摘要：
目的：观察艾灸配合穴位自血疗法治疗肺脾气虚型变应性鼻炎的临床疗效。方法将120例符合标准的患者按照随机数字表法分为综合组、艾灸组和西药组。综合组采用艾灸与穴位自血注射相配合的方法,艾灸组采用艾灸治疗,西药组服用抗组胺药氯雷他定片。上述方法除穴位自血注射每星期2次外,其他均为每日1次,7 d为1个疗程,共观察4个疗程,3个月后随访。观察3组患者治疗前后以及随访临床疗效。结果治疗后3组均收到显著近期疗效,综合组与艾灸组疗效相当,均优于西药组(P＜0.05)。随访时,综合组与艾灸组远期疗效均优于西药组(P＜0.01,P＜0.05),艾灸组远期疗效优于综合组(P＜0.01)。结论艾灸配合穴位自血与艾灸疗法对肺脾气虚型变应性鼻炎具有较好近远期疗效。艾灸疗法对肺脾气虚型变应性鼻炎患者远期疗效优于艾灸配合穴位自血疗法，穴位自血疗法要求严格无菌操作,在一定程度上限制其在家庭治疗中的开展,而艾灸疗法的坚持使用激发体内阳气,从而发挥“治未病”的作用。%ObjectiveTo observe the clinical efficacy of moxibustion plus acupoint autohemotherapy in treating allergic rhinitis due to lung-spleen qi deficiency.MethodTotally 120 eligible subjects were divided by using the random number table into a comprehensive group, a moxibustion group and a Western medication group. The comprehensive group was intervened by moxibustion plus acupoint autohemotherapy, the moxibustion group was by moxibustion,and the Western medication group was by Loratadine tablets. The acupoint autohemotherapy was give twice a week and the rest treatments were given once a day, 7 das a course, for 4 courses in total. A follow-up study was conducted 3 months later. The clinic efficacy was evaluated before and after intervention, as well as in the follow-up study.ResultThe three groups all achieved significant short-term efficacies after intervention, and the comprehensive group was equivalent to the moxibustion group, bothsuperior to the Western medication group(P<0.05). According to the follow-up study, the long-term efficacies of the comprehensive group and moxibustion group were both significantly higher than that of the Western medication group (P<0.01,P<0.05), and the moxibustion group was superior to the comprehensive group in comparing the long-term efficacy (P<0.01).ConclusionMoxibustion plus acupoint autohemotherapy and dry moxibustion both can produce significant short-term and long-term therapeutic efficacies in treating allergic rhinitis due to lung-spleen qi deficiency. The long-term efficacy of moxibustion is higher than that of moxibustion plus acupoint autohemotherapy in treating allergic rhinitis due to lung-spleen qi deficiency. Acupoint autohemotherapy requires strict aseptic operation, which restricts its application in family healthcare. Long-term use of moxibustion can activate yang qi, and thus plays a role in preventing diseases.
