首页|基于子午流注理论下督灸对脾肾阳虚型变异性鼻炎患者的中医护理效果研究

基于子午流注理论下督灸对脾肾阳虚型变异性鼻炎患者的中医护理效果研究

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目的:探讨子午流注择时督灸干预脾肾阳虚型变异性鼻炎患者的中医护理效果。方法:将144例脾肾阳虚型变异性鼻炎患者随机分为治疗组和对照组,每组72例。治疗组行子午流注择时督灸,对照组予其他时间段督灸治疗,均干预4周。比较两组患者干预前后的主要症状评分、体征评分、鼻-结膜炎相关生活质量调查问卷评分、血清IgE、IL-2、IL-4水平及总体疗效。结果:治疗后,两组患者主要症状评分、体征评分、鼻-结膜炎相关生活质量调查问卷得分、IgE、IL-4水平较治疗前均有所降低,差异均有统计学意义(P<0。05),且治疗组主要症状评分、体征评分、鼻-结膜炎相关生活质量调查问卷得分、IgE、IL-4水平均明显低于对照组(P<0。05);两组患者IL-2水平较治疗前均有所升高,差异均有统计学意义(P<0。05),且治疗组IL-2水平明显高于对照组(P<0。05)。治疗组的临床总有效率为93。06%(67/72),高于对照组的81。94%(59/72),差异均有统计学意义(P<0。05)。结论:子午流注择时督灸能有效改善变异性鼻炎患者的相关症状和体征,提高其生活质量,其作用机制可能与调节IgE及相关炎症因子IL-2、IL-4的分泌水平,纠正Th1/Th2免疫失衡相关。
Research on the Traditional Chinese Medicine Nursing Effect of Du-moxibust ion on Patients with Spleen-kidney Yang Deficiency Type Variant Rhinitis Based on the Theory of Midnight-noon Ebb-flow Theory
Objective:To explore the effect of TCM nursing on patients with variant rhinitis of spleen-kidney yang deficiency type treated by timed Du-moxibustion based on the midnight-noon ebb-flow theory.Method:A total of 144 patients with allergic rhinitis of spleen-kidney yang deficiency type were divided into the treatment group and the control group,with 72 cases in each group.The treatment group received timed Du-moxibustion based on the midnight-noon ebb-flow theory,while the control group received Du-moxibustion at other time periods.Both groups were intervened for 4 weeks.The main symptom scores,sign scores,rhinoconjunctivitis-related quality of life questionnaire scores,serum IgE,IL-2,IL-4 levels before and after the intervention,and the overall efficacy were compared between the two groups.Results:After treatment,the main symptom scores,sign scores,rhinoconjunctivitis-related quality of life questionnaire scores,IgE and IL-4 levels of the two groups were all decreased compared with those before treatment,and the differences were statistically significant(P<0.05).Moreover,the main symptom scores,sign scores,rhinoconjunctivitis-related quality of life questionnaire scores,IgE and IL-4 levels of the treatment group were significantly lower than those of the control group(P<0.05).The IL-2 levels of the two groups were increased compared with those before treatment,and the differences were statistically significant(P<0.05),and the IL-2 level of the treatment group was significantly higher than that of the control group(P<0.05).The total clinical effective rate of the treatment group was 93.06%(67/72),which was higher than 81.94%(59/72)of the control group,and the differences were statistically significant(P<0.05).Conclusion:Timed Du-moxibustion based on the midnight-noon ebb-flow theory can effectively improve the related symptoms and signs of patients with allergic rhinitis and improve their quality of life.Its mechanism of action may be related to regulating the secretion levels of IgE and related inflammatory factors IL-2 and IL-4,and correcting the Th1/Th2 immune imbalance.

allergic rhinitisspleen-kidney yang deficiencymidnight-noon ebb-flow theoryDu-moxibustiontraditional Chinese medicine nursing

杨晓倩、施慧、蒋潓、陈丽霞

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安徽中医药大学第一附属医院,安徽 合肥 230031

安徽中医药大学护理学院,安徽 合肥 230012

变异性鼻炎 脾肾阳虚 子午流注 督灸 中医护理学

2021年度安徽中医药大学科研基金项目

2021yfylc26

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(9)