作者：孙梦晓 来源：本站原创 点击：35次 更新：2018-04-16
FENG Gang (冯 罡)
Rehabilitation Department of Hebi Jingli Hospital, Hebi City 458030, Henan Province, China（鹤壁京立医院康复科，河南 458030）
Objective To observe the clinical efficacy of “itching symptom” of allergic rhinitis treated from the perspective of “wind”. Methods Forty patients were given acupuncture therapy, Fēngchí (风池 GB 20, bilaterally), Dàzhuī (大椎 GV 14), Fēngmén (风门 BL 12, bilaterally), Fèishū (肺俞 BL 13, bilaterally) and Shàngyíngxiāng (上迎香 EX-HN8, bilaterally) were selected. After needle withdrawal, a fire cup was applied between GV 14 and BL 13, and the cup was retained for 10 min. Treatment for 15 times was considered as 1 course of treatment. Three days were free from treatment between 2 courses, and 3 courses were needed. The curative effect was evaluated after treatment ends, and follow-up visit was performed one year after treatment. Results The scores of nasal symptom and itching symptom after treatment ends and one year after treatment significantly reduced when compared with that before treatment (all P<0.05), the difference was not statistically significant when compared the scores of nasal symptom and itching symptom one year after treatment with that after treatment ends (both P>0.05). According to the follow-up visit performed one year after treatment, the markedly effective and effective cases reduced, ineffective cases increased, and the total effective rate declined slightly. The serum IgE levels, after treatment ends ［(164.79±44.29) IU/mL］ and one year after treatment ［(180.71±52.81) IU/mL］, both significantly reduced when compared with that before treatment ［(380.12±61.45) IU/mL, both P<0.05］, the serum IgE level one year after treatment increased when compared with that after treatment ends, but the difference was not statistically significant (P>0.05). Conclusion (1) Significant short-term and long-term curative effects have been obtained during the treatment of “itching symptom” of allergic rhinitis from the perspective of “wind”, (2) the mechanism of action may be related with the decrease of serum IgE level, (3) it is indicated that there are correlations between allergic rhinitis and atopic diseases such as atopic dermatitis and allergic conjunctivitis, etc.
KEY WORDS: allergic rhinitis; itching symptom; wind-evil; serum IgE
ABSTRACT IN CHINESE
[摘 要] 目的：观察从“风”论治过敏性鼻炎患者之“痒症”的临床疗效。方法：对40例患者采用针刺风池（双）、大椎、风门（双）、肺俞（双）、上迎香（双）进行治疗，去针后在大椎、肺俞之间加拔1号火罐一个，留罐10 min。治疗15次为1疗程，疗程间休息3天，共治疗3个疗程。治疗结束后评价疗效，治疗结束后1年进行随访。结果：治疗后即刻与治疗后1年鼻部症状、痒症评分较治疗前评分均显著降低（均P<0.05）；治疗后1年鼻部症状、痒症评分与治疗后即刻评分比较无统计学意义（P>0.05）。患者治疗后1年随访，显效、有效例数有所下降，无效例数有所升高，总有效率稍有下降。治疗后即刻血清IgE水平（164.79±44.29）IU/mL、治疗后1年血清IgE水平（180.71±52.81）IU/mL与治疗前血清IgE水平（380.12±61.45）IU/mL比较均显著下降（均P<0.05）；治疗后1年血清IgE水平较治疗后血清IgE水平虽有所升高，而治疗后1年血清IgE水平与治疗后血清IgE水平比较无显著差异（均P>0.05）。结论：从“风”论治过敏性鼻炎患者之“痒症”能有效缓解鼻部症状，降低血清IgE水平。结论：（1）从“风”论治过敏性鼻炎之“痒症”有良好的近期、远期疗效；（2）其作用机制可能与降低血清IgE水平有关；（3）提示过敏性鼻炎与特应性皮炎、过敏性结膜炎等特应性疾病之间存在相关性。
[关键词] 过敏性鼻炎 痒症 风邪 血清IgE