中医康复2024，Vol.1Issue(1)：6-9,4.DOI:10.19787/j.issn.2097-3128.2024.01.002
基于倾向评分回归调整探讨艾灸治疗常年变应性鼻炎灸感与灸效的前瞻性队列研究
Prospective Cohort Study on Moxibustion Sensation and Efficacy of Moxibustion in Treating Perennial Allergic Rhinitis Based on Propensity Score Regression Adjustment
摘要
Abstract
Objective:To compare the effect of moxibustion on perennial allergic rhinitis(PAR)with different moxibustion sensations(heat sensitive moxibustion vs resting moxibustion)at the same acupuncture point(Shangyitang)by using tendency score regression adjustment(PSRA)balanced baseline data.Methods:A prospective cohort study was designed and 106 qualified subjects were included.Moxibustion sensation was stimulated by moxibustion with moxibustion stick.According to the sensation of heat moxibustion,they were naturally divided into heat moxibustion group(n=69)and traditional moxibustion(n=37).Both groups were treated with moxibustion in Shangyin Tang for 30min each time,once a day for two weeks,a total of 12 times.The outcome measures were Variable rhinitis Symptom Scale(TNSS),concomitant Symptom Scale(TNNSS)and Quality of Life questionnaire(RQLQ).Result:PSM was used for 1:1 matching with a matching tolerance of 0.02,and 25 pairs were successfully matched with a to-tal of 50 patients.There was no significant difference in baseline data between the two groups(P>0.05).After matching,the TNSS score of the ther-mosensitive group after treatment was 4.01±1.52,which was lower than that of the static group(5.42±1.10),with statistical significance(P<0.01).TNNSS score of the thermosensitive group was 1.26±0.43,which was lower than that of the static group(1.52±0.50),with statistical significance(P<0.01).The RQLQ score of the thermal group was 37.62±6.01,which was lower than that of the static group(47.22±7.76),with statistical significance(P<0.01).This suggests that the static group has therapeutic advantages in improving symptoms,signs and quality of life in PAR patients.The results of univariate analysis with differences before propensity score matching were included in multivariate logistic regression analysis.The results showed that drug use and disease course were independent risk factors for the efficacy of moxibustion(P<0.05).Conclusion:The clinical effect of moxibustion heat sensitive acupoint therapy on PAR is better than that of rest state group.关键词
艾灸/常年变应性鼻炎/灸感与灸效/前瞻性队列研究/倾向评分回归调整(PSRA)Key words
Moxibustion/Perennial allergic rhinitis/Moxibustion sensation and moxibustion effect/Prospective cohort study/Propensity Score Re-gression Adjustment(PSRA)分类
医药卫生引用本文复制引用
熊俊,汤根华,张政,廖凯,周小红,徐玲玲,李军,周海平,项洁..基于倾向评分回归调整探讨艾灸治疗常年变应性鼻炎灸感与灸效的前瞻性队列研究[J].中医康复,2024,1(1):6-9,4.基金项目
江西省中医药管理局科技计划项目(2021A150) （2021A150）
