督脉灸联合穴位埋线治疗肺虚感寒型变应性鼻炎的临床疗效观察

Clinical Efficacy Observation on Governor Vessel Moxibustion Combined with Acupoint Catgut Embedding in the Treatment of Allergic Rhinitis of Lung Deficiency and Cold Sensation Type

摘要: 目的：本研究拟评估督脉灸联合穴位埋线治疗肺虚感寒型变应性鼻炎(AR)患者的临床效果。方法：研究选取2024年1月至2024年12月在江西中医药大学附属医院就诊的60例肺虚感寒型AR患者，随机分为试验组和对照组，每组30例。试验组接受督脉灸联合穴位埋线干预，对照组则仅施以穴位埋线，两组每周治疗1次，共进行10次。通过治疗前后对比，评估两组在鼻部症状评分(TNSS)、鼻伴随症状评分(TNNSS)、总体症状体征评分及鼻结膜炎生活质量评分(RQLQ)等指标上的变化，并进一步比较其临床疗效。结果：干预后，两组患者各项评分指标明显改善，试验组改善幅度更大(均P < 0.05)。试验组总有效率为90%，显著高于对照组(70%，P < 0.05)。随访显示，试验组复发率较低，联合治疗可能具有更持久的疗效。治疗过程中无严重不良事件发生，提示本干预方案具有良好安全性。结论：督脉灸联合穴位埋线可以有效改善肺虚感寒型AR的相关临床症状，提高变应性鼻炎患者生活质量，其疗效优单纯使用穴位埋线。

Abstract: Objective: This study aimed to evaluate the clinical effect of Governor Vessel Moxibustion combined with Acupoint Catgut Embedding in the treatment of allergic rhinitis of lung deficiency and cold sensation type. (AR) of lung deficiency and cold type. Methods: A total of 60 patients with AR of lung deficiency and cold type who were treated in the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2024 to December 2024 were randomly divided into an experimental group and a control group, with 30 cases in each group. The experimental group received Governor Vessel Moxibustion combined with Acupoint Catgut Embedding intervention, while the control group only received Acupoint Catgut Embedding. Both groups were treated once a week for a total of 10 times. By comparing before and after treatment, the changes in the nasal symptom score (TNSS), nasal associated symptom score (TNNSS), overall symptom and sign score, and rhino-conjunctivitis quality of life score (RQLQ) between the two groups were evaluated, and their clinical efficacy was further compared. Results: After intervention, the scores of the two groups were significantly improved, and the improvement in the experimental group was greater (all P < 0.05). The total effective rate of the experimental group was 90%, which was significantly higher than that of the control group (70%, P < 0.05). Follow-up showed that the recurrence rate in the experimental group was lower, and the combined treatment may have a more lasting effect. No serious adverse events occurred during the treatment, indicating that this intervention program has good safety. Conclusion: Governor Vessel Moxibustion combined with Acupoint Catgut Embedding can effectively improve the clinical symptoms of AR of lung deficiency and cold type and improve the quality of life of patients with allergic rhinitis. Its efficacy is better than that of acupoint catgut embedding alone.