Clinical Study Of "Sphenopalatine Ganglion Combined With Acupoints" Embedding For The Treatment Of Allergic Rhinitis(Lung And Spleen Qi Deficiency Syndrome)

Objective: To observe the difference in efficacy between embedding in the pterygopalatine ganglion combined with acupoints and acupuncturing in the pterygopalatine ganglion combined with acupoints for allergic rhinitis(lung and spleen qi deficiency syndrome),and summarize the specifications of acupoint catgut embedding method for the treatment of allergic rhinitis and promote its clinical application and promotion.Methods: 64 patients with allergic rhinitis(lung and spleen qi deficiency syndrome)who met the inclusion criteria were divided into the “sphenopalatine ganglion combined with acupoints” acupuncture group(n=31)and the “sphenopalatine ganglion combined with acupoints” embedding group(n=33)according to their will.Sphenopalatine ganglia(both side),ST36(bodth side),BL12(both side),BL13(both side),BL20(both side)and CV6 were selected in both groups.In the acupuncture group,the sphenopalatine ganglion and above acupoints were treated with routine acupuncture.The acupuncture was kept for 30 minutes each time,once every other day,3 times per week,for 4 weeks.In the acupoint catgut embedding group,embedding was performed at the sphenopalatine ganglion and above acupoints once a week alternately,for a total of 4 weeks.The changes of visual analog scale(VAS),Rhinoconjunctivitis quality of life(RQLQ)scale and TCM syndrome score scale before and after treatment were observed and compared between the two groups,and the clinical efficacy of the two groups was compared.The efficacy and recurrence of the two groups were followed up 3 months after treatment.Results:(1)Overall efficacy evaluationIn the “sphenopalatine ganglion combined with acupoint” acupuncture group,there were13 cases of marked effect,14 cases of effective,4 cases of ineffective,and the total effective rate was 87.1%.“Spenopalatine ganglion combined with acupoint” embedding group showed significant effect in 16 cases,effective in 15 cases and ineffective in 2 cases,with a total effective rate of 93.9%.There was no statistical difference between the two groups(P(29)0.05).(2)VAS integral comparisonAfter treatment,the total VAS score and syndrome scores of each item in 2 groups were significantly lower than those before treatment(P<0.05);After treatment,compared with the two groups,the total score of VAS and the improvement degree of nasal congestion and nasal itching in the embedding group of “sphenopalatine ganglion combined with acupoints” were better than that in the acupuncture group of “sphenopalatine ganglion combined with acupoints”(P<0.05).(3)RQLQ integral comparisonAfter treatment,the total RQLQ scores and individual scores of 2 groups were significantly lower than those before treatment(P<0.05);After treatment,compared with the two groups,the improvement degree of nasal syndrome and nasal behavior problems in the embedding group of “sphenopalatine ganglion combined with acupoint” was better than that in the acupuncture group of “sphenopalatine ganglion combined with acupoint”(P<0.05).(4)Comparison of TCM syndrome scoresAfter treatment,TCM syndrome scores in 2 groups were significantly decreased compared with before treatment(P<0.05);After treatment,there was no statistical difference between the two groups(P(29)0.05).(5)Comparison of expenditure(time and cost)between the two groupsCompared with the “sphenopalatine ganglion combined with acupoint” acupuncture group,the embedding group had less treatment frequency(P<0.05),less time(P<0.05),and lower medical expenses(P<0.05).(6)Comparison of follow-up3 months after the end of follow-up treatment,the clinical efficacy of the “sphenopalatine ganglion combined with acupoints” embedding group was 90.3%,significantly higher than that of the acupuncture group(70.97%,P<0.05).Follow-up 3 months later,9 patients in the“sphenopalatine ganglion combined with acupoints” acupuncture group recurred,the recurrence rate was 29%.In the embedding group,3 cases recurred,and the recurrence rate was9%.There was a significant difference between the two groups(P<0.05).Conclusion:(1)Both the embedding method of “sphenopalatine ganglion combined with acupoints”and the acupuncture method of “sphenopalatine ganglion combined with acupoints” have significant efficacy in the treatment of allergic rhinitis of lung and spleen qi deficiency syndrome,and the embedding method of “sphenopalatine ganglion combined with acupoints”has good long-term efficacy and low recurrence rate in the treatment of allergic rhinitis.(2)Compared with the acupuncture method of “sphenopalatine ganglion combined with acupoints”,the embedding method has obvious advantages in improving the nasal symptoms of patients,especially the symptoms of nasal congestion and nasal itching,and the effect of catgut embedding method is better in solving the daily behavioral problems of patients by improving the nasal symptoms.(3)Acupoint catgut embedding has certain advantages in terms of treatment frequency,medical cost and time cost.