Effect Of Moxibustion On Clinical Efficacy And Quality Of Life In Patients With Allergic Rhinitis

Objective:To investigate the efficacy of moxibustion treatment for pationts with allergic rhinitis and its impact on the quality of life of patients.Methods:A randomized block design 60patients were divided into 2 groups of 30 cases in each group. Biyankang control group with oral tablets and "drop pass rhinitis water" treatment, the test group increased moxibustion treatment on the basis of the intervention in the control group. Unrelated third-party evaluation of the efficacy and processing data. For each group, total of 4 weeks as one treatment course, and make a visit after of the end of treatment after a month.Main outcome measures:Nasal symptom total score (Total Nasal Symptom Score, TNSS) as the main outcome measures were divided into nasal congestion, runny nose, nasal itching, sneezing four symptoms, according to the severity of each symptom severity score, 0 for asymptomatic,1 for mild symptoms,2 for moderate symptoms,3 for heavier symptoms,4 for very heavy.Nasal symptom score accompanying (TNNSS):According snot flowing from the throat, tears, nasal or ocular pain, the amount of pain, headaches get on the presence or absence of oral Rating:0=no, 1=Yes.Rhinitis Quality of Life Questionnaire (RQLQ):divided into activities, sleep, non-nose and eye symptoms, practical problems, nasal symptoms, eye symptoms, a total of seven emotions, each one respectively0=no problems, 1=almost no problems,2=some problems,3=moderate distress,4=very troubled, 5=very troubled,6=extremely troubled scoring.Laboratory parameters:the degree of distribution of the nasal secretions of eosinophils (EOS) using Shelden evaluation methods:lpoint=not seen; 2points= occasionally; 3 points=relatively high and there was scattered; 4=Vision accounting for 1/4; 5 points=1/2 accounted vision; 6 points=full vision is.The evaluation criteria:clinical cure:nasal symptoms and quality of life score improvement rate> 70%; Effective:nasal symptoms and improve quality of life scores decreased>30%; invalid:no change in nasal symptoms or quality of life scores decreased scores decreased≤30%. RQLQ score improvement rate= (total score before treatment-treatment after the total score)/total score before treatment×100%.Results:The clinical efficacy and quality of life of patients with improvement in the experimental group than the control group, the differences were statistically significant (P<0.05).1. Efficacy of disease between the two groups 30 cases, seven cases of clinical cure, effective in 21 cases,2 cases, the total efficiency of 93.33%; control group,30 cases, one case of clinical cure, effective in 18 cases, 11 cases, total There are 63.3% efficient. Observation group was higher, the difference was statistically significant between the two groups, (x2=8.3901, P=0.004).2. The two TNSS, TNNSS, RQLQ integral changes in the treatment of nasal symptoms after comparing total score of patients in the observation group, accompanied by nasal rhinitis symptom score and quality of life scores were lower than the control group, a statistically significant decline in the value of the difference (P<0.05), nasal secretions eosinophils distributed within the group and between-group comparisons showed no significant changes, the difference was not statistically significant (P>0.05).3. during treatment Observe patients significantly reduced the amount of drug use due to the improvement of symptoms.4. This study included 32 cases of lung deficiency feel cold syndrome,18 cases of temper weakness syndrome, and 10 cases of kidney deficiency syndrome two groups of syndromes total score of Total Nasal Symptom Score Nasal symptom score accompanying and Rhinitis Quality of Life Questionnaire no significant difference after treatment, the difference of the decreased value was not statistically significant (P> 0.05).Conclusion:Compared with the simple application of drugs, use of moxibustion therapy can better improve nasal symptoms, nasal discomfort brought alleviate distress, thereby improving the quality of life in patients with allergic rhinitis. Moxibustion treatment effect by yang and cold, helping the body upright, regulate the function of organs, so that AR patients achieve clinical and immunological tolerance. Moxibustion treatment is not only safe and easy, but also has good long-term results, but also to explore the outside except for the effect of AR other allergic diseases, such as allergic asthma, a topic dermatitis.In this study,nasal secretions eosinophils(EOS), as an indicator of allergic, improvement in symptoms, while significant change was not observed, the symptoms may be prompted to lag behind the changes in EOS, if extended observation period, or whether the changes can be found relevant. In addition, moxibustion action principle, further research needs to be done.