| Objective:To investigate the clinical effect of 4 weeks of abdominal acupuncture intervention for patients with lung and spleen qi deficiency moderate to severe seasonal allergic rhinitis during the pollen peak period.The clinical effect includes morbidity,onset time,onset symptoms and quality of life.In this thesis,the author proved and discussed the clinical effect of the early intervention with abdominal acupuncture for patients with lung and spleen qi deficiency moderate to severe seasonal allergic rhinitis.Methods:74 patients that visited the outpatient clinic from 2017-11-01 to 2018-10-31with moderate to severe seasonal allergic rhinitis met the inclusion criteria and were included in this study.The patients were divided into the intervention group and the control group randomly,according to the chronological order of enrollment,with 37 patients in each group.In the intervention group,the abdominal acupuncture intervention was performed 4 weeks before the pollen peak period,and the acupuncture points used were yinqiguiyuan(including zhongwan(CV12),xiawan(CV10),qihai(CV6)and guanyuan(CV4)),bilateral qipang,bilateral daheng(SP15),bilateral huaroumen(ST24),bilateral shangfengshidian,left wailing(ST26)and zhongwanshang.For the treatment,the needles were left for 30 minutes per session,3 times a week for a total of 4 weeks.In the control group,no intervention was done before the pollen peak period.A comparison was made between the scores of the total nasal symptom score(TNSS),the total non-nasal symptoms score(TNNSS),and the rhino-conjunctivitis quality of life questionnaire(RQLQ)this time and those in the previous year.Another comparison was made between the scores of the the intervention group and those of the control group.Results:(1)Comparison between groups:The age,gender,course of disease and the scores of TNSS,the four symptom of TNSS,TNNSS,RQLQ and the seven parts of RQLQ in the previous year of the intervention group were not significantly different from those of the control group(P>0.05).In the intervention group,35 patients had symptoms and 1 without obvious symptoms in 2018.The morbidity rate of the intervention group was 97.22%.In the control group,all patients had symptoms with the morbidity rate at 100%.The morbidity rate of the control group was not significantly different from that of the intervention group(P>0.05).Compared to the onset time last year,there was 9.14±7.488 days delayed in the intervention group this time,while 6.38±12.370 days earlier in the control group(P<0.05).The total TNSS score of the intervention group was lower than that of the control group at the onset time point in 2018(P<0.05),and the symptom scores of nasal obstruction,rhinorrhea,nasal itching and sneezing of the intervention group were lower than those of the control group(P<0.05).The total TNNSS score of the intervention group at the onset time point in 2018 was lower than that of the control group(P<0.05).The total RQLQ score of the intervention group was lower than that of the control group at the onset time point in 2018(P<0.05),and the seven parts scores of the physical activity,quality of sleep,other symptoms(excluding nasal and eyes),the realistic problems,nasal symptoms,eye symptoms and emotions of the intervention group were lower than those of the control group(P<0.05).(2)Comparison between the scores of the intervention group in 2018 and in 2017:In the intervention group,the total score of TNSS at the onset time point in 2018 was significantly lower than that of the scores at the onset time point in 2017(P<0.05).The symptoms scores of nasal obstruction,rhinorrhea,nasal itching and sneezing at the onset time point in 2018 were significantly lower than those at the onset time point in 2017(P<0.05).The total score of TNNSS at the onset time point when the symptoms occurred in 2018 was lower than that in 2017(P<0.05).The total score of RQLQ at the onset time point in 2018 was significantly lower than that in 2017(P<0.05),and the seven parts scores of the physical activity,quality of sleep,other symptoms(excluding nasal and eyes),the realistic problems,nasal symptoms,eye symptoms and emotions at the onset time point in 2018 were significantly lower than those in 2017(P<0.05).(3)Comparison between the scores of the control group in2018 and in 2017:In the control group,the total TNSS score at the onset time point in 2018 was not statistically different from that in 2017(P>0.05).The three symptoms scores of nasal congestion,nasal itching and sneezing at the time point when the symptoms occurred in 2018 were not different from those one year ago(P>0.05),but the score of rhinorrhea symptom at the time point when the symptoms occurred in 2018 was higher than that at the beginning of the attack one year ago(P<0.05).The total score of TNNSS at the onset time point in 2018 was not statistically different from that in 2017(P>0.05).The total RQLQ score at the onset time point in2018 was not statistically different from that in 2017(P>0.05).And the seven parts scores of the physical activity,quality of sleep,other symptoms(excluding nasal and eyes),the realistic problems,nasal symptoms,eye symptoms and emotions at the onset time point in 2018 was not statistically different from those one year ago(P>0.05).Conclusion:Early intervention with abdominal acupuncture can delay the onset time,significantly reduce the nasal symptoms and nasal accompanying symptoms at onset time point,improving the quality of life of the patients.In addition,not only is it an effective treatment,the abdominal acupuncture therapy also is painless and safe. |
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