锋钩针配合苍耳子散治疗慢性单纯性鼻炎疗效观察
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摘要
目的观察锋钩针配合苍耳子散治疗慢性单纯性鼻炎的临床疗效。方法 150例慢性单纯性鼻炎患者随机分为A组、B组和C组,每组50例。A组单纯使用锋钩针治疗,B组单纯使用苍耳子散治疗,C组采用锋钩针配合苍耳子散治疗。观察3组治疗前后临床症状评分变化,并比较临床疗效。结果 3组临床症状评分(鼻塞、流涕、喷嚏、鼻黏膜肿胀)与同组治疗前比较,差异有统计学意义(P<0.05);C组治疗后临床症状评分(鼻塞、流涕、喷嚏、鼻黏膜肿胀)低于A组和B组(P<0.05)。C组总有效率为94.0%,高于A组的60.0%和B组的80.0%(P<0.05)。结论锋钩针配合苍耳子散治疗慢性单纯性鼻炎疗效显著,能够显著改善患者的临床症状。
Objective To observe the clinical efficacy of sharp-hook needle plus Cang Er Zi powder in treating chronic simple rhinitis. Method A total of 150 patients with chronic simple rhinitis were randomized into group A,group B and group C, with 50 cases in each group. Group A was intervened by sharp-hook needle, group B was treated with Cang Er Zi powder, and group C was intervened by sharp-hook needle plus Cang Er Zi powder. In the three groups, changes in the clinical symptom scores after treatment were observed, and the clinical efficacies were compared.Result The clinical symptom scores(stuffy nose, runny nose, sneeze and swelling nasal mucosa) changed significantly after treatment in the three groups(P<0.05); the clinical symptom scores(stuffy nose, runny nose, sneeze and swelling nasal mucosa) in group C were lower than those in group A and B(P<0.05). The total effective rate was94.0% in group C, higher than 60.0% in group A and 80.0% in group B(P<0.05). Conclusion Sharp-hook needle plus Cang Er Zi powder can produce significant efficacy in treating chronic simple rhinitis, and it can markedly improve the clinical symptoms.
Objective To observe the clinical efficacy of sharp-hook needle plus Cang Er Zi powder in treating chronic simple rhinitis. Method A total of 150 patients with chronic simple rhinitis were randomized into group A,group B and group C, with 50 cases in each group. Group A was intervened by sharp-hook needle, group B was treated with Cang Er Zi powder, and group C was intervened by sharp-hook needle plus Cang Er Zi powder. In the three groups, changes in the clinical symptom scores after treatment were observed, and the clinical efficacies were compared.Result The clinical symptom scores(stuffy nose, runny nose, sneeze and swelling nasal mucosa) changed significantly after treatment in the three groups(P<0.05); the clinical symptom scores(stuffy nose, runny nose, sneeze and swelling nasal mucosa) in group C were lower than those in group A and B(P<0.05). The total effective rate was94.0% in group C, higher than 60.0% in group A and 80.0% in group B(P<0.05). Conclusion Sharp-hook needle plus Cang Er Zi powder can produce significant efficacy in treating chronic simple rhinitis, and it can markedly improve the clinical symptoms.
引文
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[22]高亚丽.针刺配合超短波治疗慢性单纯性鼻炎32例[J].中国针灸,2008,28(2):90.
[23]张天生,靳聪妮,关芳,等.新九针溯源与发展[J].中国针灸,2009,29(7):591-594.
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[27]沈梅芳,李小萌,单琪媛.薄荷化学成分与药理作用研究新进展[J].中华中医药学刊,2012,30(7):1484-1487.
[2]田勇泉.耳鼻咽喉头颈外科学[M].第7版,北京:人民卫生出版社,2008:58-61.
[3]付亚峰,史亚鹏.曲安奈德鼻喷雾剂治疗慢性单纯性鼻炎的疗效观察[J].齐齐哈尔医学院学报,2012,33(17):2370-2371.
[4]国家中医药管理局.中医耳鼻喉科病证诊断疗效标准[S].北京:人民卫生出版社,1994:21-22.
[5]范新华,谢强.针灸治疗阳虚型慢性单纯性鼻炎疗效观察[J].上海针灸杂志,2015,34(7):655-656.
[6]董云鹏.慢性鼻炎的临床治疗分析[J].中国卫生标准管理,2016,7(16):40-41.
[7]Lombardi C,Melli V,Incorvaia C,et al.Pharmacoeconomics of sublingual immunotherapy with the 5-grass pollen tablets for seasonal allergic rhinitis[J].Clin Mol Allergy,2017,15(1):5.
[8]Summa NM,Sanchez-Migallon Guzman D,Keller KA,et al.Bilateral pararhinotomy with middle meatal antrostomy of the maxillary sinus in a rabbit(Oryctolagus cuniculus)with chronic rhinitis[J].J Am Vet Med Assoc,2019,254(11):1316-1323.
[9]Feshchenko Y,Iashyna L,Nugmanova D,et al.Chronic obstructive pulmonary disease,bronchial asthma and allergic rhinitis in the adult population within the commonwealth of independent states:rationale and design of the CORE study[J].BMC Pulm Med,2017,17(1):131.
[10]Ghadersohi S,Tan BK.Contemporary Pharmacotherapy for Allergic Rhinitis and Chronic Rhinosinusitis[J].Otolaryngol Clin North Am,2017,50(6):1135-1151.
[11]Bousquet J,Arnavielhe S,Bedbrook A,et al.The Allergic Rhinitis and its Impact on Asthma(ARIA)score of allergic rhinitis using mobile technology correlates with quality of life:The MASK study[J].Allergy,2018,73(2):505-510.
[12]Grasso M,de Vincentiis M,Agolli G,et al.The effectiveness of long-term course of Sterimar Mn nasal spray for treatment of the recurrence rates of acute allergic rhinitis in patients with chronic allergic rhinitis[J].Drug Des Devel Ther,2018,12:705-709.
[13]Li HT,Chen ZG,Lin YS,et al.Cp G-ODNs and Budesonide Act Synergistically to Improve Allergic Responses in Combined Allergic Rhinitis and Asthma Syndrome Induced by Chronic Exposure to Ovalbumin by Modulating the TSLP-DC-OX40L Axis[J].Inflammation,2018,41(4):1304-1320.
[14]Koskinen A,Numminen J,Markkola A,et al.Diagnostic Accuracy of Symptoms,Endoscopy,and Imaging Signs of Chronic Rhinosinusitis Without Nasal Polyps Compared to Allergic Rhinitis[J].Am J Rhinol Allergy,2018,32(3):121-131.
[15]Hisinger-M?lk?nen H,Piiril?P,Haahtela T,et al.Smoking,environmental tobacco smoke and occupational irritants increase the risk of chronic rhinitis[J].World Allergy Organ J,2018,11(1):6.
[16]刘国庆.针刺治疗慢性鼻炎58例[J].长春中医药大学学报,2011,27(6):1031.
[17]陶波,韩淑萍.鼻针配合中药治疗肺经蕴热型慢性单纯性鼻炎30例[J].江西中医药,2018,49(2):52-54.
[18]赵丽娜.针刺治疗慢性鼻炎32例[J].中医研究,2017,30(4):63-65.
[19]刘利民.干祖望辨证论治慢性肥厚性鼻炎医案选读[J].现代中西医结合杂志,2011,20(33):4259-4260.
[20]汤洁,元唯安,王蠡,等.中医药治疗慢性单纯性鼻炎的研究进展[J].环球中医药,2015,8(S2):279-280.
[21]翁恒,曲义岑.从心肺论治慢性单纯性鼻炎的临床观察[J].四川中医,2009,27(11):108-109.
[22]高亚丽.针刺配合超短波治疗慢性单纯性鼻炎32例[J].中国针灸,2008,28(2):90.
[23]张天生,靳聪妮,关芳,等.新九针溯源与发展[J].中国针灸,2009,29(7):591-594.
[24]张明发,沈雅琴.苍耳子药理与临床[J].中南药学,2006,4(3):216-218.
[25]韩双红,张听新,李萌,等.两种辛夷药理作用比较[J].中药材,1990,13(9):33-35.
[26]吴媛媛,蒋桂华,马逾英,等.白芷的药理作用研究进展[J].时珍国医国药,2009,20(3):625-627.
[27]沈梅芳,李小萌,单琪媛.薄荷化学成分与药理作用研究新进展[J].中华中医药学刊,2012,30(7):1484-1487.