目的:观察三伏针与三伏贴治疗过敏性鼻炎的疗效.方法:将132例符合纳入标准的过敏性鼻炎患者随机分成3组,即三伏针组、三伏贴组和西药组.三伏针组主穴:鼻三针(印堂、迎香、上迎香),急性期留针20 min,间歇期留针40 min,三伏期间隔日1次,10次1个疗程,至当年末伏结束治疗.三伏贴组:用自制药丸敷贴穴位,主穴:大椎、肺俞(双侧)、膏肓(双侧)、至阳,敷贴时间:每年夏天之初伏、中伏、末伏的第1天上午各敷贴1次,为一疗程.西药组口服氯雷他定片,每日1片,连续4周为一疗程.观察患者治疗1个疗程后的临床症状、体征及实验室监测指标,跟踪患者6个月后的临床症状及体征,比较三伏针组及三伏贴组治疗方案的疗效.结果:1个疗程结束后,三伏针组与西药组的疗效无明显差异(P＞0.05),且均优于三伏贴组(P＜0.05),6个月随访时,三伏针组的疗效与三伏贴组无明显差异(P＞0.05),且均优于西药组(P＜0.05).结论:三伏针治疗过敏性鼻炎的短期疗效优于三伏贴,三伏针和三伏贴的远期疗效相当.%Objective:To observe the curative effect of Sanfu Acupoint Application and Sanfu Acupuncture in the treatment of allergic rhinitis.Methods:132 patients who met the inclusion criteria were randomly divided into three groups,Sanfu acupuncture group(group A),Sanfu acupoint application group(group B),and western medication group (group C).The points used in group A were EX-HN3,LI20,and EX-HN8;the needling was once every other day for ten sessions during Sanfu (three hottest ten-day) periods,and the needling retention was 20mins for acute period and 40mins for intermission.Group B was treated with self-made application on GV14,BL13 (both sides),BL43 (both sides),and GV9;the application time was on the morning of 1 st,10th,20th day of Sanfu.Group C were given Loratadine tablets,1 tablet a day for 4 weeks.The clinical symptoms,physical signs,and laboratory monitoring indexes were observed after one course of treatment,and the clinical symptoms and signs of patients were followed up after six months;on which basis,the clinical efficacy was compared between the groups.Results:After one course of treatment,there was no significant difference in efficacy between group A and group C (P ＞ 0.05),which were both superior to group B (P ＜ 0.05).After six-month follow-up,there was no significant difference between group A and group B (P ＞ 0.05),and they were both superior to group C(P ＜0.05).Conclusion:The short-term curative effect of Sanfu acupuncture is better than that of Sanfu acupoint application in the treatment of allergic rhinitis,and their long-term effect was similar.
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