三九貼合併雷射針灸，治療過敏性鼻炎之療效初探

Preliminary Study on the Effectiveness of San Jiu Tian Moxibustion Combined with Laser Acupuncture in Treating Allergic Rhinitis

過敏性鼻炎是一臨床常見疾病，本研究是探討三九貼合併雷射針灸對過敏性鼻炎的療效。我們使用過敏性鼻炎控制評估測量表（The Rhinitis Control Assessment Test），評估患者鼻炎症狀控制的狀況及影響生活的嚴重度，並設計問卷評估患者對合併雷射針灸的滿意度及是否下次願意再接受此治療，同時觀察其併發症。結果共有22位病患完成三次療程，在RCAT量表方面，「流眼淚」、「因鼻過敏或其他過敏症狀而影響睡眠」、「因鼻過敏或其他過敏症狀而取消活動」及「鼻過敏或其他症狀控制情形」這四項在三次療程後有顯著改善（P<0.05）。滿意度方面，對於三九貼合併雷射針灸及是否下次願意再接受此治療均有極高滿意度，平均分數均在4.1以上。治療過程中只出現輕微不適症狀，無嚴重併發症。本研究顯示，三九貼合併雷射針灸可有效控制鼻過敏相關症狀及改善睡眠，且安全副作用小，病患有極高滿意度及意願再接受此治療。本研究暫不強調雷射針灸的效果，未來將進一步研究單獨三九貼、雷射針灸及合併治療對過敏性鼻炎的效果。

"Allergic rhinitis is a common clinical disease. This study is to explore the therapeutic effect of San Jiu Tian Moxibustion combined with laser acupuncture on treating allergic rhinitis. The Rhinitis Control Assessment Test (RCAT) was used to assess the level of control of rhinitis among the patients and how rhinitis affected their daily living. A questionnaire was devised to evaluate patients’satisfaction toward the combined therapy of San Jiu Tian Moxibustion and laser acupuncture and whether they were willing to accept the therapy again. The patients’complications were also observed. The results indicated that 22 patients received three complete therapies. According to the RCAT results, significant improvement was observed in“tearing up”、“sleep quality affected by rhinitis or other symptoms”、“cancellation of activity due to rhinitis or other symptoms”and“control of rhinitis or other symptoms”items (P < 0.05). When age was considered, the group of participants aged older than 30 years showed significant differences in the last three items. All participants expressed extremely high satisfaction toward the combined therapy and willingness to receive the therapy again, with a mean score of≥4.1. During the therapy, only minor discomforts were observed among the patients and no severe complication occurred. The preliminary study results revealed that the combined therapy of San Jiu Tian Moxibustion and laser acupuncture effectively controlled symptoms related to rhinitis, improved patients’sleep quality, and had minimal side effects. The patients had extremely high satisfaction toward the therapy and expressed willingness to receive the therapy again. The present study tentatively refrained from discussing the efficacy of laser acupuncture. Future studies will separately explore the effects of San Jiu Tian Moxibustion, laser acupuncture, and combined therapy of San Jiu Tian Moxibustion and laser acupuncture on allergic rhinitis."