摘要
目的:观察分析针刺治疗变应性鼻炎(AR)患者的远期疗效及预后影响,并对针刺作用效应规律进行总结。方法:纳入108例已完成10次针刺治疗,且疗效满意停止治疗的AR患者,进行为期1年的电话和网络平台(电子邮件或微信问卷)随访,分别于治疗后3、6、9、12个月4个时间点观察鼻炎临床症状体征评分、VAS评分及鼻结膜炎生活质量(RQLQ)评分远期疗效,并记录患者用药情况,所得数据与治疗前、后进行比较。结果:针刺治疗结束后患者1年内各随访时间点鼻炎临床症状体征评分总分、VAS评分总分及RQLQ总分中值与治疗前相比均有降低(P<0.01),治疗后3个月总体评分最低。患者1年内药物使用情况较治疗前减少。结论:针刺对AR的疗效至少可维持12个月,疗程结束后即时效果最佳,治疗后3个月为最佳疗效维持期。针刺能有效缓解AR患者远期临床症状,提高患者生活质量,降低AR复发率。
Objective:To observe the long-term efficacy and prognosis of acupuncture in patients with allergic rhinitis(AR),and to summarize the effects of acupuncture.Methods:One hundred and eight patients with AR who had completed 10 acupuncture treatments were enrolled,then received a one-year follow-up via telephone and online platform(email or WeChat questionnaire).The rhinitis symptoms score,VAS score,and RQLQ score were evaluated for 4 times(3,6,9,12 months after treatment respectively),and medical conditions were recorded.Results:At different times in the year after the end of the acupuncture treatment,the rhinitis symptoms score,VAS score,and RQLQ score were reduced compared to the score before treatment(P<0.01),the overall score was the lowest at 3 months after treatment.Besides,all patients reduced relative drug use.Conclusion:The therapeutic effect of acupuncture on AR can last for at least 12 months,and the instant effect is the best after the end of treatment.No differences are found when compared with 3 months after treatment.Acupuncture can relieve patients’clinical symptoms and improve their quality of life effectively,as well as reduce the recurrence rate of clinical symptoms.
作者
刘建党
郑念祖
靳琦
陈跃来
LIU Jian-dang;ZHENG Nian-zu;JIN Qi;CHEN Yue-lai(Yueyang Hospital of Integrated Traditional Chinese Medicine and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China;Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2020年第3期1590-1592,共3页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
变应性鼻炎
针刺
感传针法
远期疗效
Allergic Rhinitis
Acupuncture
Propagated sensation along channel
Long-term efficacy
