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1. 黑龙江中医药大学附属第一医院耳鼻喉科
2. 黑龙江中医药大学研究生院
3. 黑龙江中医药大学附属第一医院癫痫科
纸质出版日期:2022
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李岩, 王睿, 吴一浪, 等. 针刺对变应性鼻炎患者血清细胞因子的影响[J]. 针刺研究, 2022,47(8):715-718.
LI Yan, WANG Rui, WU Yi-lang, et al. Effects of acupuncture on serum IL-4, IL-6 and IL-10 in patients with allergic rhinitis[J]. Acupuncture research, 2022, 47(8): 715-718.
李岩, 王睿, 吴一浪, 等. 针刺对变应性鼻炎患者血清细胞因子的影响[J]. 针刺研究, 2022,47(8):715-718. DOI: 10.13702/j.1000-0607.20211229.
LI Yan, WANG Rui, WU Yi-lang, et al. Effects of acupuncture on serum IL-4, IL-6 and IL-10 in patients with allergic rhinitis[J]. Acupuncture research, 2022, 47(8): 715-718. DOI: 10.13702/j.1000-0607.20211229.
目的:观察并比较鼻内针刺与常规针刺治疗变应性鼻炎(AR)的临床疗效及对血清白细胞介素(IL)-4、IL-6和IL-10含量的影响。方法:按照随机数字表法将80例AR患者分为鼻内针刺组和常规针刺组,每组40例。鼻内针刺组予针刺双侧内迎香和鼻丘;常规针刺组针刺迎香(双)、印堂、上星、合谷(双)等。两组均每日1次,连续治疗2周。分别于治疗前、后评价患者鼻部症状积分(TNSS)、鼻伴随症状积分(TNNSS)及鼻结膜炎生活质量调查问卷(RQLQ)评分,采用酶联免疫吸附法测定血清中IL-4、IL-6和IL-10的含量。结果:与本组治疗前比较,治疗后两组TNSS、TNNSS、RQLQ评分及血清IL-4、IL-6含量均降低(P<0.05)
血清IL-10含量均升高(P<0.05)。治疗后,与常规针刺组比较,鼻内针刺组TNSS、TNNSS、RQLQ评分及血清IL-4、IL-6含量降低(P<0.05)
血清IL-10升高P<0.05)。鼻内针刺组总有效率为90%(36/40)
常规针刺组总有效率为80%(32/40)
鼻内针刺组临床疗效优于常规针刺组(P<0.05)。结论:鼻内针刺可有效缓解AR症状,改善患者生活质量,疗效优于常规针刺。
Objective To observe and compare the clinical efficacy on allergic rhinitis and the impacts on the expression of serum interleukin-4(IL-4)
interleukin-6(IL-6) and interleukin-10(IL-10) between intranasal acupuncture and routine acupuncture. Methods According to the random number table method
80 patients of allergic rhinitis were divided into an intranasal acupuncture group(40 cases) and a routine acupuncture group(40 cases). In the intranasal acupuncture group
Neiyingxiang(EX-HN9) and Biqiu(Extra) were punctured. In the routine acupuncture group
Yingxiang(LI20
bilateral)
Yintang(GV24
+
)
Shangxing(GV23) and Hegu(LI4
bilateral) were stimulated. In both groups
the treatment was given once daily
for 2 weeks. The total nasal symptom score(TNSS)
the total non-nasal symptom score(TNNSS) and rhinoconjunctivitis quality of life questionnaire(RQLQ) score were observed before and after treatment; the contents of IL-4
IL-6 and IL-10 in serum were determined by enzyme linked immunosorbent assay. Results Compared with the values before the treatment
the scores of TNSS
TNNSS and RQLQ
as well as the contents of serum IL-4 and IL-6 were all decreased after treatment in the two groups(P
<
0.05)
while the content of serum IL-10 was increased(P
<
0.05). After the treatment
in comparison with the routine acupuncture group
the scores of TNSS
TNNSS and RQLQ
as well as the contents of serum IL-4 and IL-6 were decreased and IL-10 was increased significantly in the intranasal acupuncture group(P
<
0.05). The total effective rate of the intranasal acupuncture group was 90%(36/40)
better than 80%(32/40) of the routine acupuncture group(P
<
0.05). Conclusion Intranasal acupuncture can effectively relieve the symptoms of allergic rhinitis
and improve the patient's quality of life
and has a better curative effect than routine acupuncture.
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