| ObjectiveIn this study,thunder-fire moxibustion was used to treat allergic rhinitis of Yang deficiency type,and compared with moxibustion and nasal spray(mometasone furoate nasal spray).After treatment,the symptoms,signs and quality of life of the disease were observed.The short-term and long-term clinical effects of thunder-fire moxibustion were explored by comparing various indicators before and after treatment and 1 month after treatment in each group.MethodsNinety patients who met the research criteria of this subject were divided into three groups by completely random grouping:treatment group(thunder-fire moxibustion group)with 30 cases treated with Zhao’ s thunder-fire moxibustion for rhinitis,three times a week as a course of treatment,three consecutive courses of treatment;control group 1(moxibustion group)with 30 cases treated with moxibustion,acupoint selection,manipulation and treatment course were the same as the treatment group;The control group 2(nasal hormone group)consisted of 30 patients.Mometasone furoate nasal spray(produced by Mosadong Company)was injected into bilateral nasal cavity twice a day in the morning for 3 weeks.All three groups completed VAS nasal visual scale score,nasal symptoms score,nasal signs score,and Rhinoconjunctivitis Quality of life questionnaire(standard version/RQLQ scale)before treatment,after treatment and 1 month after treatment.Relevant data were input into Excel to establish a database,and data were analyzed and described by SPSS23.0 statistical software.Results1.Before treatment,there was no significant difference in sex,age and condition among the three groups(P>0.05),indicating that the above factors did not affect the evaluation of curative effect after treatment in each group(using different medical intervention measures).It is comparable.2.After the completion of treatment,the total effective rates of Lei Huo moxibustion group,moxibustion group and nasal hormone group were 90%,93.3%and 83.3%,respectively.there was no significant difference among the three groups(P>0.05).The results show that all the three kinds of medical interventions can effectively treat moderate to severe persistent allergic rhinitis of Yang deficiency type.And the overall curative effect in the near future is the same.3.After the completion of treatment,there were significant differences in RQLQ scores among the three groups before and after treatment.There were significant differences in RQLQ scores between the three groups before and after treatment.The improvement of activity,sleep,non-nose/eye symptoms,practical problems,nose symptoms,eye symptoms and emotion in nasal hormone group was better than that in Lei Huo moxibustion group and moxibustion group.There was statistical difference(P<0.05),and there was no significant difference between thunder fire moxibustion group and moxibustion group,which indicated that thunder fire moxibustion,moxibustion and nasal hormones could improve the quality of life of patients with moderate to severe persistent allergic rhinitis of yang deficiency type.But nasal hormones are better.3.After treatment,there were significant differences in VAS visual scale score,nasal sign score and nasal main symptom score among the three groups before and after treatment.Among the three groups,there was no significant difference in nasal signs,runny nose and nasal itching among the three groups(P>0.05).The results showed that the clinical effects of thunder fire moxibustion,moxibustion and nasal hormones were similar in the three groups(P>0.05).Among the three groups,there was no significant difference in nasal signs,runny nose and nasal itching among the three groups(P>0.05).There was significant difference in VAS score between the three groups before and after treatment.The difference of VAS score in thunder fire moxibustion group(x=4.05)and moxibustion group(x=3.92)was lower than that in nasal hormone group(x=5.18).And it’ s statistically significant,There was no statistical significance between the thunder fire moxibustion group and the moxibustion group,which showed that nasal hormone was superior to thunder fire moxibustion and moxibustion in improving the VAS score of patients.There was significant difference in sneezing among the three groups(P<0.05).The difference of sneezing symptom score before and after treatment in thunder fire moxibustion group(x=0.82)and moxibustion group(x=0.86)was lower than that in nasal hormone group(x=1.05).There was significant statistical significance(P=0.03,0.02<0.05),which indicated that nasal stress was significantly different from that of nasal shock(P=0.03,0.02<0.05).Su is superior to thunder fire moxibustion and moxibustion in improving sneezing.Of which,There was significant difference in nasal congestion among the three groups(P<0.05).The difference of nasal congestion symptom score before and after treatment in moxibustion group(x=0.72)was lower than that in thunder fire moxibustion group(x=0.92).And the comparison was statistically significant(P<0.009<0.05).The results showed that thunder fire moxibustion was superior to moxibustion in improving nasal congestion.3.During the follow-up 1 month after treatment,the differences of VAS score,total symptom score and total RQLQ score in the thunder fire moxibustion group were significantly higher than those in the moxibustion group and nasal hormone group(P<0 05).There was no significant difference between moxibustion group and nasal hormone group.The results showed that the overall medium-and long-term effect of thunder fire moxibustion in the treatment of moderate to severe persistent allergic rhinitis of yang deficiency type was better than that of moxibustion and nasal hormone(P<0.009<0.05),indicating that thunder fire moxibustion was superior to moxibustion in improving nasal congestion.ConclusionThunder-fire moxibustion,moxibustion and nasal spray(mometasone furoate nasal spray)have similar short-term efficacy in the treatment of allergic rhinitis,and all have significant clinical efficacy,but the long-term efficacy of thunder-fire moxibustion is more significant. |