本文關(guān)鍵詞：三重穴麥粒灸結(jié)合針刺治療氣虛型慢性功能性便秘臨床研究　出處：《廣州中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的：觀察比較三重穴麥粒灸結(jié)合針刺與單純針刺對(duì)于治療氣虛型慢性功能性便秘患者的臨床療效差異,以氣虛型慢性便秘中醫(yī)證候評(píng)分、Knowles-Eccersley-Scott癥狀評(píng)分(KESS)及便秘患者生活質(zhì)量(PAC-QOL)作為觀察指標(biāo),通過比較兩組病例治療前和治療后的各量表積分,評(píng)估三重穴麥粒灸結(jié)合針刺的臨床有效性及實(shí)用性,分析其相對(duì)于單純針刺法的臨床優(yōu)越性,為臨床三重穴麥粒灸結(jié)合針刺治療氣虛型慢性功能性便秘的診療方案提供實(shí)踐依據(jù)。方法：采用臨床隨機(jī)對(duì)照試驗(yàn)的前瞻性研究觀察方法,收集自2015年5月至2016年3月期間,來源于臺(tái)灣黃耆中醫(yī)診所門診,年齡為18~80歲確診為氣虛型慢性功能性便秘,并符合規(guī)定診斷標(biāo)準(zhǔn)及納入標(biāo)準(zhǔn)的的患者60例,將患者隨機(jī)分為麥粒灸結(jié)合針刺組的實(shí)驗(yàn)組30例,以及單純針刺組的對(duì)照組30例,實(shí)驗(yàn)組予針刺后施麥粒灸,對(duì)照組僅予單純針刺治療,每日一次,每次留針30分鐘,療程長(zhǎng)為4周。治療后,對(duì)患者的氣虛型慢性便秘中醫(yī)證候評(píng)分、Knowles-Eccersley-Scott癥狀評(píng)分、便秘患者生活質(zhì)量問卷(PAC-QOL)總分三個(gè)觀察指標(biāo)以及總體療效進(jìn)行評(píng)量。應(yīng)用SPSS19.0軟件包進(jìn)行各項(xiàng)統(tǒng)計(jì)分析,并對(duì)兩組的各項(xiàng)指標(biāo)與整體療效進(jìn)行評(píng)估對(duì)照觀察。結(jié)果：納入本臨床觀察研究的60例病例中,實(shí)際完成臨床治療病例數(shù),麥粒灸結(jié)合針刺組30例,單純針刺組30例�；�情況分析：兩組病例分別在性別、年齡、年齡分布、病程、治療前氣虛型便秘中醫(yī)證候觀察表評(píng)分、Knowles-Eccersley-Scott癥狀評(píng)分(KESS)、便秘患者生活質(zhì)量問卷(PAC-QOL)總分的差異上,均無統(tǒng)計(jì)學(xué)意義(P0.05),顯示兩組具有可比性。療效評(píng)價(jià)方面：麥粒灸結(jié)合針刺組與單純針刺組均能明顯且有效改善患者便秘癥狀,實(shí)驗(yàn)組痊愈3人,顯效13人,有效10人,無效9人,總有效率為86.67%,顯愈率為53.33%;對(duì)照組痊愈2人,顯效9人,有效12人,無效7人,總有效率為76.67%,顯愈率為36.67%,兩組臨床總有效率經(jīng)檢驗(yàn)后,得P0.05,差異具有統(tǒng)計(jì)學(xué)意義,說明實(shí)驗(yàn)組的臨床療效優(yōu)于對(duì)照組。兩組在氣虛型便秘中醫(yī)證候觀察表、KESS評(píng)分及便秘患者生活質(zhì)量問卷(PAC-QOL)總分三個(gè)方面,治療前后的P值皆等于0(P0.001),差異均有極顯著統(tǒng)計(jì)學(xué)意義,顯示兩組的總積分皆明顯降低,表示兩種治療方式皆可有效改善氣虛型慢性功能性便秘之癥狀。比較上述提及之三個(gè)量表中兩組治療后的總積分P0.05,差異有統(tǒng)計(jì)學(xué)意義,說明實(shí)驗(yàn)組總積分改善幅度優(yōu)于對(duì)照組,表示三重穴麥粒灸結(jié)合針刺治療對(duì)于改善氣虛型慢性功能性便秘比單純針刺治療更為有效。結(jié)論：應(yīng)用三重穴麥粒灸結(jié)合針刺治療氣虛型慢性功能性便秘除了安全有效,其整體療效在本研究中更是明顯優(yōu)于單純針刺治療。
[Abstract]:Objective: to observe and compare the clinical curative effect of Sandun acupoint moxibustion combined with acupuncture and simple acupuncture in treating chronic functional constipation with deficiency of qi, and to evaluate the TCM syndromes of chronic constipation with deficiency of qi. Knowles-Eccersley-Scott symptom score (KESS) and quality of life (QOL) of constipation patients were used as the observation index. By comparing the scores of the two groups before and after treatment, the clinical effectiveness and practicability of triple acupoint moxibustion combined with acupuncture were evaluated, and the clinical superiority of Sandun acupoint moxibustion combined with acupuncture was analyzed. Objective: to provide practical basis for clinical diagnosis and treatment of chronic functional constipation with triple point moxibustion combined with acupuncture in chronic functional constipation with deficiency of qi. Methods: prospective study and observation method of clinical randomized controlled trial were used. Collected from May 2015 to March 2016, from the Huangqi clinic clinic, the age of 1880 years old diagnosed as chronic functional constipation of Qi deficiency type. 60 patients who met the standard of diagnosis and inclusion were randomly divided into two groups: the experimental group (n = 30) and the control group (n = 30). The experimental group was treated with grain moxibustion after acupuncture, while the control group was treated with simple acupuncture once a day for 30 minutes each time. The course of treatment was 4 weeks. After treatment, the TCM syndrome score of chronic constipation of Qi deficiency type was evaluated. Knowles-Eccersley-Scott symptom score. The quality of life questionnaire (QOL) of constipation patients was divided into three observation indexes and the total curative effect. The statistical analysis was carried out with SPSS19.0 software package. Results: among the 60 cases included in the clinical observation study, the actual number of cases completed clinical treatment, grain moxibustion combined with acupuncture group of 30 cases. Baseline analysis: two groups of cases in gender, age, age distribution, course of disease, Qi-deficiency type of constipation before the treatment of TCM syndrome observation table score. The scores of Knowles-Eccersley-Scott symptom and quality of life (QOL) of constipation patients were different. There was no statistical significance (P 0.05), which showed that the two groups were comparable. In the evaluation of curative effect, the treatment group and the simple acupuncture group could obviously and effectively improve the constipation symptoms of the patients, and 3 patients were cured in the experimental group. The total effective rate was 86.67 and the apparent recovery rate was 53.33; In the control group, 2 patients were cured, 9 were significantly effective, 12 were effective, 7 were ineffective, the total effective rate was 76.67 and the apparent recovery rate was 36.67. The total effective rate of the two groups was tested and obtained P0.05. The difference is statistically significant, indicating that the clinical efficacy of the experimental group is better than that of the control group. The KESS score and the total score of quality of life questionnaire (PAC-QOL) of constipation patients were all equal to 0 P 0.001g before and after treatment. The difference was statistically significant. The results showed that the total scores of the two groups were significantly decreased, indicating that the two treatment methods can effectively improve the symptoms of chronic functional constipation of Qi-deficiency type. Compared with the above mentioned three scales, the total scores of the two groups after treatment were compared (P0.05). The difference was statistically significant, indicating that the improvement of the total score in the experimental group was better than that in the control group. It is indicated that the treatment of triple point moxibustion combined with acupuncture is more effective in improving chronic functional constipation with deficiency of qi than in acupuncture alone. The treatment of chronic functional constipation with triple point moxibustion combined with acupuncture is safe and effective. The overall curative effect is better than acupuncture alone in this study.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.1

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本文編號(hào)：1394115