Tác dụng của phương pháp cấy chỉ điều trị viêm mũi xoang mạn tính trên các thể bệnh theo Y học cổ truyền

Chronic rhinosinusitis (CRS) represents a significant global health burden, characterized by persistent inflammation that severely impacts patients' quality of life. As conventional treatments often face limitations, there is a growing interest in integrative approaches, particularly those rooted in traditional medicine. This study addresses the need for effective, less invasive therapies by investigating the efficacy of surgical thread implantation, a specific acupuncture method, in managing CRS. Focusing on patients categorized by traditional medicine patterns, the research aims to provide a comprehensive evaluation of this technique's potential to alleviate symptoms and improve clinical outcomes, thereby contributing to the broader understanding of alternative treatments for this prevalent condition.

Practitioners and researchers in traditional medicine, otolaryngologists, integrative medicine specialists, and healthcare policymakers interested in non-pharmacological treatments for chronic rhinosinusitis.

Chronic rhinosinusitis (CRS) presents a complex therapeutic challenge, prompting exploration into diverse treatment modalities. This clinical intervention study rigorously evaluated the effects of surgical thread implantation—an acupuncture method—on 50 patients diagnosed with CRS according to the American Academy of Otolaryngology's 2007 criteria. The study specifically investigated patient subgroups classified by traditional medicine types: Lung deficiency and stagnation (40%) and Spleen deficiency and dampness stagnation (60%). Catgut sutures were implanted into specific acupoints, and patient outcomes were assessed at baseline (D0) and 15 days post-treatment (D15).
The findings demonstrate significant improvements across various parameters. Post-treatment, the average SNOT-22 scores decreased substantially by 13.16 ± 5.4 points (p < 0.05), indicating a marked reduction in functional symptoms. Physical symptoms, evaluated through endoscopic examination using the Lund-Kennedy scale, also showed significant improvement, with an average total score decrease of 1.06 ± 0.51 points (p < 0.05). Notably, both traditional medicine disease types—Lung deficiency and stagnation and Spleen deficiency and dampness stagnation—experienced considerable reductions in SNOT-22 scores (16.80 ± 4.75 points and 10.73 ± 4.37 points, respectively) and physical symptom scores, with no statistically significant difference in treatment efficacy between the two groups. These results suggest that surgical thread implantation is an effective and promising method for improving both functional and physical symptoms in patients with chronic rhinosinusitis, offering comparable benefits across different traditional medicine classifications. The study highlights the potential of this non-pharmacological approach as a valuable adjunct or alternative therapy, contributing to a more holistic management strategy for CRS.