郑日新教授经验方配合针灸治疗肺经风热型鼻渊的临床效果(1)
[摘要] 目的 观察郑日新教授经验方配合针灸治疗肺经风热型鼻渊的临床效果。 方法 选择2019年1～6月于安徽中医药大学第二附属医院收治的肺经风热证鼻渊患者68例，按随机数字表法分为对照组和观察组，每组34例。对照组口服藿胆片，观察组内服郑日新教授经验方结合针灸治疗。10 d为1个疗程，比较两组治疗前后的症状和体征各项积分及总积分，观察两组临床疗效。 结果 观察组临床疗效优于对照组，差异有统计学意义(P < 0.05)。两组治疗后鼻塞、流脓涕、头昏头痛、嗅觉障碍、鼻甲肿胀、局部压痛各项积分及总积分均低于治疗前，且观察组低于对照组，差异有统计学意义(P < 0.05)。两组均未见严重不良反应发生。 结论 郑日新教授经验方配合针灸治疗肺经风热型鼻渊效果确切，能有效缓解症状，减轻鼻甲肿胀、局部压痛，且无严重不良反应，安全有效，值得临床推广。
[关键词] 郑日新;经验方;针灸;鼻渊;临床效果
[中图分类号] R246.81 [文献标识码] A [文章编号] 1673-7210(2020)03(a)-0131-04
[Abstract] Objective To observe clinical effect of professor Zheng Rixin′s empirical prescription combined with acupuncture in the treatment of sinusitis with lung channel wind-heat type. Methods From January to June 2019， 60 patients with lung channel wind-heat type sinusitis in the Second Affiliated Hospital of Anhui University of Chinese Medicine were selected. They were divided into control group and observation group by random number table method， with 34 cases in each group. The control group was given the Huodan Tablets orally. The observation group was treated with professor Zheng Rixin′s empirical prescription combined with acupuncture. Two groups were treated with 1 course of treatment for 10 days. The score and total scores of symptoms and signs before and after treatment between two groups were compared. Clinical effects between two groups were observed. Results Clinical effect of observation group was better than that of control group， the difference was statistically significant (P < 0.05). After treatment， the score and total scores of nasal obstruction， flowing spiss snot， dizziness and headache， dysosmia， swollen turbinate， local tenderness in two groups were lower than those before treatment， and the scores in observation group were lower than those in control group， the differences were statistically significant (P < 0.05). There was no serious adverse reaction in two groups. Conclusion Zheng Rixin′s empirical prescription combined with acupuncture in the treatment of sinusitis with lung channel wind-heat type has a better clinical effect. It can effectively relieve the symptoms and swollen turbinate and local tenderness， and produce no serious adverse reactions. Therefore， it is safe， effective and worthy of clinical promotion.
[Key words] Zheng Rixin; Empirical prescription; Acupuncture; Sinusitis; Clinical effect
鄭日新是国家中医学术流派“安徽新安医学郑氏喉科”代表性传承人，第五、六批全国老中医药专家学术经验继承工作指导老师，全国名老中医药专家传承工作室建设项目专家。郑日新教授擅长运用郑氏喉科流派学术精华治疗耳鼻咽喉科疾病，尤善治疗耳鼻咽喉感染性疾病。鼻渊，相当于西医学的急性、慢性鼻窦炎，以鼻流浊涕、量多不止、鼻塞、头痛、嗅觉减退为临床特征。随着环境污染及空气质量的日益下降，本病的发病率有上升的趋势，如得不到及时有效的治疗，则会影响患者的生活质量[1]。常规西医治疗多采用鼻用激素、血管收缩剂、抗生素、鼻腔冲洗及手术治疗[2-5]，但治疗效果欠佳[6]。有研究表明，中医药在治疗鼻渊上有良好的临床效果[7]，结合针灸可以进一步提高疗效[8]，为进一步探讨中医药及针灸治疗本病的干预作用及运用中医药治疗现代感染性疾病的用药经验，本研究采用郑日新经验方配合针灸治疗，以期为临床上治疗此病提供更安全有效的治疗方法。, 百拇医药(周宿迪 郑日新)
[关键词] 郑日新;经验方;针灸;鼻渊;临床效果
[中图分类号] R246.81 [文献标识码] A [文章编号] 1673-7210(2020)03(a)-0131-04
[Abstract] Objective To observe clinical effect of professor Zheng Rixin′s empirical prescription combined with acupuncture in the treatment of sinusitis with lung channel wind-heat type. Methods From January to June 2019， 60 patients with lung channel wind-heat type sinusitis in the Second Affiliated Hospital of Anhui University of Chinese Medicine were selected. They were divided into control group and observation group by random number table method， with 34 cases in each group. The control group was given the Huodan Tablets orally. The observation group was treated with professor Zheng Rixin′s empirical prescription combined with acupuncture. Two groups were treated with 1 course of treatment for 10 days. The score and total scores of symptoms and signs before and after treatment between two groups were compared. Clinical effects between two groups were observed. Results Clinical effect of observation group was better than that of control group， the difference was statistically significant (P < 0.05). After treatment， the score and total scores of nasal obstruction， flowing spiss snot， dizziness and headache， dysosmia， swollen turbinate， local tenderness in two groups were lower than those before treatment， and the scores in observation group were lower than those in control group， the differences were statistically significant (P < 0.05). There was no serious adverse reaction in two groups. Conclusion Zheng Rixin′s empirical prescription combined with acupuncture in the treatment of sinusitis with lung channel wind-heat type has a better clinical effect. It can effectively relieve the symptoms and swollen turbinate and local tenderness， and produce no serious adverse reactions. Therefore， it is safe， effective and worthy of clinical promotion.
[Key words] Zheng Rixin; Empirical prescription; Acupuncture; Sinusitis; Clinical effect
鄭日新是国家中医学术流派“安徽新安医学郑氏喉科”代表性传承人，第五、六批全国老中医药专家学术经验继承工作指导老师，全国名老中医药专家传承工作室建设项目专家。郑日新教授擅长运用郑氏喉科流派学术精华治疗耳鼻咽喉科疾病，尤善治疗耳鼻咽喉感染性疾病。鼻渊，相当于西医学的急性、慢性鼻窦炎，以鼻流浊涕、量多不止、鼻塞、头痛、嗅觉减退为临床特征。随着环境污染及空气质量的日益下降，本病的发病率有上升的趋势，如得不到及时有效的治疗，则会影响患者的生活质量[1]。常规西医治疗多采用鼻用激素、血管收缩剂、抗生素、鼻腔冲洗及手术治疗[2-5]，但治疗效果欠佳[6]。有研究表明，中医药在治疗鼻渊上有良好的临床效果[7]，结合针灸可以进一步提高疗效[8]，为进一步探讨中医药及针灸治疗本病的干预作用及运用中医药治疗现代感染性疾病的用药经验，本研究采用郑日新经验方配合针灸治疗，以期为临床上治疗此病提供更安全有效的治疗方法。, 百拇医药(周宿迪 郑日新)
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