不同悬灸家庭干预模式治疗儿童过敏性鼻炎疗效比较的临床研究

A Clinical Study Comparing the Therapeutic Effects of Different Moxibustion Family Intervention Models on Children with Allergic Rhinitis

摘要: 目的：比较微信平台悬灸家庭干预与传统医嘱模式治疗儿童过敏性鼻炎(PAR)的疗效差异。方法：研究受试儿童均来自2023年7月至12月江西中医药大学附属医院针灸过敏性鼻炎科就诊患者，共60例。采用随机数字表法分为两组：试验组(n = 30)通过微信平台开展悬灸家庭干预，由经培训合格的家长在患儿家中操作，主穴选取上迎香、印堂、风门、足三里，每日1次，每周5次，持续2周；对照组(n = 30)仅接受传统医嘱模式，取穴、干预频率及疗程同试验组。疗效评估采用鼻部症状总分(TNSS + TNNSS)及鼻结膜炎生存质量量表(RQLQ)。结果：干预后，两组TNSS及RQLQ评分差异显著(P < 0.01)，而TNNSS评分未见统计学差异(P < 0.01)。疗效比较显示：试验组治愈8例、显效10例、有效10例、无效2例(总有效率93.33%)；对照组分别为4例、6例、16例、4例(总有效率86.67%)。试验组临床疗效显著高于对照组(P < 0.05)。结论：与传统医嘱执行模式比较，基于微信平台实施悬灸家庭干预模式治疗PAR疗效更佳，值得临床推广应用。

Abstract: Objective: To compare the therapeutic efficacy of home intervention with moxibustion via WeChat platform and the traditional medical prescription model in the treatment of pediatric allergic rhinitis (PAR). Methods: All the study subjects were patients who visited the Department of Allergic Rhinitis in the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from July to December 2023, totaling 60 cases. They were randomly divided into two groups using a random number table: the experimental group (n = 30) received home moxibustion intervention via WeChat platform, with qualified parents operating at the patient’s home. The main acupoints selected were Shangxing, Yin Tang, Fengmen, and Zusanli, once a day, 5 times a week, for 2 weeks; the control group (n = 30) only received the traditional medical prescription model, with the same acupoints, intervention frequency, and treatment course as the experimental group. The therapeutic efficacy was evaluated using the total score of nasal symptoms (TNSS + TNNSS) and the Rhinitis Quality of Life Questionnaire (RQLQ). Results: After the intervention, there were significant differences in the TNSS and RQLQ scores between the two groups (P < 0.01), while there was no statistical difference in the TNNSS score (P < 0.01). The efficacy comparison showed that in the experimental group, 8 cases were cured, 10 cases were markedly improved, 10 cases were effective, and 2 cases were ineffective (total effective rate 93.33%); in the control group, 4 cases were cured, 6 cases were markedly improved, 16 cases were effective, and 4 cases were ineffective (total effective rate 86.67%). The clinical efficacy of the experimental group was significantly higher than that of the control group (P < 0.05). Conclusion: Compared with the traditional medical prescription implementation mode, the intervention mode of moxibustion through WeChat platform in the family setting for treating PAR has better therapeutic efficacy and is worthy of clinical promotion and application.