本文選題：腹針 + 隔姜灸�。� 參考：《廣州中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:本研究通過隨機(jī)對照的方法,對比腹針結(jié)合隔姜灸療法與單純腹針療法治療肺氣虛寒型過敏性鼻炎的有效性與生活質(zhì)量改善狀況,評價腹針結(jié)合隔姜灸對肺氣虛寒型過敏性鼻炎的治療效果,明確腹針結(jié)合隔姜灸療法對于治療肺氣虛寒型過敏性鼻炎與單純腹針療法相比是否具有增效作用。方法:病例來源于廣州中醫(yī)藥大學(xué)的在校學(xué)生及在廣東省中醫(yī)院傳統(tǒng)療法科就診的符合納入標(biāo)準(zhǔn)的肺氣虛寒型過敏性鼻炎患者。將納入病例按照隨機(jī)數(shù)表分為兩組,即觀察組:腹針結(jié)合隔姜灸組,對照組:腹針組,每組各32例。排除一般資料之差異。然后進(jìn)行研究前臨床評估,指標(biāo)包括癥狀評分,體征評分,鼻癥狀總分表(TNSS)、鼻炎伴隨癥狀總分表(TNNSS)、鼻結(jié)膜炎生活質(zhì)量量表(RQLQ)。觀察組每周治療三次,共治療四周。對照組治療頻次與觀察組相同。結(jié)果:1.治療前對患者的一般資料均衡性進(jìn)行比較,包括性別,年齡,病程,癥狀、體征、TNSS、TNNSS、RQLQ。經(jīng)統(tǒng)計學(xué)檢驗,在治療前,兩組在上述幾方面的差異無統(tǒng)計學(xué)意義(P0.05)。兩組間具有可比性。2.治療后,兩組的癥狀評分、體征評分、TNSS、TNNSS、RQLQ評分均較治療前有所下降(P0.05)。兩組間比較,腹針結(jié)合隔姜灸組在緩解患者癥狀,降低TNSS評分、TNNSS評分與RQLQ表的日常生活,睡眠,行為問題、眼癥狀、非鼻眼癥狀、鼻癥狀評分等方面優(yōu)于腹針組。而在降低體征評分與RQLQ表的情感反應(yīng)評分方面,觀察組與對照組無明顯差異。3.總體療效方面。腹針結(jié)合隔姜灸組共30例,顯效18例,顯效率為60%,有效10例,無效兩例,總有效率為93.33%;對照組31例,顯效10例,顯效率為32.26%,有效16例,無效5例,總有效率為83.87%。兩組數(shù)據(jù)經(jīng)非參數(shù)檢驗秩和檢驗分析比較,P=0.0280.05,差異有統(tǒng)計學(xué)意義。表明兩組的療效不同,且觀察組優(yōu)于對照組。結(jié)論:腹針療法結(jié)合隔姜灸療法與單純腹針療法都能夠改善過敏性鼻炎患者的癥狀和體征,提高患者的生存質(zhì)量,對于治療過敏性鼻炎具有良好的療效。腹針結(jié)合隔姜灸療法在總體療效與提高患者的生存質(zhì)量方面優(yōu)于單純腹針療法。增加隔姜灸療法可有效提高單純腹針療法治療過敏性鼻炎的治療效果。
[Abstract]:Objective: to compare the effectiveness and quality of life of abdominal acupuncture combined with ginger-separated moxibustion and simple abdominal acupuncture in the treatment of allergic rhinitis with deficiency of lung qi and cold. To evaluate the therapeutic effect of abdominal acupuncture combined with ginger separated moxibustion on allergic rhinitis with deficiency of lung qi and cold, and to determine whether abdominal acupuncture combined with ginger partition moxibustion has synergistic effect in treating allergic rhinitis with deficiency of lung qi and cold type compared with simple abdominal acupuncture therapy. Methods: the cases came from the students of Guangzhou University of traditional Chinese Medicine and the patients with allergic rhinitis with lung qi deficiency and cold type who were treated in the Department of traditional Chinese Medicine of Guangdong Provincial Hospital of traditional Chinese Medicine. The patients were divided into two groups according to the random number table: observation group: abdominal acupuncture combined with ginger-separated moxibustion group, control group: abdominal acupuncture group, 32 cases in each group. Rule out differences in general information. Then the clinical evaluation was carried out before the study. The indexes included symptom score, physical sign score, total score of nasal symptoms, TNNSS score of rhinitis associated with symptoms, and RQLQQA of rhinoconjunctivitis quality of life scale. The observation group was treated three times a week for four weeks. The frequency of treatment in the control group was the same as that in the observation group. The result is 1: 1. The balance of general data was compared before treatment, including sex, age, course of disease, symptoms and signs. After statistical test, before treatment, the two groups in the above aspects of the difference was not statistically significant (P 0.05). Comparability between the two groups. After treatment, the scores of symptoms and signs in both groups were significantly lower than those before treatment (P 0.05). Comparison between the two groups, abdominal acupuncture combined with ginger partition moxibustion group was superior to the abdominal acupuncture group in relieving symptoms, reducing TNSS score and TNNSS score and RQLQ table in daily life, sleep, behavioral problems, eye symptoms, non-nasal eye symptoms, nasal symptoms, and so on. However, there was no significant difference between the observation group and the control group in reducing the score of physical signs and the score of emotional reaction in RQLQ table. The overall curative effect. There were 30 cases of abdominal acupuncture combined with ginger-separated moxibustion group, 18 cases of marked effect, effective rate of 60 cases, effective rate of 10 cases, ineffective of 2 cases, total effective rate of 93.33%, control group of 31 cases, remarkable effect of 10 cases, markedly effective rate of 32.26 cases, effective rate of 16 cases, ineffective of 5 cases, total effective rate of 83.87 cases. There was significant difference between the two groups by rank sum test of non-parametric test (P < 0. 0280. 05). The results showed that the curative effect of the two groups was different, and the observation group was superior to the control group. Conclusion: abdominal acupuncture combined with ginger-separated moxibustion and simple abdominal acupuncture can improve the symptoms and signs of allergic rhinitis, improve the quality of life of the patients, and have a good effect on the treatment of allergic rhinitis. Abdominal acupuncture combined with ginger-separated moxibustion is superior to simple abdominal acupuncture in the overall curative effect and the improvement of patients' quality of life. Increasing ginger-separated moxibustion therapy can effectively improve the therapeutic effect of simple abdominal acupuncture therapy on allergic rhinitis.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.81

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陳婷婷;劉芳卉;;針刺蝶腭神經(jīng)節(jié)治療過敏性鼻炎療效觀察[J];上海針灸雜志;2016年07期

2 葉蘭;李江山;李鐵浪;蔣學(xué)余;譚程;王德軍;;鼻部五步操作法治療小兒過敏性鼻炎30例療效觀察[J];湖南中醫(yī)雜志;2016年02期

3 盧建華;吳平花;倪佳佳;李靈峰;張雯;;腹針治療慢性疲勞綜合征的臨床療效觀察[J];中華全科醫(yī)學(xué);2015年04期

4 蔡加;曾繁華;;熱敏灸迎香、風(fēng)池治療過敏性鼻炎的臨床研究[J];贛南醫(yī)學(xué)院學(xué)報;2014年06期

5 秦樂;曾強(qiáng);歐云娜;高永翔;;過敏性鼻炎的治療進(jìn)展[J];中藥與臨床;2014年04期

6 覃武海;張冰;劉輝華;;腹針結(jié)合五行音樂治療脾虛氣滯型功能性消化不良100例[J];廣西中醫(yī)藥大學(xué)學(xué)報;2014年01期

7 呂敏;范新華;謝強(qiáng);;熱敏灸與藥物治療過敏性鼻炎療效對比觀察[J];上海針灸雜志;2013年12期

8 楊艷;;論中醫(yī)辯證治療過敏性鼻炎[J];大家健康(學(xué)術(shù)版);2013年20期

9 楊小清;王維明;黎嬋;;腹針治療變應(yīng)性鼻炎82例臨床觀察[J];中醫(yī)臨床研究;2013年12期

10 元鋒國;劉芳;郭志芳;鐘文蘭;;天灸療法治療過敏性鼻炎臨床觀察[J];光明中醫(yī);2013年05期

相關(guān)碩士學(xué)位論文 前6條

1 劉r;薄氏腹針治療過敏性鼻炎臨床療效觀察[D];北京中醫(yī)藥大學(xué);2015年

2 李謹(jǐn);穴位貼敷對過敏性鼻炎不同證型療效的臨床研究[D];山東中醫(yī)藥大學(xué);2014年

3 高斯敏;隔姜灸神闕穴治療過敏性鼻炎的臨床療效觀察[D];廣州中醫(yī)藥大學(xué);2014年

4 李牧真;應(yīng)用子午流注納甲法配合常規(guī)取穴針刺治療過敏性鼻炎臨床觀察[D];山東中醫(yī)藥大學(xué);2013年

5 鐘潤琪;驅(qū)風(fēng)通竅湯治療常年性變應(yīng)性鼻炎的臨床研究[D];北京中醫(yī)藥大學(xué);2013年

6 劉壇樹;鼻三針為主辨證取穴治療常年變應(yīng)性鼻炎的臨床研究[D];廣州中醫(yī)藥大學(xué);2013年

，

本文編號：1997654