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  本文選題：遠近配穴 + 針刺��； 參考：《安徽中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的通過觀察遠近配穴針刺法配合局部艾灸與單純局部取穴針刺法配合局部艾灸治療氣滯血瘀型慢性盆腔炎的臨床療效,明確遠近配穴針刺法配合局部艾灸治療氣滯血瘀型慢性盆腔炎的治療優(yōu)勢,為遠近配穴針灸治療方法的臨床推廣應(yīng)用提供可行性依據(jù)。方法本研究按照診斷標準,共納入70例氣滯血瘀型慢性盆腔炎患者,并隨機分為遠近配穴組和局部取穴組,每組各35例患者。遠近配穴組采用針刺腰腹部近端及四肢遠端部穴位配合局部艾灸的方法進行治療,從月經(jīng)干凈后開始治療,直到下一月經(jīng)來潮時停止,為一個療程。局部取穴組采用針刺腰腹部局部穴位配合局部艾灸的方法進行治療,具體療法同遠近配穴組。兩組患者均每周治療3次,三個療程后評定療效,分別記錄治療前后癥狀和體征積分,建立數(shù)據(jù)庫進行統(tǒng)計學(xué)處理分析。結(jié)果1.遠近配穴組和局部取穴組經(jīng)過三個療程的治療后,其癥狀積分、體征積分、綜合積分均較治療前有所下降,治療前后比較有顯著性差異(P0.01)。表明遠近配穴組和局部取穴組的治療均能改善氣滯血瘀型慢性盆腔炎患者的癥狀和體征。2.遠近配穴組和局部取穴組經(jīng)過三個療程的治療后,遠近配穴組癥狀積分、體征積分、綜合積分均低于局部取穴組,比較差異有統(tǒng)計學(xué)意義(P0.05)。表明遠近配穴組在改善氣滯血瘀型慢性盆腔炎患者的癥狀和體征方面優(yōu)于局部取穴組。3.遠近配穴組經(jīng)過三個療程的治療后,其癥狀療效、體征療效及綜合療效的總有效率均高于局部取穴組,比較差異有統(tǒng)計學(xué)意義(P0.05)。表明遠近配穴組治療氣滯血瘀型慢性盆腔炎臨床療效優(yōu)于局部取穴組。結(jié)論1.遠近配穴針刺法配合局部艾灸與局部取穴針刺法配合局部艾灸均對治療氣滯血瘀型慢性盆腔炎的癥狀和體征有改善作用。2.遠近配穴針刺配合局部艾灸法對氣滯血瘀型慢性盆腔炎的臨床療效優(yōu)于局部取穴組。
[Abstract]:Objective to observe the clinical effect of local moxibustion and local acupuncture combined with local moxibustion on chronic pelvic inflammatory disease of blood stasis type. It is clear that the treatment of chronic pelvic inflammatory disease of qi stagnation and blood stasis type with acupuncture of far and near points combined with local moxibustion provides a feasible basis for the clinical application of acupuncture and moxibustion therapy of far and near points. Methods according to the diagnostic criteria, 70 patients with chronic pelvic inflammatory disease of Qi stagnation and Blood stasis type were randomly divided into far and near point matching group and local acupoint extraction group, 35 patients in each group. The far and near point matching group was treated by acupuncture at the proximal end of waist and abdomen and distal part of extremities combined with local moxibustion. The treatment began after menstruation was clean and stopped at the beginning of next menstruation for a course of treatment. The local acupoints group was treated by acupuncture of local points of waist and abdomen combined with local moxibustion. The patients in both groups were treated three times a week. After three courses of treatment, the scores of symptoms and signs before and after treatment were recorded, and a database was established for statistical analysis. Result 1. After three courses of treatment, the symptom integral, physical sign integral and comprehensive integral of the far and near point matching group and the local acupoint extraction group were all decreased compared with those before and after treatment, and there was significant difference before and after treatment (P 0.01). The results showed that the treatment of far and near point matching group and local acupoint extraction group could improve the symptoms and signs of chronic pelvic inflammatory disease of qi stagnation and blood stasis type. 2. After three courses of treatment, the symptom integral, physical sign integral and comprehensive integral of the far and near point matching group were lower than that of the local acupoint group, and the difference was statistically significant (P 0.05). The results showed that the far and near point matching group was superior to the local acupoint extraction group in improving the symptoms and signs of chronic pelvic inflammatory disease with Qi stagnation and blood stasis. After three courses of treatment, the total effective rate of symptoms, signs and comprehensive curative effect in the far and near point matching group was higher than that in the local acupoint extraction group, and the difference was statistically significant (P 0.05). The results showed that the treatment of chronic pelvic inflammatory disease with Qi stagnation and blood stasis in far and near points group was better than that in local point extraction group. Conclusion 1. The combination of local moxibustion and local moxibustion and local moxibustion can improve the symptoms and signs of chronic pelvic inflammatory disease of qi stagnation and blood stasis type. The clinical effect of acupuncture combined with local moxibustion on chronic pelvic inflammatory disease of qi stagnation and blood stasis type was better than that of local acupoint extraction group.
【學(xué)位授予單位】：安徽中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.3

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