| Objective:this topic aims to evaluate the acupuncture combined with nasal deficiency cold nose treatment of clinical effect,and try to explore its mechanism,hope through theory and practice,in order to seek a treatment of lung qi deficiency cold nose(allergic rhinitis)effective treatment of traditional Chinese medicine,and as traditional Chinese medicine characteristics and treatment in clinical application.Methods:A total of 90 patients who met the inclusion criteria and were admitted to the otolaryngology Outpatient department of the First Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from December 2020 to December 2021 were collected.All patients voluntarily participated in this study and signed informed consent.Ninety cases of pulmonary qi deficiency and cold nose were randomly divided according to the order of treatment and divided into 30 cases in combination group,acupuncture group and TCM group.The combined group was given wendu Tongqiao needling combined with Wenbi Tongqiao Yin granule orally.The needle was left for 20 minutes after each needling,once every other day,3 times a week,for 30 days.The acupuncture group received wen Du Tong Qiao acupuncture.The Chinese medicine group was given wenbi Tongqiao Yin granules orally.The granules in the three groups were provided by the granules pharmacy of The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,and were taken once in the morning and once in the evening for 30 days.Bar fruit:1.It was confirmed that bd in the three groups could improve the symptoms of bd in ps ORIasis of lung and qi.The results showed that H=9.584,P=0.008<0.05,indicating that there was a statistically significant difference in the effect between the three groups.The pairwise comparison of the three groups had statistical significance.The effective rate of the combined group was 93.3%,the effective rate of the acupuncture group was 70%,and the effective rate of the Traditional Chinese medicine group was 80%.The difference between the three groups was statistically significant.Therefore,the effect of Wendu Tongqiao acupuncture combined with Wenbi Tongqiao Decoction is better than wendu Tongqiao acupuncture alone or oral wenbi Tongqiao Decoction.2.After 15 days of treatment,all the scores in the three groups had a certain effect compared with those before treatment.After 15 days of treatment,the total scores of the three groups were compared,and the results were as follows:H=19.581,P<0.001(P<0.05).After 30 days of treatment,the total scores of symptoms and signs were tested as H=31.455,P=<0.001(P<0.05),and the differences were statistically significant.The pairwise comparison between the two groups had statistical significance.After 15 days of treatment in the combined group,the acupuncture group and the Chinese medicine group,the difference of score decline was as follows:4.567,2.667,1,the decrease differences of 30 days were 9.47,3.87,5.6,respectively.It can be concluded that joint group>acupuncture>TCM group was successfully utilized in each treatment group in terms of improving the symptoms and signs of deficiency of lung qi and cold syndrome,and joint group>TCM>acupuncture group in each treatment group after 30 days.The combined group significantly improved symptoms and signs.3.The difference of EOS%in the three groups after 15 days of treatment was tested:H=30.981,P<0.001;the difference of EOS%in the three groups after 30 days of treatment was tested:H=36.917,P<0.001,the differences were statistically significant.And treatment of 15 days,30 days two more were statistical significance between groups,combining with the joint group,acupuncture group,Chinese medicine in the treatment of 15 days drop difference:3,1.5,0,at 30 days’treatment decreased difference:6,3,5,After 15 days of treatment,the improvement of EOS%was as follows:combination group>acupuncture group>Traditional Chinese medicine group;After 30 days of treatment,the improvement of EOS%was as follows:combined group>Traditional Chinese medicine group>acupuncture group.It shows that the combined group can effectively reduce EOS%.4.After 15 days of treatment,the VAS scores of the three groups were tested,and the results were as follows:H=48.758,P<0.001;after30 days of treatment,the results were as follows:H=42.440,P<0.001,and the differences were statistically significant.The pin-wise comparison between the groups after 15 and 30 days of treatment was statistically significant.Combined with the decrease differences of the combined group,acupuncture group and TCM group at 15 days of treatment:2.5,2 and 0,and the decrease differences at 30 days of treatment:4.5,2 and 3,it could be concluded that the improvement of VAS in each group at 15 days of treatment was:combined group>acupuncture group>TCM group.After 30 days of treatment,VAS score was decreased in combination group>Traditional Chinese medicine group>acupuncture group.It indicates that the combination group can significantly improve the discomfort and pain caused by AR symptoms.5.Comparison of RQLQ scores:RQLQ scores were reduced in all three groups after 30 days of treatment.After 30 days of treatment,the test F=8.867,P<0.001,was statistically significant between the three groups.The pairwise comparison between the combined group,acupuncture group and Traditional Chinese medicine group showed statistical significance.There was no statistical significance between acupuncture group and Chinese medicine group.The decrease difference of the combined group,the acupuncture group and the TCM group was 41.37,22.24 and 31.63,respectively.The comparison between groups showed that the combined group had the best RQLQ score reduction,and the efficacy of the TCM group and the acupuncture group was similar.After 30 days of treatment,the combined group was the best,followed by the Traditional Chinese medicine group and the acupuncture group in terms of improving activity restriction,sleep,non-naso-eye and nasal symptoms.In terms of improvement of practical problems,eye symptoms and emotion,the combined group was the best,followed by the TCM group and acupuncture group,and there was no statistical significance between the acupuncture group and the TCM group.These results indicate that the combined group can significantly improve the quality of life of AR patients.6.After one month of treatment,X~2=3.900,P=0.138(P>0.05)was tested for recurrence in the three groups,and there was no statistical significance in the comparison of recurrence rate among the three groups after one month of treatment.After 3 months of treatment,the recurrence rate of patients in the three groups wasc~2=9.284,P=0.010(P<0.05),which was statistically significant.Pairwise comparison among the three groups showed that there were statistically significant differences between acupuncture group,combined group and Traditional Chinese medicine group.There was no significant difference between the combined group and the Traditional Chinese medicine group.After 3 months of treatment,the recurrence rates of the combination group,the acupuncture group and the TCM group were 17.86%,57.1%and 25%,respectively.Based on the comparison between the three groups,the recurrence rates of the combination group and the TCM group were low,while the acupuncture group was slightly higher,and the difference between the combination group and the acupuncture group was not statistically significant.The combined group and the Chinese medicine group had more stable efficacy in the medium and long term.7.Safety evaluation:There were no adverse reactions or shedding cases in both groups during the treatment.Conclusion:The results of this study indicate that there is a significant effect of Warm Head and qiqiao acupuncture combined with Warm nose And Qiqiao Yin in the treatment of deficiency of lung qi and cold head,and it is superior to warm head and qiqiao Yin in the treatment of deficiency of lung qi and cold head,in improving symptoms and signs,reducing EOS%,VAS and RQLQ symptom score.The total effective rate after treatment was higher than that of acupuncture group and Traditional Chinese medicine group,and the recurrence of AR patients with lung qi deficiency and cold type was effectively reduced in return visit 3 months after the end of treatment.Wendu Tongqiao acupuncture alone had a faster onset,but it was inferior to the combined group and Chinese medicine group in the mid-term efficacy comparison,and the recurrence rate was higher after 3 months.Although wenbi Tongqiao Yin was taken orally alone in the early stage,its efficacy was better than that of the acupuncture group in the middle stage,and the recurrence rate was lower than that of the acupuncture group after 3 months,showing a stable efficacy.It was safe and reliable in the whole trial,no adverse events occurred,and the combination of acupuncture and drug therapy was highly feasible,providing a new idea for clinical treatment. |
