CAJ | 학술논문

目的：通过比较三伏天灸与中药治疗过敏性鼻炎对症状改善的影响来明确天灸的作用。方法将80例过敏性鼻炎患者随机分为观察组（天灸组）、对照组（中药组）各40例，治疗30 d后观察两组患者鼻痒、打喷嚏、流清涕症状的改善情况。采用PEMS3.1医学统计软件进行数据分析，对观察组和对照组治疗前后喷嚏、流涕、鼻堵、鼻痒症状改善评分等计量资料采用t检验。 P＜0.05为差异有统计学意义。结果治疗结束后，两组喷嚏症状评分都有不同程度降低（t=2.7957，P＜0.01）；喷嚏症状评分及症状改善差值比较（t=3.8136，P＜0.01），差异有显著统计学意义（P＜0.01）；两组的流涕症状评分均有不同程度降低（t=2.1416，P＜0.05），流涕症状评分差值比较（t=2.8407，P＜0.01），差异有显著统计学意义（P＜0.01）；治疗后鼻堵症状两组有不同程度改善，评分均不同程度降低（t=1.3024），两组症状评分差值比较，t=2.3137，差异有统计学意义（P＜0.05）；治疗后鼻痒症状评分均有不同程度的降低，t=1.2484，两组鼻痒症状评分差值比较t=2.4189，有显著统计学意义（P＜0.05）。结论三伏天灸治疗过敏性鼻炎临床疗效优于中药疗法。
목적：통과비교삼복천구여중약치료과민성비염대증상개선적영향래명학천구적작용。방법장80례과민성비염환자수궤분위관찰조（천구조）、대조조（중약조）각40례，치료30 d후관찰량조환자비양、타분체、류청체증상적개선정황。채용PEMS3.1의학통계연건진행수거분석，대관찰조화대조조치료전후분체、류체、비도、비양증상개선평분등계량자료채용t검험。 P＜0.05위차이유통계학의의。결과치료결속후，량조분체증상평분도유불동정도강저（t=2.7957，P＜0.01）；분체증상평분급증상개선차치비교（t=3.8136，P＜0.01），차이유현저통계학의의（P＜0.01）；량조적류체증상평분균유불동정도강저（t=2.1416，P＜0.05），류체증상평분차치비교（t=2.8407，P＜0.01），차이유현저통계학의의（P＜0.01）；치료후비도증상량조유불동정도개선，평분균불동정도강저（t=1.3024），량조증상평분차치비교，t=2.3137，차이유통계학의의（P＜0.05）；치료후비양증상평분균유불동정도적강저，t=1.2484，량조비양증상평분차치비교t=2.4189，유현저통계학의의（P＜0.05）。결론삼복천구치료과민성비염림상료효우우중약요법。
Objective To investigate the effects of Dog-day moxibustion with traditional Chinese medicine on symptoms of allergic rhinitis. Methods Eighty patients with allergic rhinitis were randomly divided into the observation group (Dog-day moxibustion) and control group (traditional Chinese medicine), 40 cases in each group.After treatment for 30 days, the improvement of the symptoms including rhinocnesmus, sneeze and flow cleaning stuff was observed. By using PEMS3.1 medical statistical software for data analysis, the improved scores of symptoms of sneezing, runny nose, nasal plugging, nasal itching were observed and analyzed by t test in observation group and control group before and after treatment. P<0.05 was considered statistically significant. Results After treatment symptom scores of sneeze reduced in two groups and the t value was 2.7957(P<0.01). There were significant differences in symptom scores of sneeze and symptom improvement difference after treatment between two groups and t value was 3.8136 (P<0.01). The symptom scores of runny nose reduced after treatment in two groups and the t value was 2.1416. The symptoms score of runny nose after treatment were compared between two groups, and t value was 2.8407, with significant difference (P<0.05). The nasal plugging symptoms improved after treatment in two groups, and the score reduced and the t value was 1.3024. The symptom scores of nasal plugging were compared between two groups and the difference of t value was 2.3137(P<0.05). The symptom scores of nasal itching after treatment decreased and t value was 1.2484. The symptom scores of nasal itching decreased in two groups and t value was 2.4189 with significant statistical significance (P<0.05). Conclusion Dog-day moxibustion was superior to traditional Chinese medicine for treatment of allergic rhinitis.