本文選題：穴位埋線結(jié)合耳穴貼壓 + 功能性便秘��； 參考：《廣西中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:本課題將穴位埋線結(jié)合耳穴貼壓治療功能性便秘與單純用乳果糖口服溶液治療功能性便秘進(jìn)行癥狀積分、臨床療效及生存質(zhì)量評分的對比,以期望為功能性便秘提供更好的治療方法,提高患者的生存質(zhì)量。方法:將80名功能性便秘患者按照隨機(jī)分配的原則分成2組,分別為治療組(穴位埋線結(jié)合耳穴貼壓組)40名和對照組(乳果糖口服溶液組)40名。治療組穴位埋線每周1次,耳穴貼壓每周2次,4周為1療程;對照組予乳果糖口服溶液30ml口服,一日1次,早餐時(shí)服用,一周后減至維持量20ml,4周為1療程。治療組和對照組均治療1個(gè)療程即4周,于療程結(jié)束后觀察癥狀積分,比較兩組的臨床療效及生存質(zhì)量評分的變化,分析整理數(shù)據(jù),用spss22.0系統(tǒng)軟件進(jìn)行分析,并在療程結(jié)束后1個(gè)月進(jìn)行隨訪。結(jié)果:通過分析臨床研究及統(tǒng)計(jì)學(xué)數(shù)據(jù):兩組患者在年齡、性別、病程及癥狀積分方面統(tǒng)計(jì)學(xué)均無差異(P0.05),具備可比性。治療1個(gè)療程后,兩種治療方法均能改善患者的便秘癥狀總積分,但治療組優(yōu)于對照組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05);在臨床療效方面,治療組共39例,痊愈9例,顯效19例,有效8例,無效3例,總有效率為92.30%;對照組共40例,痊愈8例,顯效7例,有效21例,無效4例,總有效率為90.00%,經(jīng)統(tǒng)計(jì)分析,治療組優(yōu)于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);比較PAC-QOL積分方面,治療組經(jīng)過治療后得出的PAC-QOL積分較對照組有明顯減少,說明治療組的生存質(zhì)量明顯高于對照組,差異具有有統(tǒng)計(jì)學(xué)意義(P0.05)。療程結(jié)束后一個(gè)月進(jìn)行隨訪,癥狀總積分方面,兩組病例的癥狀總積分均較治療前減低,但治療組遠(yuǎn)期癥狀總積分的改善優(yōu)于對照組,差異具有統(tǒng)計(jì)學(xué)意義(P0.05);臨床療效方面,治療組共39例,痊愈5例,顯效20例,有效9例,無效5例,總有效率為87.17%;對照組共40例,痊愈6例,顯效6例,有效19例,無效9例,總有效率為77.50%,經(jīng)統(tǒng)計(jì)分析,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:(1)穴位埋線結(jié)合耳穴貼壓療法治療功能性便秘具有良好的近期療效及遠(yuǎn)期療效。(2)穴位埋線結(jié)合耳穴貼壓療法能夠通導(dǎo)腸腑,改善患者的便秘癥狀,縮短排便時(shí)間,其綜合療效優(yōu)于口服乳果糖口服溶液治療。(3)穴位埋線結(jié)合耳穴貼壓療法治療功能性便秘可減少患者的就診頻率,節(jié)省治療成本,增強(qiáng)患者的自我調(diào)節(jié)能力,是適合生活節(jié)奏過快的現(xiàn)代人治療功能性便秘的有效方法。(4)治療組在治療過程中沒有出現(xiàn)不良反應(yīng),對照組部分患者有腹脹、腹痛等不良反應(yīng),說明穴位埋線結(jié)合耳穴貼壓療法治療功能性便秘更加安全可靠。
[Abstract]:Objective: to compare the symptom score, clinical curative effect and quality of life score between acupoint catgut embedding and ear point pressing for functional constipation and lactofructose oral solution for functional constipation.In order to provide a better treatment for functional constipation, improve the quality of life of patients.Methods: 80 patients with functional constipation were divided into two groups according to the principle of random distribution: treatment group (40 cases in acupoint embedding and auricular pressing group and control group (40 cases in lactofructose oral solution group).The treatment group was treated with acupoint catgut embedding once a week and auricular acupoint pressing twice a week for a course of treatment, while the control group was treated with lactofructose oral solution 30ml, once a day, at breakfast, and reduced to 20 ml / 4 weeks as a course of treatment after one week.The treatment group and the control group were treated for one course of treatment, that is, 4 weeks. The symptom scores were observed at the end of the course of treatment. The changes of clinical efficacy and quality of life score were compared between the two groups, and the data were analyzed and analyzed by spss22.0 system software.The patients were followed up for 1 month after the course of treatment.Results: there were no statistical differences in age, sex, course of disease and symptom score between the two groups by analyzing the clinical research and statistical data.After one course of treatment, both methods could improve the total score of constipation symptoms, but the treatment group was superior to the control group, the difference was statistically significant (P 0.05).In the control group, 40 cases were cured, 7 cases were cured, 21 cases were effective, 4 cases were ineffective, and the total effective rate was 90.000.The treatment group was superior to the control group by statistical analysis.Compared with the control group, the PAC-QOL score of the treatment group was significantly lower than that of the control group, indicating that the quality of life in the treatment group was significantly higher than that in the control group, and the difference was statistically significant.One month after the end of the course of treatment, the total symptom score of the two groups was lower than that of the control group, but the improvement of the long-term symptom total score in the treatment group was better than that in the control group, and the difference was statistically significant (P 0.05).In the treatment group, 39 cases were cured, 20 cases were effective, 9 cases were effective, 5 cases were ineffective, and the total effective rate was 87.17; in the control group, 40 cases were cured, 6 cases were cured, 6 cases were marked effect, 19 cases were effective, 9 cases were ineffective, the total effective rate was 77.50 and the total effective rate was 77.50.The difference was statistically significant (P 0.05).Conclusion the treatment of functional constipation with acupoint catgut embedding combined with auricular plaster therapy has good short-term and long-term curative effect.) acupoint embedding combined with auricular point plaster therapy can improve the constipation symptoms and shorten the defecation time.The comprehensive curative effect is better than that of oral lactulose oral solution therapy. The treatment of functional constipation with catgut embedding at acupoint combined with ear point plaster therapy can reduce the frequency of treatment, save the cost of treatment, and enhance the self-regulation ability of the patients.It is an effective way to treat functional constipation for modern people who live too fast. (4) the treatment group has no adverse reactions during the treatment process, while some patients in the control group have adverse reactions such as abdominal distension, abdominal pain, etc.It shows that the treatment of functional constipation with catgut embedding at acupoint combined with auricular acupoint plaster therapy is more safe and reliable.
【學(xué)位授予單位】：廣西中醫(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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