECP in the observation group were lower than those in the control group(P<0.05). Conclusion: The therapy of thermal moxibustion combined with point application can regulate the expression of Th1/Th2 cytokine profile in patients with allergic rhinitis,reduce the levels of serum sIgE and ECP,and help to improve the clinical symptoms and prognosis of patients.

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姜玲.热敏灸联合穴位贴敷治疗过敏性鼻炎临床研究[J].新中医,2022,54(5):181-185

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  • 在线发布日期: 2022-03-10
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