本文選題：周易象數(shù)切脈療法 + 功能性消化不良　； 參考：《廣西中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:通過(guò)周易象數(shù)切脈療法治療功能性消化不良(Functinoal dyspepsia,FD)的臨床觀察研究,進(jìn)一步探討周易象數(shù)切脈療法治療功能性消化不良疾病的機(jī)理,為本病提供新的治療方法和思路。方法:將符合要求的80例功能性消化不良患者隨機(jī)分為治療組(40例)和對(duì)照組(40例)。對(duì)照組予中藥湯劑常規(guī)治療,治療組予周易象數(shù)切脈療法治療。治療組周易象數(shù)切脈治療每日1次,每次15分鐘。療程2周。對(duì)照組予中藥湯劑治療,每日1付,分2次溫服,療程2周。觀察記錄患者治療前后血清胃泌素、紅外熱象穴位皮溫、中醫(yī)癥狀積分、臨床療效情況。建立數(shù)據(jù)庫(kù),運(yùn)用SPSS18.0進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:兩種方法在對(duì)FD患者血清胃泌素影響方面,經(jīng)統(tǒng)計(jì)分析,治療前兩組比較P值大于0.05,兩組治療前無(wú)顯著差異,治療后兩組患者胃泌素值均有上升,與治療前比較P值小于0.05,治療后兩組比較P值小于0.05;周易象數(shù)切脈療法治療組及中藥對(duì)照組對(duì)FD患者兩側(cè)脾胃經(jīng)五輸穴經(jīng)絡(luò)穴位皮溫影響特點(diǎn)不同,治療組偏重提高兩側(cè)脾胃經(jīng)遠(yuǎn)端五輸穴的局部穴位皮溫,對(duì)照組偏重提高兩側(cè)脾胃經(jīng)近端五輸穴的局部穴位皮溫,相應(yīng)小幅提高的穴位治療前后比較P值小于0.05;中醫(yī)主要癥狀單項(xiàng)積分比較及中醫(yī)癥狀總積分比較,治療前P值均大于0.05,治療前兩項(xiàng)積分無(wú)顯著差異,具有可比性,經(jīng)完成治療后兩項(xiàng)積分均較治療前降低,P值小于0.05,但兩項(xiàng)積分組間比較,P值大于0.05;(4)治療組40例,痊愈17例,顯效10例,有效7例,無(wú)效6例,總有效率85.00%;對(duì)照組40例,痊愈21例,顯效7例,有效8例,無(wú)效4例,總有效90.00%,對(duì)照組總有效率略高于治療組,經(jīng)統(tǒng)計(jì)學(xué)分析,兩組總有效率無(wú)顯著差異(P0.05),提示兩組方法在治療FD方面療效無(wú)差異。結(jié)論:治療組能促進(jìn)FD患者胃泌素分泌,且作用較對(duì)照組明顯;周易象數(shù)切脈療法能促進(jìn)胃泌素的分泌,影響脾胃經(jīng)遠(yuǎn)端五腧穴的局部經(jīng)絡(luò)穴位皮溫變化,提示周易象數(shù)切脈療法能夠通過(guò)調(diào)節(jié)經(jīng)絡(luò)穴位經(jīng)氣平衡臟腑功能;兩種治療方法對(duì)FD的癥狀緩解和臨床療效均明顯。
[Abstract]:Objective: to investigate the mechanism of digital pulse cutting therapy in the treatment of functional dyspepsia through the clinical observation of functional dyspepsia FDD (functional dyspepsia FDD), and to provide a new method and thought for the treatment of functional dyspepsia. Methods: 80 patients with functional dyspepsia were randomly divided into treatment group (n = 40) and control group (n = 40). The control group was treated with traditional Chinese medicine decoction and the treatment group was treated with Zhouyi image pulse cutting therapy. In the treatment group, pulse-cutting was performed once a day, 15 minutes each time. The course of treatment was 2 weeks. The control group was treated with traditional Chinese medicine decoction for 2 weeks. Observe and record serum gastrin, infrared heat image acupoint temperature, TCM symptom score and clinical curative effect before and after treatment. Establish database and use SPSS18.0 for statistical analysis. Results: in terms of the effect of the two methods on serum gastrin in FD patients, the P value of the two groups before treatment was greater than 0.05, and there was no significant difference between the two groups before treatment, and the gastrin values of the two groups increased after treatment. Compared with before treatment and after treatment, P value was less than 0.05. The effects of Zhouyi digital pulse cutting therapy group and traditional Chinese medicine control group on the skin temperature of spleen and stomach meridian meridians on both sides of FD patients were different. In the treatment group, the skin temperature of the local acupoints at the distal point of the spleen and stomach meridians was increased, while in the control group, the local skin temperature of the points at the proximal point of the spleen and stomach meridians was increased. The P value before and after treatment was less than 0.05. The comparison of the main symptoms of TCM and the total integral of TCM symptoms before treatment was more than 0.05. There was no significant difference between the two scores before treatment and there was comparability between the two scores. After the completion of the treatment, the P value of the two scores decreased less than 0.05, but the P value of the two integral groups was greater than 0.05%.) in the treatment group, 17 cases were cured, 10 cases were effective, 7 cases were effective, 6 cases were ineffective, and the total effective rate was 85.00% in the control group, 40 cases in the control group, and 40 cases in the control group. 21 cases were cured, 7 cases were markedly effective, 8 cases were effective, 4 cases were ineffective, and the total effective rate was 90.00.The total effective rate in the control group was slightly higher than that in the treatment group. There was no significant difference in the total effective rate between the two groups by statistical analysis, indicating that there was no difference in the curative effect between the two groups in the treatment of FD. Conclusion: the treatment group can promote the secretion of gastrin in FD patients, and the effect is more obvious than that in the control group, and the treatment group can promote the secretion of gastrin and influence the change of skin temperature at the local meridians of the distal five acupoints of spleen and stomach. The results suggest that Zhouyi image can balance the function of viscera by regulating the meridian acupoints and qi, and the two methods can relieve the symptoms of FD and have obvious clinical curative effect.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R259

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