發(fā)布時間：2018-04-17 19:48

  本文選題：盒灸 + 背部��； 參考：《成都中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：觀察盒灸背部防治體虛易感者(氣虛體質(zhì))的臨床療效,探索其在臨床上推廣應(yīng)用的可能性。方法：將90例體虛易感(氣虛體質(zhì))患者按照計算機產(chǎn)生的隨機數(shù)字表進(jìn)行隨機分配為組1、組2和組3,每組均30例。組1治療組采用盒灸背部的治療方法,每次治療20分鐘,隔日1次,共治療計1月；組2條件對照組采取玉屏風(fēng)散顆粒防治法,每日用溫開水沖服,3次/天,5g/包,1包/次,共服用計1月；組3設(shè)置為空白對照組。臨床療效評價采用“體質(zhì)評分量表”和觀察期內(nèi)外感次數(shù)比較,并觀察記錄下療效指標(biāo)結(jié)果和不良反應(yīng)事件。課題總需時間4月：治療1月,觀察3月(其中氣虛質(zhì)評分觀察分治療后、治療后1月、2月、3月4個階段),具體以門診和電話方式進(jìn)行記錄。并對完成課題的患者,再隨訪9月,觀察其一年的外感次數(shù),完善觀察指標(biāo)。結(jié)果：(1)外感次數(shù)比較：三組經(jīng)單因素方差分析差異有統(tǒng)計學(xué)意義(p0.05)；多重兩兩比較：組1與組3比較差異有統(tǒng)計學(xué)意義(p0.05),組2與組3比較差異有統(tǒng)計學(xué)意義(p0.05),組1與組2比較差異有統(tǒng)計學(xué)意義(p0.05)。提示：組1、組2治療方案均能有效減少外感次數(shù),同時組1外感次數(shù)減少幅度明顯優(yōu)于組2。(2)氣虛體質(zhì)評分比較：組間比較(單因素方差分析)：三組氣虛質(zhì)評分在治療后、治療后1月、2月、3月各階段比較均有統(tǒng)計學(xué)意義(p0.05)；兩兩比較：組1與組3、組2與組3經(jīng)檢驗均有顯著性差異p0.05,組1與組2經(jīng)檢驗無顯著性差異；組內(nèi)比較：整體分析(單因素重復(fù)測量方差分析)無顯著性意義。精細(xì)比較(兩兩比較,配對t檢驗)：組1治療前與治療后各個時間點兩兩比較差異均有統(tǒng)計學(xué)意義(p0.05)；治療后各時間點兩兩比較差異均無統(tǒng)計學(xué)意義。組2治療前與治療后各個時間點兩兩比較差異均有統(tǒng)計學(xué)意義(p0.05)；治療后各時間點兩兩比較差異均無統(tǒng)計學(xué)意義。組3各時間點兩兩比較差異均無統(tǒng)計學(xué)意義。提示：組1、組2均能有效降低氣虛質(zhì)評分,改善體虛易感者的氣虛狀態(tài),兩組經(jīng)治療后對氣虛體質(zhì)的改善均有較長遠(yuǎn)和穩(wěn)定的效應(yīng)。結(jié)論：在本次研究觀察區(qū)間內(nèi)盒灸背部對氣虛易感患者的防治作用顯著,具有明顯改善患者氣虛體質(zhì),減少外感次數(shù)的趨勢,且安全、方便、易于接受,有臨床應(yīng)用推廣的可行性。
[Abstract]:Objective: to observe the clinical effect of box moxibustion on prevention and treatment of deficiency of body (Qi deficiency constitution) and explore the possibility of popularizing it in clinic.Methods: 90 patients were randomly assigned to group 1 (group 2) and group 3 (30 cases in each group) according to the computer generated random digital table.Group 1 was treated with box moxibustion on the back, 20 minutes each time, once every other day, for a total of one month, and group 2 was treated with Yupingfeng Powder granule, 3 times a day with warm boiled water.Group 3 was set as blank control group.The clinical curative effect was evaluated by the physique score scale and the number of exogenous events during the observation period, and the curative effect index results and adverse reaction events were observed and recorded.The total time of the study was four months: one month of treatment and three months of observation (among which Qi-deficiency score was observed after treatment, and after treatment there were four stages: one month, two months and three months), which were recorded by out-patient service and telephone.The patients who completed the project were followed up for 9 months to observe the number of exogenous symptoms in one year and to perfect the observation index.Results (1) comparison of exogenous frequency: there was significant difference between the three groups by univariate ANOVA (p0.05), and the difference between group 1 and group 3 was statistically significant (P 0.05), the difference between group 2 and group 3 was statistically significant (P 0.05), the difference between group 1 and group 1 was significant (P 0.05), and that in group 1 was significantly higher than that in group 1 (P < 0.05).The difference between group 2 and group 2 was statistically significant (P 0.05).It is suggested that both the treatment schemes of group 1 and group 2 can effectively reduce the number of exogenous symptoms, and the reduction of the number of exogenous events in group 1 is obviously better than that in group 2. 2) the scores of Qi deficiency constitution in group 1 are significantly better than those in group 2. The comparison between groups (single factor analysis of variance: Qi-deficiency score in three groups after treatment)There was a significant difference between group 1 and group 3, group 2 and group 3 after treatment, and there was no significant difference between group 1 and group 2 after treatment, and there was no significant difference between group 1 and group 2 after the treatment, and there was no significant difference between group 1 and group 2 after treatment, and there was no significant difference between group 1 and group 2 after treatment.Intra-group comparison: there was no significant difference in global analysis (single factor repeated measurement ANOVA).Fine comparison (pairwise comparison, paired t test): there was significant difference between two groups before and after treatment in each time point (P 0.05), but there was no significant difference in each time point after treatment.In group 2, there were significant differences between the two groups before and after treatment, but there was no significant difference at each time point after treatment.There was no significant difference between two groups at each time point in group 3.Conclusion: group 1 and group 2 can effectively reduce the score of deficiency of qi and improve the state of deficiency of qi in those who are susceptible to physical deficiency. Both groups have a long-term and stable effect on the improvement of physical constitution of deficiency of qi after treatment.Conclusion: the preventive and therapeutic effects of moxibustion on the back of internal box in this study are significant, which can obviously improve the physique of the patients with deficiency of qi, reduce the number of exogenous symptoms, and be safe, convenient and easy to accept.It is feasible to popularize clinical application.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246

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