辛芩方联合布地奈德鼻喷雾剂治疗过敏性鼻炎临床研究 邱
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R765.21

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温州市科研项目(Y2023298)


Clinical Study on Combination Use of Xinqin Prescription and Budesonide Nasal Spray for Allergic Rhinitis
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    摘要:

    目的:观察辛芩方联合布地奈德鼻喷雾剂治疗过敏性鼻炎(AR) 的临床疗效。方法:选取2023年 7月—2024年7月泰顺县中医院收治的105例AR患者,按随机数字表法分为A组、B组及C组各35例。A组给 予布地奈德鼻喷雾剂治疗,B组口服辛芩方治疗,C组给予布地奈德鼻喷雾剂联合辛芩方治疗。3组均治疗 4 周。评价3组临床疗效,比较3组鼻症状总积分(TNSS)、炎症指标、血常规指标及生活质量。结果:治疗 后,C组临床总有效率高于A组、B组(P<0.05)。治疗后,3组TNSS评分较治疗前降低,且C组低于A组、B 组(P<0.05)。治疗后,3组炎症指标免疫球蛋白E(IgE)、嗜酸性粒细胞(EOS)、C-反应蛋白(CRP) 水平 均较治疗前降低,且C组低于A组、B组(P<0.05)。治疗后,3组血常规指标平均血红蛋白浓度(MCHC)、 血红蛋白(HGB)、单核细胞/淋巴细胞比值(MLR)、中性粒细胞与淋巴细胞比值(NLR) 水平均较治疗前降 低,且C组低于A组、B组(P<0.05)。治疗后,3组鼻炎生活质量量表评分(RQLQ) 较治疗前降低,且C组 低于A组、B组(P<0.05)。结论:辛芩方联合布地奈德鼻喷雾剂治疗AR能有效提升治疗效果,缓解患者鼻 部不适,减轻炎症反应,并显著提升患者的生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the combination use of Xinqin Prescription and Budesonide Nasal Spray on allergic rhinitis (AR). Methods:A total of 105 AR patients who were admitted to Taishun Hospital of Traditional Chinese Medicine from July 2023 to July 2024 were selected and divided into the group A,the group B and group C according to the random number table method,with 35 cases in each group. The group A was given Budesonide Nasal Spray, the group B was given Xinqin Prescription, and the group C was given the combination use of Xinqin Prescription and Budesonide Nasal Spray. The three groups were treated for four weeks. The clinical effects in the three groups were evaluated, and the Total Nasal Symptom Score (TNSS), inflammatory indicators, blood routine test indexes and quality of life were compared among the three groups. Results:After treatment,the total clinical effective rate in the group C was higher than that in the group A and the group B (P<0.05). After treatment,the TNSS score in the three groups were decreased when compared with those before treatment, and the TNSS score in the group C was lower than that in the group A and the group B (P<0.05). After treatment, the levels of inflammatory indicators, including immunoglobulin E (IgE),eosinophil (EOS) and C-reactive protein (CRP) in the three groups were reduced when compared with those before treatment, and the levels of IgE, EOS, and CRP in the group C were lower than those in the group A and the group B (P<0.05). After treatment,the levels of blood routine test indexes,including mean corpuscular hemoglobin concentration (MCHC), hemoglobin (HGB), monocyte-to-lymphocyte ratio (MLR) and neutrophil-to-lymphocyte ratio (NLR) in the three groups were down-regulated when compared with those before treatment,and the levels of the above four indicators in the group C were lower than those in the group A and the group B (P<0.05). After treatment, the scores of Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) in the three groups were decreased when compared with those before treatment,and the RQLQ score in the group C was lower than that in the group A and the group B (P<0.05). Conclusion: The combination use of Xinqin Prescription and Budesonide Nasal Spray can effectively improve the curative effect on AR, which can mitigate the nasal discomfort, reduce the inflammatory responses and significantly enhance the quality of life of patients.

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邱红艳,阎晓琳.辛芩方联合布地奈德鼻喷雾剂治疗过敏性鼻炎临床研究 邱[J].新中医,2025,57(23):56-61

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  • 在线发布日期: 2025-12-12
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