本文選題：針灸 + 功能性便秘��； 參考：《廣州中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:本課題通過(guò)對(duì)近十年針灸治療功能性便秘的臨床隨機(jī)對(duì)照試驗(yàn)進(jìn)行整理、總結(jié)及統(tǒng)計(jì)分析,探討針灸治療功能性便秘的選穴規(guī)律,為探尋有效的針灸治療功能性便秘的取穴處方提供參考。方法:電子檢索相關(guān)期刊論文(CNKI),維普期刊數(shù)據(jù)庫(kù)(VIP)及萬(wàn)方數(shù)據(jù)庫(kù),檢索詞為"針"、"針刺"、"針灸""功能性便秘","便秘",檢索年限設(shè)定為2005年一月至2016年12月。獲得全文后文獻(xiàn)統(tǒng)一用noteexpress進(jìn)行管理,瀏覽文獻(xiàn),根據(jù)納入標(biāo)準(zhǔn)及排除標(biāo)準(zhǔn)篩選出符合納入條件的文獻(xiàn),對(duì)文獻(xiàn)中使用的腧穴、腧穴歸經(jīng)、腧穴所屬身體部位等。以及特定穴使用情況進(jìn)行,統(tǒng)計(jì)學(xué)處理將信息導(dǎo)入電子表格進(jìn)行分析和統(tǒng)計(jì)計(jì)算,并進(jìn)行計(jì)算次數(shù)統(tǒng)計(jì)論述分析。對(duì)個(gè)體數(shù)據(jù)采用頻數(shù)分析進(jìn)行統(tǒng)計(jì)學(xué)分析,用spss20.0統(tǒng)計(jì)分析軟件進(jìn)行計(jì)數(shù)數(shù)據(jù)的統(tǒng)計(jì)描述分析其規(guī)律。結(jié)果:按照本研究的檢索策略,在中國(guó)期刊網(wǎng)、萬(wàn)方期刊數(shù)據(jù)庫(kù)及維普數(shù)據(jù)庫(kù)中共檢索出文獻(xiàn)578篇,排除重復(fù)性文獻(xiàn)、個(gè)案報(bào)道、綜述類文獻(xiàn)及其他文獻(xiàn),最終納入文獻(xiàn)65篇。從2005年1月至2016年12月,臨床上用于治療功能性便秘的穴位共51個(gè),總穴次594次。根據(jù)統(tǒng)計(jì)結(jié)果顯示,排名前十的穴位分別是天樞、上巨虛、足三里、大腸俞、支溝、氣海、關(guān)元、中脘、腹結(jié)、腎俞。其中28篇是針刺療法,5篇是穴位注射療法。7篇是穴位埋線療法,其余25篇是綜合療法。臨床上常用于治療功能性便秘的經(jīng)脈主要包括足陽(yáng)明胃經(jīng)(25.49%)、足太陽(yáng)膀胱經(jīng)(21.57%)、任脈(13.73%)、足太陰脾經(jīng)(11.76%)、手陽(yáng)明大腸經(jīng)(9.80%),占總數(shù)的82.35%。特定穴中,以背俞穴及絡(luò)穴使用最多,其次為募穴、合穴及下合穴。將所統(tǒng)計(jì)出的51個(gè)腧穴按人體部位劃分,可得表2,觀察發(fā)現(xiàn)臨床多運(yùn)用腹部穴位及下肢部穴位運(yùn)用最多,上肢穴位及腰骶部穴位次之。最次才是胸背部足太陽(yáng)膀胱經(jīng)穴位。由此可見(jiàn),針灸治療功能性便秘以腹部選穴為主,結(jié)合四肢部選穴為輔。結(jié)論:現(xiàn)代臨床研究針灸治療功能性便秘的選穴規(guī)律:以足陽(yáng)明經(jīng)取穴為主,輔以任脈及足太陽(yáng)膀胱經(jīng)腧穴。針刺治療取穴方面,以腹部選穴為主,搭配循經(jīng)四肢部取特定穴。腧穴分布以腹部和下肢部穴位為主,上肢部穴位次之。
[Abstract]:Objective: to summarize and analyze the clinical randomized controlled trials of acupuncture and moxibustion treatment of functional constipation in the past ten years, and to explore the rule of acupoint selection in the treatment of functional constipation by acupuncture and moxibustion. To explore effective acupuncture and moxibustion treatment of functional constipation point prescription to provide a reference. Methods: Chinese Journal Full-text Database (CNKI), Weip Journal Database (VIP) and Wanfang Database were searched electronically. The key words were "acupuncture", "functional constipation" and "constipation". The searching period was set from January 2005 to December 2016. After obtaining the full text, the literature was managed by noteexpress, and the literature was browsed. According to the inclusion standard and the exclusion standard, the literature suitable for inclusion was selected, and the acupoints, body parts and so on were used in the literature. And the use of specific holes, statistical processing information into the spreadsheet for analysis and statistical calculation, and statistical analysis of the number of calculations. The frequency analysis is used to analyze the individual data, and the statistical description of the counting data is analyzed by spss20.0 software. Results: according to the retrieval strategy of this study, 578 articles were retrieved in China Journal Network, Wanfang Journal Database and Weip Database, excluding repetitive literature, case reports, review literature and other literature, and 65 articles were included. From January 2005 to December 2016, 51 points were used to treat functional constipation, with a total of 594 points. According to the statistical results, the top ten acupoints were Tianshu, Shangjuxu, Zusanli, Dachang Yu, branchou, Qihai, Guan Yuan, Zhongwan, abdominal knot, Shenshu. Among them, 28 were acupuncture therapy, 5 were acupoint injection therapy, .7 were acupoint catgut embedding therapy, and the other 25 were combined therapy. The main meridians commonly used in the treatment of functional constipation include the stomach Meridian of foot Yangming (25.49%), bladder Meridian of foot Sun (21.57%), Renmai (13.73%), spleen Meridian of foot Taiyin (11.76%) and large intestine Meridian of hand Yangming (9.80%), accounting for 82.35 points of the total. Among the specific points, the points of back-Shu and collaterals were used the most, followed by the points of Jun, he and Xianhe. The 51 acupoints were divided according to human body position, and table 2 was obtained. It was found that abdominal acupoints and lower extremity acupoints were used most frequently in clinic, followed by upper limb acupoints and lumbosacral points. The most important is the chest, back, foot, sun, bladder meridian. Thus, acupuncture and moxibustion treatment functional constipation in the abdominal point selection, combined with the extremities point selection as a supplementary. Conclusion: in modern clinical study, the rule of acupoint selection in the treatment of functional constipation by acupuncture and moxibustion is as follows: the acupoints of the Meridian of foot Yang Ming and the acupoint of bladder Meridian of Renmai and foot Sun. Acupuncture treatment for acupoints, the abdominal selection of the main point, with the limbs along the meridian to take specific points. The distribution of acupoints was mainly abdominal and lower limb acupoints, followed by upper limb acupoints.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.1

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本文編號(hào)：2073849