| ObjectiveThis study aimed to improve the practice methods of ginger moxibustion, and explore the advantages of modified ginger moxibustion and effectiveness on patients with allergic rhinitis, aims to build kind of more convenient and for patient to home use and self management, and more safe, practical,energy conservation and cheaper ginger moxibustion treatment with more points can be choosed.Methods1. Study about using makeup cotton with ginger juice to improve ginger, used convenience sampling to select 30 health student volunteers in a university, each 15 men and women, then randomly divided into traditional ginger and makeup cotton group, then under the same conditions, ginger group used ginger piece in ginger moxibustion with moxa roll box moxibustion while ginger juice cotton was used for ginger cotton group,12 points choosed in one person and a total of 360 points were used in this study,15 minutes moxibustion for each point, electronic balance that accurate to 0.001g is used to take ginger and ginger cotton weigh volatilization before and after moxibustion, moreover we record the surface coverage of ginger and ginger cotton with fresh vegetable juice soaked according to the formation of the skin imaging (full coverage and not completely cover) during 15 minutes and cost for each material; statistical analysis for all data follows when study finished.2.94 patients with allergic rhinitis and suitable for recruit criteria were recruited by convenience sampling in otolaryngology outpatient of the second affiliated hospital of guangzhou university of TCM, then use automatic random number table and envelopes to divided them into control group and experimental group,47 cases each group, control group using health education combined with anti-allergic medicine (Clarityne oral with triamcinolone acetonide nasal spray) 4 weeks;On the basis of in the control group, experimental group added ginger moxibustion with ginger juice cotton and moxibustion box to bilateral Shenshu, Fengmen and Zusanli point, once a day,5 days for one treatment and two days off afer each treatment, after four courses of treatments, record the outcome. Diagnosis, the internal medicine administer for two group were maked by one doctor. Allergic rhinitis symptom assessment scale was used before and after intervention to collect the patients’symptoms and phyical signs change and telephone follow-up for three months, recorded the first recurrence time for each patient after interventionin;all collected data entry to database, and import the SPSS17.0 software for statistical analysis.Results1. according to the results, under the same conditions, amount of ginger volatile difference has no statistical significance ( t=1.071, P=0.285) between same size of ginger and ginger juice cotton during ginger moxibustion. Differences about average economic cost and the skin point surface coverage comparison has statistical significance (t=13.199,P=0.000; χ2=79.322, P=0.000).ginger juice cotton was cheaper and had 100% skin point surface coverage which was superior than traditional ginger.2.94 patients were recruited in intervention research,47 cases of control group and 47 cases for experimental group. During the research,6 patients in control group droped because of telephone number changed or stopped using while 3 patients in experimental group droped due to personal affairs or time relations could’t adhere to daily therapy, all remaining patients had finished intervention, evaluation and follow-up work, So in this study we had 41 cases in control group and 44 cases in experimental group. Differences between droped cases and effective cases patients’ gender, age, course of disease and disease total scores had no statistically significant (χ2=1.015, P=0.314; t=-0.065, P=0.948; t=-0.270,P=0.788; t=-1.003,P=0.318);Before intervention, differences between two groups in gender, age, disease course, and disease total scores made no statistical significance (χ2=0.909, P=0.340; t=-1.716,P=0.090; t=1.583,P=0.117; t=0.695,P=0.489),meaned that two groups were comparable.3. After four-weeks intervention, difference on symptom (experimental group: t=10.576, P=0.000; control group: t=6.995, P=0.000) and sign score (experimental group: t=7.904, P=0.000; control group: t=3.175, P=0.002), disease total score (experimental group: t=11.151,P=0.000; control group: t=6.559, P=0.000) in each group had maked statistical significance; after intervention patients in experimental group got better remission on symptoms, signs scores and total scores, which made statistical significance (t=-3.476,P=0.001; t=-2.308,p=0.024; t=-3.500, P=0.001), in details, especially for the alleviated of sneezing and nasal itching in experimental group, which also made statistical significance (t=-6.986,p=0.000; t=-4.122, P=0.000). Interventional efficiency and total effective rate of experimental group was higher than the control group, difference had statistically significant (χ2=14.231, P=0.000; χ2=5.262,P=0.022)4. After intervention, the first recurrence patients of control group in 2 weeks was far more than experimental group, which has statistical significance(χ2=27.425, P=0.000), patients whose first recurrence occur within 1-2months,2 months-3 months and patients without recurrence during 3 months follow-up in experimental group was much more than control group and differences had statistical significance (χ2=6.189,P=0.013;P=0.003; χ2=4.824,P=0.028)ConelusionGinger cotton had advantages of simple preparation, the specification can be standardized and low economic cost, and can change the situation that ginger moxibustion was limited by point position, which can apply to points on limbs and reduce the burn risk, and helps to save manpower and time, using ginger cotton with moxa roll into the moxibustion box method to improve ginger moxibustion has advantages of home, simple, cheap and safe; make moxibustion to patients’bilateral fei shu, feng men, and zu san li points and combined with loratadine and triamcinolone acetonide nasal spray can effectively alleviate patients’symptoms and can delay the first recurrence time after intervention; it offer evidence for patients’ home self control, is worthy of further promotion and use. |
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