循经刮痧配合氯雷他定治疗持续性变应性鼻炎的临床研究
Clinical Study on the Treatment of Persistent Allergic Rhinitis by Scraping Therapy Along Meridian Combined with Loratadine
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摘要: 目的 探讨循经刮痧配合氯雷他定治疗持续性变应性鼻炎(PAR)肺经伏热证的临床疗效。方法 选取2015年3月至2016年9月南京中医药大学附属医院耳鼻咽喉科门诊收治的PAR属肺经伏热证患者60例,随机分为氯雷他定对照组和刮痧配合氯雷他定治疗组,每组各30例,2组患者均治疗4周,采用鼻部症状总评分(TNNS)、视觉模拟量表(VAS)评分、RQLQ评分、总IgE、IL-4水平和总有效率对临床疗效进行评价。结果 治疗4周后2组患者TNNS、VAS、RQLQ评分及总IgE、IL-4值均明显降低(P<0.01),治疗组在改善VAS、RQLQ评分、IL-4水平方面均优于对照组(P<0.01),治疗组临床疗效和远期随访效果优于对照组(P<0.05~0.01)。结论 刮痧配合氯雷他定是治疗变应性鼻炎的有效方法,有良好的远期效果。Abstract: OBJECTIVE To study the clinical effect of scraping therapy along meridian combined with loratadine in the treatment of persistent allergic rhinitis (PAR) caused by heat accumulation in lung meridian. METHODS Sixty patients with PAR caused by heat accumulation in lung meridian included in the affiliated hospital of Nanjing University of Chinese Medicine from March, 2015 to September, 2016 were selected and randomly divided into the loratadine control group, the scraping and loratadine combination group, 30 cases in each group. Patients in both groups were treated for 4 weeks. Clinical curative effect was evaluated by total nasal symptoms scores (TNSS), visual analog scale (VAS), RQLQ score, total IgE, IL-4 level and total effective rate. RESULTS TNNS, VAS, RQLQ score, total IgE and IL-4 level all decreased in two groups after 4 weeks' treatment (P<0.01). The treatment group was better than the control group in improving VAS, RQLQ score and IL-4 level (P<0.01). And the treatment group was better than the control group in clinical effect and long-term follow-up effect (P<0.05~0.01). CONCLUSIONS Scraping and loratadine combination therapy is an effective treatment for allergic rhinitis and has satisfied long-term effect.
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Key words:
- scraping therapy along meridian /
- allergic rhinitis /
- loratadine /
- total IgE /
- interleukin 4
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[1] BOUSQUET J, VAN CAUWENBERGE P, BACHERT C, et al. Allergic rhinitis and its impact on asthma[J].Allergy Clin Immunol,2001,108(5 Suppl):147-334. [2] BOUSQUET J,KHAHAEV N,CRUZ AA,et al. Allergic Rhinitis and its Impact on Asthma(ARIA)2008 update(in collaboration with the World Health Organization,GA2tEN and Allergen[J].Allergy,2008,63(S86):8-160. [3] 胡彩虹.刮痧配合穴位贴敷治疗过敏性鼻炎的疗效观察[C].北京:中国针灸学会砭石与刮痧专业委员会2008年全国学术交流大会,2008. [4] HU CH. Effect of Scraping Combined with Acupoint Application in the Treatment of Allergic Rhinitis[C].Beijing: National Conference on Academic Exchange in 2008, Stone Needle and Scraping Specialized Committee, China Association of Acupuncture and Moxibustion, 2008. [5] 中华耳鼻咽喉头颈外科杂志编委会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组.变应性鼻炎诊断和治疗指南[J].中华耳鼻咽喉头颈外科杂志,2009,44(12):977-978. [6] Nasal Section of Editorial Board, Chinese Journal of Otorhinolaryngology Head and Neck Surgery, Subspecialty Group of Rhinology, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association. Guidelines for diagnosis and treatment of allergic rhinitis[J]. Chin J Otorhinolaryngol Head Neck Surg, 2009, 44(12):977-978. [7] 中华中医药学会.中医耳鼻咽喉科常见病诊疗指南[M].北京:中国中医药出版社,2012:17. [8] China Association of Chinese Medicine. Guidelines for Diagnosis and Treatment of Common Diseases of Otolaryngology in Traditional Chinese Medicine[M]. Beijing: China press of traditional Chinese medicine, 2012:17. [9] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组.变应性鼻炎诊断和治疗指南[J].中华耳鼻咽喉头颈外科杂志,2016,51(1):6-23. [10] Nasal Section of Editorial Board, Chinese Journal of Otorhinolaryngology Head and Neck Surgery, Subspecialty Group of Rhinology, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association. Guidelines for diagnosis and treatment of allergic rhinitis[J]. Chin J Otorhinolaryngol Head Neck Surg, 2016, 51(1):6-23. [11] 王士贞.中医耳鼻咽喉科学[M].北京:中国中医药出版社,2003:124-130. [12] WANG SZ. Otolaryngology of Traditional Chinese Medicine[M]. Beijing: China press of traditional Chinese medicine, 2003:124-130. [13] 杨金生,王莹莹.中国标准刮痧[M].上海:第二军医大学出版社,2012:94. [14] YANG JS, WANG YY. Chinese Standard Scrapping[M]. Shanghai: second military medical university press, 2012:94. [15] 朱宇静. 阳明经区刮痧对变应性鼻炎患者鼻部微循环血流灌注量的影响[D].福州:福建中医药大学, 2015. [16] ZHU YJ. Impacts of Scraping Yang-ming Meridian on Nose's Microcirculation Blood Perfusion Volume with Allergic Rhinitis[D]. Fuzhou: Fujian University of Chinese Medicine, 2015.
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