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1、成都中醫(yī)藥大學2012屆碩士學位論文學位論文穴位埋線治療變應性鼻炎的臨床研究ClinicalResearc.htoTreatAllergicRhinitiswithCatgutImplantationatAcupoints劉歡興申請學位級別:亟±專業(yè)名稱:蟲耍醫(yī)結(jié)金!晦廢論文提交時間:至Q!至生壘旦論文答辯時間:壟Q!至生墨旦二0一二年五月成都中醫(yī)藥大學2012屆碩士學位論文中文摘要目的:以曲安奈德鼻噴霧劑為對照,評價穴位埋線治療變應性鼻炎的療效與安全性。方法:將符合選擇標準的64例變應性鼻炎患者隨機分為治療組(32例)和對照組(32例),治療組予以穴位埋線治療,對照組
2、予曲安奈德鼻噴霧劑噴鼻,療程為4周。分別于治療前、治療2周、4周及隨訪2月,觀察并記錄治療過程中兩組患者鼻部癥狀、體征、全身癥狀的變化及不良反應,對所得數(shù)據(jù)進行統(tǒng)計學分析。結(jié)果:治療前,兩組性別、年齡、病程、病情及全身癥狀評分均無統(tǒng)計學意義(胗0.05)比較,提示兩組具有可比性。治療2周后,治療組、對照組有效率分別為46.88%、84.38%,經(jīng)非參數(shù)秩和檢驗,PO.05,差異無統(tǒng)計學意義。隨訪2月后,兩組復發(fā)率分別為15.63%、43.75%,經(jīng)四格表的Pe
3、arsonf檢驗,PO.05,差異無統(tǒng)計學意義。結(jié)論:治療4周后,穴位埋線與曲安奈德鼻噴霧劑療效相當。隨訪2月后結(jié)果表明,穴位埋線復發(fā)率低、改善全身癥狀好。穴位埋線的安全性評價為2級。關鍵詞:變應性鼻炎穴位埋線曲安奈德鼻噴霧劑成都中醫(yī)藥大學2012屆碩士學位論文Abstractobjective:To
4、evaluatetherapeuticeffectsandsafetyofCatgutImplantationAtAcupointcompared、蕊tllTriamcinnoneAcetonideNasalSprayinpatientswithallergicrhinitis(AR).Methods:Sixty—fourpatientswithARwererandomlydividedintotreatmentgroup(32cases)andcontrolgroup(32cases).ThetreatmentgroupreceivedCatgutImplantati
5、onAtAcupointforfourweeks,whilethecontrolgroupweretreatedwithTriamcinnoneAcetonideNasalSprayforfourweeks.Thepatientswerefollowed—upforabout2monthsaftertreatment.Nasalsymptoms,physicalsigns,systemicsymptomsandadverseeffectsofbothgroupswerecollectedandrecorded.StatisticalanalysisWasperforme
6、dtoevaluatethesignificanceoftherapeuticeffectsandsafety.Result:Therewerenostatisticaldifferenceongender,age,patientconditionandsystemicsymptombetweenthetreatmentandcontrolgroupspriortotreatment(baseline)(胗0.05).Duringthefirsttwoweeks,theeffectiverateswere46.88%inthetreatmentgroupand84.38
7、%inthecontrolgroupwithP<0.05asdeterminedbytheMann-Whitneytest.Bytheendoftreatment,theeffectiverateswere93.75%inthetreatmentgroupand96.88%inthecontrolgroupwithnostatisticaldifference二(尸>0.05).However,twomonthsaftertreatment,therecurrenceratewere15.63%and43.75%forthetreatme