Clinical Observation Of Heat-Sensitive Moxibustion Combined With Abdominal Acupuncture In Treating Spleen-Qi Weakened Allergic Rhinitis

Objective:To observe the effects of heat-sensitive moxibustion combined with abdominal acupuncture on the quality of life,symptoms and serum total immunoglobulin E(IgE)levels of patients with spleen-qi weakened allergic rhinitis,and observe its clinical efficacy.It is heat-sensitive moxibustion combined with abdominal acupuncture for the treatment of spleen-qi weakened allergic rhinitis provides a certain clinical basis and optimizes the treatment plan for the disease.Methods:According to the inclusion and exclusion criteria,66 patients who were diagnosed with AR in the Department of Acupuncture and Moxibustion and Otorhinolaryngology of Fujian Provincial People’s Hospital between May 2020 and October 2020 were selected according to the inclusion and exclusion criteria,and were randomly divided into treatment group and control group.Among them,60 cases were actually completed due to problems such as case shedding and elimination,including 30 cases in the treatment group and 30 cases in the control group.Both groups were given health education based on the results of the patient’s allergen detection.The treatment group was given heat-sensitive moxibustion combined with abdominal acupuncture,once every other day,10 times as a course of treatment;the control group was given heat-sensitive moxibustion,once every other day.10 times is a course of treatment,and both groups have a continuous course of treatment.Observe the patient’s quality of life score(RQLQ),VAS score,TCM symptom score before and after treatment and three months later,changes in serum total IgE levels before and after treatment,and evaluate the efficacy.The results were calculated using SPSS22.0,P<0.05,the difference was considered to be statistically significant.Results:1.The overall efficacy after treatment and the overall efficacy at the follow-up three months later(1)The efficacy evaluation of the two groups of patients after treatment,the total effective rate of the treatment group was 93.33%.The total effective rate of the control group was 86.67%.The difference between the two was not statistically significant(P>0.05).(2)Three-month curative effect evaluation,the total effective rate of the treatment group was 86.67%;the total effective rate of the control group was 66.67%.The treatment effect of the treatment group was better than that of the control group(P<0.05).2.Improvements in various dimensions of the quality of life(1)The scores and total scores of all dimensions of the quality of life of the two groups after treatment decreased compared with the previous(P<0.05).In comparison between the groups,the scores of nasal symptoms and emotion dimensions in the treatment group were lower than those in the control group(P<0.05),while in the other 5 dimensions and total scores,there was no significant difference between the two(P>0.05);(2)At the follow-up three months later,the comparison between groups showed that the scores and total scores of sleep,non-nasal/eye symptoms,nasal symptoms,and ocular symptoms in the treatment group were lower than those in the control group(P<0.05),in the other 3 dimensions,There is no significant difference between the two(P>0.05).Compared within the group,the scores of sleep,non-nasal/eye symptoms,nasal symptoms,and ocular symptoms in the treatment group were lower than after treatment(P<0.05);the scores and total scores of the remaining three dimensions were not significantly different from those after treatment(P> 0.05).There was no significant difference in the scores of daily life,behavioral problems and affective dimensions in the control group compared with after treatment(P>0.05).The scores and total scores of the remaining 4 dimensions were higher than before(P<0.05).3.AR symptom VAS score,TCM symptom score and serum IgE content(1)Symptom VAS scores,TCM symptom scores and serum IgE levels decreased after treatment in the two groups(P<0.05),and the decrease in the treatment group was better than that in the control group(P<0.05).(2)At the follow-up three months later,the VAS score and TCM symptom score of the treatment group were lower than those of the control group(P<0.05).Compared within the group,the VAS score and TCM symptom score of the treatment group were lower than after treatment(P<0.05).The VAS score and TCM symptom score of the control group were higher than that after treatment(P<0.05).4.Index relevanceBefore treatment,there was a linear relationship between the total serum IgE level and the RQLQ quality of life scale score and the TCM symptom and sign score,showing a moderate correlation.(P<0.05).Conclusion:1.Heat-sensitive moxibustion combined with abdominal acupuncture therapy and heat-sensitive moxibustion can improve the quality of life and symptoms of patients with spleen-qi weakened allergic rhinitis.Heat-sensitive moxibustion combined with abdominal acupuncture therapy has better efficacy and persistence within three months after treatment,and each symptom There is no obvious sign of recurrence,and the quality of life,main symptoms and traditional Chinese medicine symptoms of patients with spleen-qi weakened allergic rhinitis can be continuously improved within three months.2.Heat-sensitive moxibustion combined with abdominal acupuncture therapy and heat-sensitive moxibustion therapy can reduce the total serum IgE level.The effect of heat-sensitive moxibustion combined with abdominal acupuncture therapy is better than that of heat-sensitive moxibustion,and the effect is lasting.3.The serum total IgE level has a linear relationship with the RQLQ quality of life score and the TCM symptom score,showing a moderate positive correlation,that is,the serum total IgE level can reflect the quality of life of patients with spleen-qi weakened allergic rhinitis and the expression of TCM symptoms to a certain extent,that is,IgE The higher the level,the higher the quality of life score and the TCM symptom score,that is,the more severe the symptoms.