本文關(guān)鍵詞：腹針治療肝郁脾虛型功能性消化不良的臨床研究　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的:本課題采用腹針治療肝郁脾虛型功能性消化不良,并與常規(guī)針刺作為對照,比較兩組患者療效,以探討治療肝郁脾虛型功能性消化不良的有效且易被患者接受的治療方法。方法:將60例納入研究的對象隨機(jī)分為兩組,腹針組和常規(guī)針刺組,每組各30例,腹針組取穴:中脘、下脘、氣海、關(guān)元、雙天樞;常規(guī)針刺組取穴(雙側(cè)):足三里、三陰交、內(nèi)關(guān)、天樞、中脘、太沖;兩組針刺結(jié)束后均用TDP治療儀照射腹部,留針三十分鐘,每天治療一次,連續(xù)治療六天,休息一天,六次作為一療程,連續(xù)治療兩個療程,觀察兩組患者治療前后的癥狀總積分及中醫(yī)證候單一癥狀積分,并比較兩組患者臨床療效。結(jié)果:1..一般資料兩組患者入組前一般情況比較(性別、年齡、病程等均P0.05)無顯著性差異,具有可比性。2.癥狀總積分治療后,兩組患者的癥狀總積分都較治療前明顯降低,有顯著差異(P0.05),說明兩種方法都能改善功能性消化不良的癥狀總積分;其中腹針組癥狀總積分下降更明顯,差異具有統(tǒng)計學(xué)意義(P0.05),說明腹針治療功能性消化不良較對照組改善癥狀總積分有更好療效。3.中醫(yī)證候單一癥狀積分治療前,兩組患者中醫(yī)證候單一癥狀積分比較,八個癥狀的P值均大于0.05,無顯著性差異,說明兩組患者中醫(yī)證候單一癥狀具有可比性;治療后,組內(nèi)比較,兩組患者八個癥狀積分均較治療前明顯改善,有顯著差異(均P0.05),說明兩種方法對中醫(yī)證候單一癥狀積分的改善均有很好的療效;組間比較,腹針組腹脹、納少、便溏不爽、喜太息、疲乏無力積分與常規(guī)針刺組比較有顯著性差異(分別是:P=0.016、0.025、0.050、0.025、0.0030.05);胃脘痛、煩躁多怒、噯氣反酸積分比較無顯著性差異(分別是P=0.430、0.202、0.3210.050.05)。表明腹針在改善腹脹、便溏不爽、納少、喜太息、疲乏無力的癥狀積分上比常規(guī)針刺有更好療效,在改善胃脘痛、煩躁多怒、噯氣反酸三個癥狀積分上療效差不多。4.臨床療效評定治療后腹針組治愈8人,顯效13人,好轉(zhuǎn)7人,無效2人,總有效率93.33%。常規(guī)針刺組4人治愈,8人顯效,13人好轉(zhuǎn),5人無效,總有效率83%。經(jīng)統(tǒng)計學(xué)分析,腹針組臨床療效優(yōu)于常規(guī)針刺組(P=0.0240.05),總有效率優(yōu)于常規(guī)針刺組(P=0.0320.05)。結(jié)論:腹針和常規(guī)針刺都能明顯改善功能性消化不良的臨床癥狀,而腹針改善更明顯,具有更好的臨床療效。從對中醫(yī)證候單一癥狀的改善上看,腹針可能在改善脾虛證癥狀上比常規(guī)針刺有更好的療效。
[Abstract]:Objective: to treat functional dyspepsia of liver stagnation and spleen deficiency type by abdominal acupuncture, and compare the curative effect of two groups with routine acupuncture. Methods: 60 patients were randomly divided into two groups: abdominal acupuncture group and routine acupuncture group. There were 30 cases in each group. The abdominal acupuncture group took points: Zhongwan, Xiwan, Qihai, Guanyuan and Shuangtianshu; Routine acupuncture group points (bilateral: Zusanli, Sanyinjiao, Neiguan, Tianshu, Zhongwan, Taichong; After acupuncture, the two groups were irradiated with TDP instrument, kept needles for 30 minutes, treated once a day for six consecutive days, rest for one day, six times as a course of treatment, and two consecutive courses of treatment. Observe the two groups of patients before and after treatment of symptoms and TCM syndrome single symptom score, and compare the two groups of patients clinical efficacy. Results: 1.General information before the two groups of patients before the general situation comparison (sex, age). There was no significant difference in the course of disease (P0.05), but there was no significant difference. 2. After the total symptom integral treatment, the total symptom score of the two groups were significantly lower than that before treatment, there was significant difference (P0.05). It shows that both methods can improve the total score of symptoms of functional dyspepsia. In the abdominal acupuncture group, the total symptom score decreased more obviously, the difference was statistically significant (P 0.05). Abdominal acupuncture treatment of functional dyspepsia than the control group to improve the symptoms of the total score has a better curative effect. 3. Before the treatment of TCM syndrome single symptom integral, the two groups of patients with single symptoms of TCM syndromes score comparison. The P values of the eight symptoms were all greater than 0.05, there was no significant difference between the two groups, which indicated that the single symptoms of TCM syndrome in the two groups were comparable. After treatment, the scores of eight symptoms in the two groups were significantly improved compared with those before treatment (P0.05). It shows that the two methods have good curative effect on the improvement of single symptom integral of TCM syndrome. There was significant difference between the abdominal acupuncture group and the routine acupuncture group in abdominal distension, less absorption, loose stools, too much information, fatigue and weakness score compared with the routine acupuncture group (0. 016%, 0.025%, 0.050, respectively). 0.025, 0.0030.05; There was no significant difference in stomachache, irritability and irritability, and there was no significant difference in acid regurgitation score in belching (P < 0. 430 0. 202) 0.3210.05 0. 05. The results indicated that abdominal acupuncture was improving abdominal distension. Loose stools, less, too much information, fatigue and weakness on the symptoms of integration than routine acupuncture has a better effect, in the improvement of epigastric pain, irritability and anger. The effect of belching regurgitation on the three symptoms was similar. 4. The abdominal acupuncture group was cured in 8 cases, markedly effective in 13 cases, improved in 7 cases, and ineffective in 2 cases. The total effective rate was 93.33%. In the routine acupuncture group, 4 cases were cured and 8 cases were cured. 13 cases were improved and 5 cases were ineffective, and the total effective rate was 83%. The clinical curative effect of abdominal acupuncture group was better than that of routine acupuncture group (0.0240.05). Conclusion: both abdominal acupuncture and routine acupuncture can obviously improve the clinical symptoms of functional dyspepsia, and abdominal acupuncture is more obvious. From the point of view of the improvement of single symptom of TCM syndrome abdominal acupuncture may have better curative effect on improving spleen deficiency syndrome than routine acupuncture.
【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】：R246.1

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本文編號：1433134