本文選題：隔藥灸臍法 + 灸量��； 參考：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:本研究通過對腹瀉型腸易激綜合征患者進行不同灸量隔藥灸臍治療,觀察隔藥灸臍法治療腹瀉型腸易激綜合征時灸量對患者生存質(zhì)量及臨床癥狀的影響,探討隔藥灸臍法治療腹瀉型腸易激綜合征時的適宜灸量。方法:選取60名腹瀉型腸易激綜合征患者(脾虛型),隨機分成三組,其中A組(0.5g)、B組(1.0g)、C組(1.5g)各20例,評價三組治療前、后患者生存質(zhì)量評分及脾虛泄瀉癥狀評分的變化,比較三組間的差異。結(jié)果:生存質(zhì)量的維度組內(nèi)比較A組治療前后焦慮不安、行為障礙、軀體意念、健康憂慮、社會功能、人際關(guān)系6個維度評分比較有顯著統(tǒng)計學(xué)差異(P0.05);B、C兩組治療前后比較,焦慮不安、行為障礙、軀體意念、健康憂慮、社會功能、挑食、性行為、人際關(guān)系8個維度均有顯著統(tǒng)計學(xué)差異(P0.05)。治療后組間比較B組與A組比較,在焦慮不安、行為障礙、軀體意念、社會功能、性行為、人際關(guān)系6個維度有顯著統(tǒng)計學(xué)差異(P0.05);C組與A組比較,在焦慮不安、行為障礙、軀體意念、社會功能、人際關(guān)系5個維度有顯著統(tǒng)計學(xué)差異(P0.05);B組與C組相比,僅在軀體意念1個維度存在顯著性差異(P0.05)。脾虛泄瀉癥狀評分組內(nèi)比較A組治療前后僅在食欲不振方面不具有顯著統(tǒng)計學(xué)意義(P0.05),B、C兩組治療前后脾虛泄瀉癥狀積分均具有顯著統(tǒng)計學(xué)意義(P0.05);組間比較治療后B組與A組比較在腹痛腹脹、脘痞腹?jié)M、大便泄瀉、食欲不振、神疲懶言5個方面有顯著統(tǒng)計學(xué)意義(P0.05);A組與C組脾虛泄瀉各方面癥狀評分比較,在大便泄瀉、神疲懶言、腹痛腹脹、脘痞腹?jié)M4個方面有顯著統(tǒng)計學(xué)意義(P0.05);B組與C組治療后脾虛泄瀉各方面癥狀評分比較不具有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:隔藥灸臍法可明顯提高患者生存質(zhì)量,改善患者脾虛泄瀉癥狀;施灸時間為120min時,艾炷質(zhì)量為1.0g組、1.5g組在患者生存質(zhì)量改善及癥狀改善方面均優(yōu)于0.5g組,但1.0g組和1.5g組相比較,療效相當(dāng)。
[Abstract]:Objective: to observe the effect of moxibustion volume on the quality of life and clinical symptoms of patients with diarrhea irritable bowel syndrome treated by moxibustion with different moxibustion quantity. To explore the suitable moxibustion quantity for treating diarrhea irritable bowel syndrome with moxibustion and umbilical moxibustion. Methods: sixty patients with diarrhea type irritable bowel syndrome (spleen deficiency type) were randomly divided into three groups: group A (0.5 g), group B (1.0 g) and group C (1.5 g). The differences among the three groups were compared. Results: the scores of anxiety, behavioral disorder, somatic ideation, health anxiety, social function and interpersonal relationship in group A were significantly different before and after treatment (P0.05). Anxiety, behavioral disorders, body thoughts, health anxiety, social function, picky food, sexual behavior, interpersonal relationships had significant statistical differences (P0.05). After treatment, there were significant differences in anxiety, behavioral disorder, somatic ideation, social function, sexual behavior and interpersonal relationship between group B and group A (P0.05). There were significant differences in the five dimensions of somatic ideation, social function and interpersonal relationship (P0.05). Only one dimension of somatic ideation had significant difference between group B and group C (P0.05). Comparison of symptoms of diarrhea due to spleen deficiency in group A before and after treatment, there was no significant difference between group A and group A in terms of loss of appetite (P0.05). (P0.05) the scores of symptoms of diarrhea due to spleen deficiency in group B were statistically significant before and after treatment (P0.05), and the scores of symptoms of diarrhea due to spleen deficiency were significantly higher in group A than in group B after treatment (P0.05). Group A compared with group A in abdominal pain abdominal distension, There were significant statistical significance in five aspects of abdominal fullness, stool diarrhea, loss of appetite, fatigue and laziness (P0.05) in group A and group C, the scores of symptoms of diarrhea due to spleen deficiency were compared with those in group C. In stool diarrhea, fatigue, abdominal pain and abdominal distension, there were significant differences between group A and group C in terms of symptoms of diarrhea, restlessness, abdominal pain and abdominal distension. There was significant statistical significance in four aspects of abdominal fullness of epigastric (P0.05). There was no significant difference in symptom scores between group B and group C after treatment of spleen deficiency and diarrhea (P0.05). Conclusion: herbal moxibustion with umbilical method can obviously improve the quality of life and improve the symptoms of diarrhea due to spleen deficiency, and when the moxibustion time is 120min, the quality of life and symptoms in the group of 1.0 g and 1.5 g of moxibustion are better than that of the group of 0.5 g. But compared with 1.5 g group, the curative effect of 1.0 g group was similar to that of 1.5 g group.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.1

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