發(fā)布時間：2017-12-28 18:41

  本文關鍵詞：耳穴壓丸配合辛芩顆粒治療鼻鼽的臨床療效觀察及證型相關性分析　出處：《成都中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

  更多相關文章： 鼻鼽 耳穴壓丸 辛芩顆粒

【摘要】：目的：本研究根據(jù)耳穴理論和經絡理論,運用耳穴壓丸,通過外治法與內治法結合,旨在觀察耳穴壓丸治療鼻鼽的臨床療效及安全性,探究耳穴壓丸治療鼻鼽的作用機理,力求尋找一種安全有效且容易為患者接受的治療方法,并就其治療效果與證型的相關性進行分析研究。方法：將符合納入標準的60例患者根據(jù)隨機數(shù)字表分為兩組：治療組(口服辛芩顆粒+耳穴壓丸組),對照組(單純口服辛芩顆粒)。兩組分別治療四周,并于治療之前和治療1、2周末,治療第4周末進行采集并記錄癥狀、體征積分。對所得數(shù)據(jù)進行統(tǒng)計和分析。結果：在療效方面,治療1周末治療組總有效率為53.3%,對照組為28.6%,兩組差異有統(tǒng)計學意義,但在改善鼻塞、噴嚏、流涕、鼻癢各鼻部癥狀方面,兩組資料差異均無統(tǒng)計學意義。治療2周末治療組總有效率為66.7%,對照組為57.1%,兩組差異無統(tǒng)計學意義。治療4周末治療組總有效率為70%,對照組為60.7%。兩組受試者經治療后癥狀體征均有改善,但試驗組在療效(改善鼻部癥狀和體征)方面效果優(yōu)于對照組,可能是治療組在對照組基礎上加用了耳穴壓丸,有補益肺氣,扶正祛邪,攝涕止鼽的功效。各組對于鼻癢的改善均不明顯。對于鼻塞、噴嚏、流涕癥狀的改善1周末時治療組略優(yōu)于對照組。治療2周末、治療4周末時治療組與對照組在改善鼻部癥狀與體征療效方面無統(tǒng)計學差異。結論：耳穴壓丸與辛芩顆粒在改善鼻部癥狀及體征方面均有一定療效,但對于鼻癢無明顯改善。治療1周末時,耳穴壓丸聯(lián)合辛芩顆粒使用其效果要優(yōu)于單純使用辛芩顆粒。治療2周末及4周末時兩組療效相當。辛芩顆粒對于肺氣虛寒及脾氣虛弱患者的鼻鼽癥狀改善明顯,中成藥使用仍舊離不開中醫(yī)辨證指導。
[Abstract]:Objective: This study is based on the theory and application of ear meridian theory, ear pressure pills, through external therapy combined with internal treatment, to observe the clinical efficacy and safety of ear pressure pill in the treatment of allergic rhinitis, explore the mechanism of ear pressure pill in the treatment of allergic rhinitis, in order to find a safe and effective and easy for the patient to receive treatment, to analyse and research the relationship between therapeutic effect and TCM syndrome types. Methods: 60 patients who met the inclusion criteria were divided into two groups according to the random number table: the treatment group (oral Xin Qin granule + auricular point pressing pill group), and the control group (only oral Xin Qin granule). The two groups were treated for four weeks, and before and after the 1 and 2 weeks of treatment, the symptoms and signs were recorded and recorded at the end of the fourth week. Statistics and analysis of the obtained data. Results: in terms of efficacy, 1 weeks of treatment, the total efficiency of treatment group was 53.3%, 28.6% in the control group, there was significant difference between two groups, but the improvement in nasal congestion, sneezing, runny nose, nasal itching, nasal symptoms, the difference of two groups were not statistically significant. The total effective rate of the treatment group was 66.7% at the end of the 2 week treatment group, and the control group was 57.1%. The difference between the two groups was not statistically significant. The total effective rate of the treatment group was 70% at the end of the 4 week treatment group and 60.7% in the control group. Two groups of subjects with symptoms and signs were improved after treatment, but the curative effect in the experimental group (improve nasal symptoms and signs) better than the control group, the treatment group in the control group may be based on the use of ear pressure pills, replenishing qi, Fuzhengquxie, Sheti Zhiqiu effect. The improvement of nasal itching in each group was not obvious. For nasal congestion, sneezing, runny nose symptoms improved after 1 week treatment group was slightly better than the control group. There was no statistical difference between the treatment group and the control group at the end of the 2 week and the 4 week of treatment in improving the symptoms and signs of the nose. Conclusion: the ear point pressing pill and Xin Qin granule have a certain effect in improving nasal symptoms and signs, but there is no obvious improvement on the nasal itching. At the end of the 1 week treatment, the effect of pressing pills of the auricular point combined with simutqin granules was better than the single use of simutqin granules. The treatment of the two groups was equivalent to the two groups at the end of the 2 and 4 weekends. Xinqin granule biqiu for symptoms of lung deficiency and spleen qi deficiency patients improved significantly, the use of Chinese patent medicines still cannot do without the guidance of tcm.
【學位授予單位】：成都中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R276.7

【參考文獻】

相關期刊論文 前10條

1 楊陽;蒙艷麗;王偉明;;黃芩藥理作用研究概況[J];黑龍江中醫(yī)藥;2015年01期

2 張新怡;吳莉;劉智艷;郭慧;曲紅巖;李永凱;劉娟;楊歡;曹琳;;天灸治療肺氣虛寒型變應性鼻炎臨床觀察[J];上海針灸雜志;2014年10期

3 黃榮孝;;針灸夾鼻穴結合雷火灸治療過敏性鼻炎60例[J];河南中醫(yī);2014年07期

4 趙君麗;程希;姜旭光;;穴位埋線治療變態(tài)反應性鼻炎35例[J];河南中醫(yī);2013年11期

5 邢亮;金秀均;;耳穴壓豆治療過敏性鼻炎30例療效觀察[J];新中醫(yī);2013年11期

6 王瓊波;余麗華;李華麗;;日常天灸治療兒童鼻鼽效果觀察及護理[J];中醫(yī)臨床研究;2013年05期

7 李珍;李文喜;;穴位埋線治療變應性鼻炎78例[J];中國針灸;2013年03期

8 郭少武;;穴位注射治療過敏性鼻炎60例[J];中醫(yī)耳鼻喉科學研究;2012年01期

9 朱少可;;耳穴貼壓治療過敏性鼻炎33例[J];中國民間療法;2012年03期

10 李育紅;許嘉鵬;;穴位注射治療過敏性鼻炎62例療效觀察[J];云南中醫(yī)中藥雜志;2012年01期

，

本文編號：1346963