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研究生:章嘉珍
研究生(外文):Jia-Jen Chang
論文名稱:合併低能量雷射與中藥貼穴對過敏性鼻炎的治療評估
論文名稱(外文):The Therapeutic Effects of Combining Both the Treatment of Low Level Laser and Herbal Patches at Acupoints for Allergic Rhinitis
指導教授:唐娜櫻唐娜櫻引用關係
學位類別:碩士
校院名稱:中國醫藥大學
系所名稱:中西醫結合研究所碩士班
學門:醫藥衛生學門
學類:醫學學類
論文種類:學術論文
論文出版年:2010
畢業學年度:98
語文別:中文
論文頁數:54
中文關鍵詞:過敏性鼻炎中藥貼穴低能量雷射
外文關鍵詞:allergic rhinitisnasal allergyacupointlow level laser
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全世界過敏性鼻炎患者估計有六億人,其中有二億人同時合併氣喘。患者或專家,都在找尋非侵襲性、治療簡便、費用低廉且長期有效的治療方式,中藥貼穴、經鼻腔低能量雷射都符合這些標準。
本研究是將低能量雷射與中藥貼穴針對過敏性鼻炎作結合, 在已知低能量雷射與中藥貼穴分別能改善過敏性鼻炎症狀,結合此兩種非侵襲性治療,與單一種治療比較。將過敏性鼻炎患者系統分配分三組,分別為中藥貼穴組、經鼻腔低能量雷射組、合併中藥貼穴與經鼻腔低能量雷射組。中藥貼穴為貼穴20天整;經鼻腔低能量雷射組療程為每周二次共計十次;合併中藥貼穴與經鼻腔低能量雷射組則為中藥貼穴20天與鼻腔低能量雷射每周二次共計十次療程合併。受試前後依據Nasal Symptom Scoring Criteria做評估。於2007年1月至2008年1月間中藥貼穴組、經鼻腔低能量雷射組、合併中藥貼穴與經鼻腔低能量雷射組各有20個受試者完成,三組各自治療前後以Paired-t Test統計,顯示各組各自治療在統計上有差異(p=0.000 <0.005雙尾檢定),是有治療效果。三組療程前後分數差在單變量變異數分析統計下,三組於統計下並無顯著差異( F=1.622;p= 0.206>0.05)。三組療程前後鼻塞改善程度在單變量變異數分析統計下,三組於統計下並無顯著差異( F=0.606;p= 0.549>0.05)。結論是中藥貼穴組、經鼻腔低能量雷射組、合併中藥貼穴與經鼻腔低能量雷射在過敏性鼻炎症狀改善上都有療效,但彼此間無法分出統計上意義。


Purpose: There are six hundred million people suffered from allergic rhinitis by estimation. Among them, two hundred million people are suffered from asthma. Both experts and patients are searching for more noninvasive, more convenient, more effective and cheaper choice for the treatment of allergic rhinitis. Herbal patches at acupoints and endonasal low level laser may meet the needs. Our study combined the treatment of both low level laser and herbal patches at acupoints for allergic rhinitis . We have all ready known that either low level laser or herbal patches can be effective for the treatment of allergic rhinitis. The effect of combination of the both treatment modalities has not yet been known.
Method: We combine these two effective, noninvasive treatment and compare the effect with single treatment. Patients affected with allergic rhinitis which are included in this study are divided into three groups: herbal patches attached at acupoint; endonasal low level laser , and treatment with combinational therapy. Herbal patches were attached everyday and last for 20 days. Low level laser was applied at nasal mucosa every 3 days and total 10 times as a course with 20 minutes each time. Patients fill the score of Nasal Symptom Scoring Criteria.
Results :During Jan 2007 to Jan 2008 total 60 patients are included and 20 patients within each group. Treatment effect of each group was compared by paired-t Test , and revealed that all three were effective (p=0.000 <0.005 two tails). The effect within each group was compared by one-way ANOVA study and didn''t show any difference( F=1.622; p= 0.206>0.05). The improvement of nasal stuffness degree was compared by one- way ANOVA study and showed no difference either( F=0.606; p= 0.549>0.05) .
Conclusion: The conclusion is that all these treatment are effective but can''t tell significant difference of effectiveness between them.


目錄
圖目錄
表目錄
中文摘要
第一章 前言..........................................3
第一節 研究背景..................................... 3
第二節 研究動機及目的............................... 4
第二章 文獻探討...................................... 5
第一節 過敏性鼻炎的臨床症狀.......................... 5
第二節 過敏性鼻炎的診斷與檢驗......................... 7
第三節 過敏性鼻炎的中西醫治療.........................9
第四節 過敏性鼻炎的低能量雷射治療.....................16
第五節 過敏性鼻炎的中藥貼穴治療......................18
第三章 材料與方法.....................................20
第一節 對象..........................................20
第二節 藥材與設備....................................21
第三節 方法與流程....................................23
第四節 統計分析......................................27
第四章 結果...........................................28
第一節 受試者基本資料................................30
第二節 受試者參與研究前過敏性鼻炎情況評估.......... ..32
第三節 總療效評估.....................................33
第四節 次要療效評估...................................37
第五章 討論.........................................38
第六章 結論..........................................40
第七章 參考文獻......................................41
附錄一 人體試驗核准函
附錄二 受試者同意書
附錄三 鼻症狀評量表
英文摘要


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