本文選題：艾灸　切入點(diǎn)：慢性腎臟病1～3期　出處：《浙江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的觀察穴位艾灸對(duì)慢性腎臟病1～3期患者臨床癥狀及腎血流動(dòng)力學(xué)的影響效果。方法將符合納排標(biāo)準(zhǔn)的慢性腎臟病1～3期患者按照就診先后順序進(jìn)行編號(hào),奇數(shù)為對(duì)照組,偶數(shù)為實(shí)驗(yàn)組,每組各31例。對(duì)照組給予基礎(chǔ)治療,實(shí)驗(yàn)組在基礎(chǔ)治療上加用腎俞、足三里穴穴位艾灸,每天一次,每次每穴15分鐘,7天一個(gè)療程,共2個(gè)療程。觀察兩組患者干預(yù)前后的實(shí)驗(yàn)室指標(biāo)及中醫(yī)臨床癥狀積分的變化情況并評(píng)價(jià)其療效。同時(shí)選取實(shí)驗(yàn)組16名患者,采用彩色多普勒超聲診斷儀觀察艾灸對(duì)這些患者的腎動(dòng)脈血流動(dòng)力學(xué)的即刻效應(yīng)。結(jié)果1.干預(yù)后,兩組患者的中醫(yī)癥狀總積分較干預(yù)前均下降,自身前后比較差異具有統(tǒng)計(jì)學(xué)意義(P0.05);兩組組間比較,差異也具有統(tǒng)計(jì)學(xué)意義(P0.05)。在各單項(xiàng)癥狀得分上,干預(yù)后實(shí)驗(yàn)組在腰酸膝軟、水腫癥狀改善上優(yōu)于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。2.干預(yù)后,中醫(yī)證侯療效實(shí)驗(yàn)組總有效率74.2%,對(duì)照組總有效率61.3%。兩組總有效率比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.01)。3.干預(yù)后,24小時(shí)尿蛋白定量實(shí)驗(yàn)組較干預(yù)前下降,自身前后比較差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。24小時(shí)尿蛋白定量下降值組間比較差異也有統(tǒng)計(jì)學(xué)意義(P0.05)。4.實(shí)驗(yàn)組16名患者在艾灸后即刻及艾灸后15分鐘時(shí)腎臟阻力指數(shù)較艾灸前下降,差異均具有統(tǒng)計(jì)學(xué)意義(P0.05);舒張末期血流速度在艾灸后15分鐘時(shí)較艾灸前增快,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。5.接受艾灸干預(yù)的所有患者未發(fā)生有關(guān)艾灸的不良反應(yīng)。結(jié)論1.艾灸在一定程度上能改善慢性腎臟病1～3期患者部分臨床癥狀,尤其對(duì)腰酸膝軟、水腫癥狀改善效果明顯,能有效改善中醫(yī)證候療效。2.艾灸可降低慢性腎臟病1～3期患者24小時(shí)尿蛋白定量。3.艾灸可降低慢性腎臟病1～3期患者的腎血流阻力,加快舒張末期血流速度,且能維持一定的時(shí)間。4.艾灸療法無副作用,值得臨床推廣應(yīng)用。
[Abstract]:Objective to observe the effect of acupoint moxibustion on clinical symptoms and renal hemodynamics in patients with chronic kidney disease (stage 1). The control group was given basic treatment, and the experimental group was treated with Shenshu and Zusanli acupoints moxibustion once a day for 15 minutes and 7 days for a course of treatment. Two courses of treatment were used to observe the changes of laboratory indexes and clinical symptom scores of TCM before and after intervention, and to evaluate the efficacy of the two groups. 16 patients in the experimental group were selected at the same time. The instant effect of moxibustion on renal artery hemodynamics of these patients was observed by using color Doppler ultrasound diagnostic instrument. Results 1. After intervention, the total score of TCM symptoms in the two groups decreased as compared with that before intervention. The difference before and after intervention was statistically significant (P 0.05), and the difference between the two groups was statistically significant (P 0.05). In each single symptom score, the experimental group was superior to the control group in improving the symptoms of lumbar acid knee and edema after intervention. After intervention, the total effective rate of the experimental group was 74.2 and that of the control group was 61.3.The total effective rate of the two groups was significantly higher than that of the control group. There was significant difference between the two groups. The renal resistance index of 16 patients in the experimental group was decreased immediately after moxibustion and 15 minutes after moxibustion compared with that before moxibustion. The blood flow velocity at the end of diastolic phase increased faster at 15 minutes after moxibustion than before moxibustion. The difference was statistically significant (P 0.05). There were no adverse reactions related to moxibustion in all the patients who received moxibustion intervention. Conclusion 1. Moxibustion can improve some clinical symptoms of patients with chronic kidney disease at stage 1 and 3, especially on the soft of lumbar and knee. The symptoms of edema were improved obviously, and the curative effect of TCM syndrome was improved effectively. 2. Moxibustion can reduce 24 hour urine protein quantity of chronic kidney disease patients in stage 1 and 3. Moxibustion can reduce renal blood flow resistance of patients with chronic kidney disease at stage 1 and 3. Accelerate the end diastolic blood flow velocity, and can maintain a certain time. 4. Moxibustion therapy has no side effects, it is worthy of clinical application.
【學(xué)位授予單位】：浙江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R248.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 鄧特偉;唐芳;鄧麗麗;林靜霞;彭鹿;汪玲珍;;溫陽固腎灸干預(yù)慢性腎臟病患者蛋白尿的療效評(píng)價(jià)[J];臨床腎臟病雜志;2016年06期

2 王歡;徐佳美;;穴位艾灸對(duì)IgA腎病腎虛證癥候積分的影響[J];護(hù)士進(jìn)修雜志;2016年07期

3 郭存霞;高云;劉靜;;督灸對(duì)血液透析患者透析相關(guān)性疲乏的療效[J];中國老年學(xué)雜志;2014年10期

4 劉先英;王曉麗;劉娜;張斌;劉新華;孫云松;;中藥艾灸對(duì)低腹膜轉(zhuǎn)運(yùn)CAPD患者殘余腎功能的影響[J];中國中醫(yī)藥科技;2014年03期

5 于曉瑜;饒家珍;蒙向欣;;三七灸促進(jìn)動(dòng)靜脈內(nèi)瘺成熟療效觀察[J];中國中西醫(yī)結(jié)合腎病雜志;2014年03期

6 劉福生;鐘劍;王玫;趙虎康;張蕊;曹釙;;生脈膠囊聯(lián)合艾灸治療透析相關(guān)低血壓的臨床研究[J];北京中醫(yī)藥大學(xué)學(xué)報(bào)(中醫(yī)臨床版);2013年05期

7 魏鐵花;王慶國;李珊珊;唐強(qiáng);孫妲男;邊曉燕;王丹;;艾灸治療大鼠系膜增生性腎小球腎炎實(shí)驗(yàn)研究[J];長春中醫(yī)藥大學(xué)學(xué)報(bào);2013年01期

8 李淑秀;孫云松;孫紅;劉先英;李建英;王麗華;;中藥艾灸對(duì)腹膜透析患者腹膜轉(zhuǎn)運(yùn)功能的影響[J];中國中西醫(yī)結(jié)合腎病雜志;2012年10期

9 田洋;陳路德;劉新瑞;王世巖;耿吉冬;姜曉東;;艾灸溫腎養(yǎng)生法在慢性腎病治療過程中的作用研究[J];世界中西醫(yī)結(jié)合雜志;2012年09期

10 孫紅;梁青;孫云松;劉先英;黃克基;王麗華;;中藥艾灸改善腹膜透析患者營養(yǎng)不良的臨床研究[J];中國中西醫(yī)結(jié)合腎病雜志;2012年09期

，

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