美容毫针针刺治疗儿童变应性鼻炎临床观察.pdf

l:2009-04-14Te:秦晓光(1975-),男,医学硕士,讲师b研究方向:针刺手法的临床应用与研究bxO8M054秦晓光(D,730000)K1:探讨美容毫针针刺治疗儿童变应性鼻炎的疗效bZEnull将38例观察患者按就诊顺序编号随机分为观察组和对照组,观察组用美容毫针针刺印堂a迎香a列缺a尺泽,对照组口服富马酸酮替芬片,对2个疗程后的近期疗效和远期疗效进行对照观察bT近期疗效观察组总有效率89.5%,对照组总有效率84.2%,两组疗效比较,P0.05,差异无统计意义；远期疗效观察组总有效率68.42%,对照组总有效率31.58%,两组疗效比较,P0.05),V1b1.2null诊断标准1(1)Q?TN,0a:a0s043b(2)08*a,/0Jnb(3)Li_:!MkQ,1+；M0*?kb1.3null纳入标准S；hM；M-416；%h,e0；8?sOvi!6rb2nullZE2.1null观察组|:aPa!aa6bE/|,0.26mm#25mmx,O_0Z_O,P0U；P_045CO,r0,iCA0；!O1015mm,PE5s；O815mm,U_6,7；6O1525mm,OPE,LE,Eb10min1Q,=30minb1Q,10Q1,W3db2.2null对照组g9o,4128Q0.5mg,13168Q0.8mg,2Q,10d1,W3dbh(2Md9rb3nullr43.1症状体征分级标准Z4r,|8s)s41b8s)snV1b%46%532009M5nullnullnullnullnullnullnullnullnullD8SJnullPEDIATRICSOFTCMnullnullnullnullnullnullnullnullnullVolnull5nullNonull3Maynull2009V18s)s)s391s:10142s(BQ)153s41s0Q)103s1s0=W2s+?g3s1s0VVs2sV43sn,00JVn1s/0Jn00L,00Wl#2s0a0L,n0J0JM,3s3.2null疗效标准ID90s1M0rS1,G-s9,sq/Tr:(-9s-9s)/-9s#100%b&51%Ar,50%21%r,20%rb4nullT4.1近期疗效比较nV2bV2FY8r1(%)FYnrrAr9rq(%)4F192(10.5)11(57.9)6(31.6)89.5vF193(15.8)9(47.4)7(36.8)84.2nullnull4F9rq89.5%,vF9rq84.2%,d9)(R_),sd9il,P0.05,VF(zrb4.2null远期疗效比较nV3bV3FM8r1(%)FYnrrAr9rq(%)4F196(37.6)7(36.8)6(31.6)68.42*vF1913(68.4)4(21.1)2(10.5)31.58nullnull:vF1*P0.01%47%532009M5nullnullnullnullnullnullnullnullnullD8SJnullPEDIATRICSOFTCMnullnullnullnullnullnullnullnullnullVolnull5nullNonull3Maynull2009nullnull4F9rq68.42%,vF9rq31.58%,d9)(R_),P0.01,sd9il,V4FrAvFb5nullh,3,4,2007M123b:0a0a10?b；M0NM,；(0A)r,-Sb8?M?T,?TH0a,?u:,0bb-74.8%,M,W1Q,0?b6null)M0D(0)S,y#,7,V%,#?；saesS,e,V?,SU0L,Mr,kY,AT,kL7b2w+*,:(k50b)1,:(k#,50,Ab),L,(V,#)|5,d&8?,Ya07Lr,#OV0,08,hsbym07kMV,k7L0,yN|PYr；m|k,mm|MV,k7L0,vC0d,#O；VYk,Vb0L；|!V,FY0Lby8Oi,OhHSz0d,xeE,hOe,F.,4rTbh8f?MM1,F8g0,90.05),Thelongnulltermtotaleffectiveratewas68.42%inthetreatmentgroup,31.58%inthecontrolgroupwithasignificantdifferencebetweenthe2groups(P0.01).ConclusionAcupunctureandKetotifenhavesameshortnulltermtherapeuticeffectonchildrenallergicrhinitis,ButacupuncturehasadefinitelongnulltermtherapeuticeffectonchildrenallergicrhinitisthanKetotifen.Keywords:allergicrhinitis；acupuncturetherapy；clinicalobservation；children%48%532009M5nullnullnulln