本文關(guān)鍵詞：“肺與大腸相表里”理論在支氣管哮喘急性發(fā)作期的臨床應(yīng)用研究　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 肺與大腸相表里 哮喘急性發(fā)作期 腸道功能失調(diào) 調(diào)腸法 臨床觀察

【摘要】：目的:1.觀察支氣管哮喘急性發(fā)作期腸道功能失調(diào)的發(fā)生率。2.基于“肺與大腸相表里”理論,客觀評價(jià)調(diào)腸法在支氣管哮喘性急性發(fā)作期治療中的應(yīng)用價(jià)值,為調(diào)腸法治療支氣管哮喘急性發(fā)作期提供依據(jù)。方法:1.支氣管哮喘急性發(fā)作期患者腸道功能失調(diào)發(fā)生情況的觀察按照支氣管哮喘急性發(fā)作期的納入標(biāo)準(zhǔn),選取2014年1月至2015年12月的住院患者,觀察哮病發(fā)作期各證型兼有腸道功能失調(diào)的分布情況。2.調(diào)腸法在支氣管哮喘急性發(fā)作期治療中的療效觀察選取2014年1月至2015年12月的支氣管哮喘急性發(fā)作期兼有腸道功能失調(diào),中醫(yī)診斷為“熱哮、腸熱腑實(shí)證”的患者64名,隨機(jī)將患者分為觀察組和對照組,觀察組在西醫(yī)常規(guī)治療及飲食、生活調(diào)節(jié)的基礎(chǔ)上加用調(diào)腸法。對照組為西醫(yī)常規(guī)治療及飲食、生活調(diào)節(jié)。對兩組患者的哮病證候積分、腸熱腑實(shí)證證候積分、中醫(yī)證候療效、全身激素用量及用藥時(shí)間、哮喘控制測試(ACT)評分進(jìn)行比較。對收集的數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)處理分析。結(jié)果:1.哮喘急性發(fā)作期患者共300例,哮喘急性發(fā)作期兼腸道功能失調(diào)的患者共207例,發(fā)生率為69.0%,其中以熱哮兼腸熱腑實(shí)證發(fā)生率最高為23.3%。2.調(diào)腸法在支氣管哮喘急性發(fā)作期治療中具有一定優(yōu)勢。(1)兩組患者治療后哮病證候積分較治療前均有改善(P0.05);治療后兩組患者哮病證候積分比較,觀察組優(yōu)于對照組,差異有顯著性(P0.05)。(2)兩組患者治療后腸熱腑實(shí)證證候積分較治療前均改善(P0.05);治療后兩組腸熱腑實(shí)證證候積分比較,觀察組優(yōu)于對照組,差異有顯著性(P0.05)。(3)中醫(yī)證候療效分析,觀察組的總有效率明顯高于對照組,差異具有顯著性(P0.01)。(4)觀察組激素使用量明顯少于對照組,差異具有顯著性(P0.01);觀察組激素使用時(shí)間明顯短于對照組,差異具有顯著性(P0.01)。(5)兩組患者哮喘控制測試(ACT)評分,治療后較治療前均明顯改善,差異有顯著性(P0.01)。治療后兩組ACT評分比較,治療組明顯高于對照組。差異具有顯著性(P0.01)。結(jié)論:1.支氣管哮喘急性發(fā)作期兼有腸道功能失調(diào)的發(fā)生率較高,其中以熱哮兼有腸熱腑實(shí)證為主要表現(xiàn)。2.運(yùn)用調(diào)腸法能有效的緩解患者熱哮兼有腸熱腑實(shí)證的癥狀體征,改善患者的生活質(zhì)量。調(diào)腸法是治療支氣管哮喘的有效治法,與單純西醫(yī)常規(guī)治療加飲食及生活調(diào)節(jié)相比,安全有效,值得臨床應(yīng)用與推廣。
[Abstract]:Objective 1. To observe the incidence of intestinal dysfunction in acute episode of bronchial asthma. Objective to evaluate the application value of the method of regulating intestine in the treatment of acute attack of bronchial asthma. Methods 1. Observing the incidence of intestinal dysfunction in patients with acute attack of bronchial asthma according to the inclusion criteria of acute attack of bronchial asthma. The inpatients were selected from January 2014 to December 2015. Observation on the Distribution of intestinal dysfunction in different Syndrome types of Asthma during the period of Asthma. Acute attack of asthma has intestinal dysfunction. Sixty-four patients diagnosed as "heat wheezing, intestinal heat Fu syndrome" were randomly divided into observation group and control group. The observation group was treated with routine western medicine and diet. On the basis of the adjustment of life, add the method of regulating intestine. The control group is routine treatment of western medicine and diet, life regulation. Two groups of patients with wheezing syndrome integral, intestinal heat Fu syndrome integral, TCM syndromes curative effect. The dosage of systemic hormone, the time of medication, the score of asthma control test (ACT) were compared. The collected data were analyzed statistically. Results: 1. There were 300 patients with acute asthma attack. There were 207 patients with acute attack of asthma and intestinal dysfunction, the incidence was 69.0%. Among them, the incidence rate of heat asthma combined with intestinal heat Fu syndrome is the highest 23.33.2.The method of regulating intestine has some advantages in the treatment of acute attack of bronchial asthma. After treatment, the syndrome score of the two groups was improved compared with that before treatment (P 0.05). After treatment, the observation group was better than the control group. There was a significant difference between the two groups (P0.05N. 2) after treatment, the score of the syndrome of intestinal heat in the two groups was improved compared with that before treatment (P 0.05). After treatment, the observation group was better than the control group, the difference was significant (P0.05U. 3) the total effective rate of the observation group was significantly higher than that of the control group. The use of hormone in the observation group was significantly lower than that in the control group, and the difference was significant (P 0.01). The time of hormone use in the observation group was significantly shorter than that in the control group, and the difference was significant (P 0.01). The difference was significant (P 0.01). The ACT scores of the two groups were compared after treatment. The treatment group was significantly higher than the control group. The difference was significant (P 0.01). Conclusion 1. The incidence of acute asthma with intestinal dysfunction is higher. Among them, heat wheezing has both intestinal heat and internal organs as the main performance. 2. The use of bowel regulation method can effectively alleviate the symptoms and signs of heat wheezing patients. To improve the quality of life of patients, intestinal regulation is an effective treatment for bronchial asthma, compared with routine western medicine treatment plus diet and daily life regulation, it is safe and effective, and worthy of clinical application and promotion.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R259

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