PMID- 36915733 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230315 IS - 1943-8141 (Print) IS - 1943-8141 (Electronic) IS - 1943-8141 (Linking) VI - 15 IP - 2 DP - 2023 TI - Effect of acupuncture at Xinwu acupoint combined with loratadine and fluticasone propionate on symptom alleviation, nasal function, and serum histamine level in patients with allergic rhinitis. PG - 1403-1411 AB - OBJECTIVE: To determine the influence of acupuncture at the Xinwu acupoint combined with western medicine (loratadine and fluticasone propionate) on symptom alleviation, nasal mucociliary clearance velocity (MCV), and serum histamine level of patients with allergic rhinitis (AR). METHODS: A total of 122 patients with AR treated in Gansu province hospital of TCM and The Third People's Hospital of Gansu Province from April 2019 to April 2021 were retrospectively analyzed. Among them, 54 patients treated with loratadine and fluticasone propionate were assigned to the control group, and 68 patients treated with additional acupuncture at the Xinwu acupoint based on treatment of the control group were assigned to the observation group. The treatment efficacy of the two groups was compared, and the scores of main symptoms and nasal function were also compared before and after therapy. Additionally, the two groups were compared in the levels of histamine, tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), and immunoglobulin E (IgE) before and after therapy. RESULTS: After therapy, the observation group yielded a higher total effective rate than the control group (P=0.006) and had lower symptom scores than the control group (P<0.001). Additionally, the MCV of the two groups increased (P<0.001), and the nasal mucociliary transit time (MTT) and nasal resistance (NR) of both groups decreased (P<0.001) after therapy. The observation group showed a greatly better improvement of nasal function than the control group (P<0.001). Moreover, after therapy, the observation group showed lower histamine and IgE levels than the control group (P<0.01) and the observation group presented significantly lower levels than the control group, and had lower rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) scores than the control group (P<0.001). The two groups were not different in the incidence of adverse reactions (P=0.886). CONCLUSION: Acupuncture at Xinwu acupoint combined with loratadine and fluticasone propionate can deliver a powerful efficacy on AR and alleviate the clinical symptoms, without increasing adverse reactions. CI - AJTR Copyright (c) 2023. FAU - Wang, Zhongxia AU - Wang Z AD - Otolaryngology Department, Gansu Province Hospital of TCM No. 418, Guazhou Road, Qilihe District, Lanzhou 730050, Gansu, China. FAU - Wang, Zhiyong AU - Wang Z AD - Medical Services Section, Gansu Province Hospital of TCM No. 418, Guazhou Road, Qilihe District, Lanzhou 730050, Gansu, China. FAU - Jiang, Yan AU - Jiang Y AD - Otolaryngology Department, Gansu Province Hospital of TCM No. 418, Guazhou Road, Qilihe District, Lanzhou 730050, Gansu, China. FAU - Li, Jinhua AU - Li J AD - Traditional Chinese Medicine Department, Gansu Provincial People's Hospital No. 204, Donggang West Road, Chengguan District, Lanzhou 730000, Gansu, China. FAU - Wu, Xiaoyan AU - Wu X AD - Traditional Chinese Medicine Department, Longxi County Traditional Chinese Medicine Inheritance and Innovation Demonstration Center Dingxi, Gansu, China. FAU - Wu, Jianxin AU - Wu J AD - Traditional Chinese Medicine Department, The Third People's Hospital of Gansu Province No. 763, Jiatan, Chengguan District, Lanzhou 730000, Gansu, China. LA - eng PT - Journal Article DEP - 20230215 PL - United States TA - Am J Transl Res JT - American journal of translational research JID - 101493030 PMC - PMC10006795 OTO - NOTNLM OT - Acupuncture OT - Xinwu acupoint OT - allergic rhinitis OT - fluticasone propionate OT - histamine OT - loratadine OT - nasal function COIS- None. EDAT- 2023/03/15 06:00 MHDA- 2023/03/15 06:01 PMCR- 2023/02/15 CRDT- 2023/03/14 02:11 PHST- 2022/11/24 00:00 [received] PHST- 2023/01/11 00:00 [accepted] PHST- 2023/03/14 02:11 [entrez] PHST- 2023/03/15 06:00 [pubmed] PHST- 2023/03/15 06:01 [medline] PHST- 2023/02/15 00:00 [pmc-release] PST - epublish SO - Am J Transl Res. 2023 Feb 15;15(2):1403-1411. eCollection 2023.