穴位按摩联合耳穴贴压治疗中-重度持续性变应性鼻炎的疗效观察

摘要/Abstract

摘要： 目的评估穴位按摩联合耳穴贴压治疗中-重度持续性变应性鼻炎(allergic rhinitis, AR)的协同疗效。方法选取60例中-重度持续性AR患者,按随机数字表法分为对照组和观察组(各30例)。对照组采用曲安奈德鼻喷雾剂治疗,观察组在对照组基础上采用穴位按摩联合耳穴贴压治疗。比较两组临床疗效、鼻部症状/体征评分、生活质量评分及不良反应。结果治疗4周后,观察组总有效率高于对照组(χ2=4.320, P=0.038),差异有统计学意义。两组鼻部症状体征评分表(total nasal symptom score, TNSS)、鼻部伴随症状评分表(total nasal non-symptom score, TNNSS)以及鼻结膜炎生活质量量表(rhi-noconjunctivitis quality of life questionnaire, RQLQ)评分均较治疗前显著降低,且观察组患者各项指标均低于对照组,差异均有统计学意义(P均<0.001)。两组患者在研究期间均无严重不良反应发生。结论与单纯使用曲安奈德鼻喷雾剂治疗相比,穴位按摩联用耳穴贴压治疗中-重度持续性AR具有确切近期临床疗效和良好安全性,能明显提高患者生活质量。

关键词: 穴位按摩, 耳穴贴压, 变应性鼻炎, 生活质量

Abstract: Objective To evaluate the synergistic efficacy of acupoint massage combined with auricular acupressure in the treatment for moderate to severe persistent allergic rhinitis(AR)patients. Methods 60 patients with moderate to severe persistent AR were selected and divided into a control group and an observation group using a random number table, with 30 cases in each group. The control group received treatment with triamcinolone acetonide nasal spray, while the observation group received the same treatment as the control group plus acupoint massage combined with auricular acupressure therapy. Clinical efficacy, nasal symptom/sign scores, quality of life scores and adverse reactions were compared between the two groups. Results After 4 weeks of treatment, the total effective rate in the observation group was higher than that in the control group(χ2=4.320, P=0.038), indicating a statistically difference. The total nasal symptom score, total nasal non-symptom score and rhi-noconjunctivitis quality of life questionnaire scores decreased significantly in both groups compared to pre-treatment levels, and the scores in the observation group were lower than those in the control group for all indicators, with statistical significance(all P<0.001). No serious adverse reactions occurred in either groups during the study period. Conclusion Compared with the treatment using triamcinolone acetonide nasal spray alone, the combination of acupoint massage and auricular acupressure for moderate to severe persistent AR demonstrates definite short-term clinical efficacy and good safety, and significantly improves patients' quality of life.

Key words: Acupoint massage, Auricular acupressure, Allergic rhinitis, Quality of life

中图分类号:

R765.21

圣昕月,张标新,刘业海,吴飞虎,蔡恩,徐静. 穴位按摩联合耳穴贴压治疗中-重度持续性变应性鼻炎的疗效观察[J]. 山东大学耳鼻喉眼学报, 2026, 40(6): 40-45.

SHENG Xinyue, ZHANG Biaoxin, LIU Yehai, WU Feihu, CAI En, XU Jing. Efficacy observation of acupoint massage combined with auricular acupressure in the treatment of moderate to severe persistent allergic rhinitis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(6): 40-45.

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