目的 观察督灸疗法治疗变应性鼻炎（allergic rhinitis，AR）的临床研究。方法 将80例肺脾气虚型变应性鼻炎患者以就诊的先后顺序按随机数字表法分为对照组和治疗组各40例。对照组给予糠酸莫米松鼻喷雾剂（内舒拿）喷鼻，及盐酸左西替利嗪分散片口服，4周为1个疗程；治疗组在对照组治疗的基础上，联合督灸治疗，每周1次，共4次，以4周为1个疗程。共观察1疗程。对治疗前后患者的症状、体征、视觉模拟量化表（visual analogue scale，VAS）症状评分进行检查与记录，观察结束后对各临床观察指标进行数据处理并统计学分析。结果 治疗组有效率为97.22%，对照组有效率为77.78%。两组治疗后总有效率存在统计学差异（P < 0.05）；治疗组在改善患者的主要临床症状（鼻塞、鼻痒、打喷嚏、流清涕）及全身症状（畏寒、便溏）优于对照组（P < 0.05）。结论 督灸能明显减轻AR的主要症状及体征,改善畏寒、便溏等伴随症状，临床疗效显著，值得推广。
Objective To observe the clinical study on the treatment of allergic rhinitis (AR) by governor meridian moxibustion therapy.Methods 80 cases of AR with deficiency of lung and spleen qi were randomly divided into control group (n = 40) and treatment group (n = 40). The control group was treated with momethasone furoate nasal spray (Neisuron) and Levcetirizine hydrochloride dispersible tablets for 4 weeks as a course of treatment. On the basis of the control group, treatment group was combined with governor meridian moxibustion treatment for once a week, with a total of 4 times and 4 weeks as a course of treatment. A course of treatment was observed. The symptoms and signs of the patients before and after treatment and the visual analogue scale (VAS) quantitative symptom score were examined and recorded. After observation, the data of each clinical observation index were processed and statistically analyzed.Results The effective rate was 97.22% in the treatment group and 77.78% in the control group. There was statistical difference in the total effective rate between the two groups after treatment (P < 0.05), and the treatment group was superior to the control group in improving the main clinical symptoms (nasal obstruction, itching, sneezing, runny snot) and systemic symptoms (cold, loose stools) (P < 0.05).Conclusion The main symptoms and signs of AR can be obviously alleviated, and the accompanying symptoms such as chills and loose stools can be ameliorated. The clinical curative effect is remarkable, and it is worth popularizing.
河南省中医药科学研究专项课题 2016ZY2098＊ 河南省中医管理局，河南省中医药科学研究专项课题（2016ZY2098）：督灸治疗变应性鼻炎的临床疗效研究，负责人：孙麦青。