【摘要】：目的:通過紅外皮溫?zé)嵯駜x監(jiān)測"腹五穴"埋線治療前后非糜爛性反流病患者督脈穴位紅外皮溫的變化以及反流癥狀的改善情況,討論紅外熱像儀能否作為非糜爛性反流病的檢測手段及"腹五穴"埋線治療非糜爛性反流病的有效性及相關(guān)機理研究。方法:將納入本研究的60例患者按照隨機方分為對照組和治療組。對照組給予枸櫞酸莫沙必利分散片5mg,口服,一天三次;聯(lián)合雷貝拉唑腸溶片10mg口服,一天兩次,4周為1療程。治療組予"腹五穴"埋線治療,每周埋線1次,療程4周。觀察患者治療前后反酸、燒心、胸痛、反食癥狀改善程度并結(jié)合RDQ問卷調(diào)查表進行癥狀分析;通過監(jiān)測治療前后督脈穴位(大椎、至陽、命門)紅外皮溫的變化情況來探討埋線治療非糜爛性反流病的機理。全部實驗數(shù)據(jù)均采用SPSS 23.0分析軟件進行統(tǒng)計分析,計量資料均采用均數(shù)±標(biāo)準(zhǔn)差(X±S)表示,正態(tài)分布數(shù)據(jù)采用t檢驗,非正態(tài)分布數(shù)據(jù)采用秩和檢驗;計數(shù)資料采用X2檢驗;等級資料采用秩和檢驗處理。結(jié)果:治療組與對照組總有效率分別為96.6%和83.3%,兩組比較,差異有非常顯著性意義(P0.05)。通過紅外熱成像儀觀察督脈上穴位,發(fā)現(xiàn)治療組中大椎穴升高2.6度,至陽穴升高1.8度,命門升高2.2度,且具有統(tǒng)計學(xué)意義。結(jié)論:通過RDQ量表的癥狀積分說明"腹五穴"埋線治療非糜爛性反流病具有良好的臨床效果,療效明顯優(yōu)于單純西藥治療。并且在實驗觀察過程中,我們發(fā)現(xiàn)紅外熱成像監(jiān)測能快速有效的監(jiān)測出該病的癥狀特點,故我們大膽的提出可將紅外熱成像檢測技術(shù)應(yīng)用于非糜爛性反流病的的診斷中,作為其檢測手段之一。
[Abstract]:Objective: to monitor the changes of infrared skin temperature and the improvement of symptoms of reflux in patients with non-erosive reflux disease before and after the treatment of "abdominal five points" embedding with infrared skin temperature thermograph. This paper discusses whether the infrared thermal imager can be used as a detection method of non-erosive reflux disease and the effectiveness and related mechanism of "abdominal five points" embedding thread in the treatment of non-erosive reflux disease. Methods: 60 patients were randomly divided into control group and treatment group. The control group was given 5 mg of mosapride citrate dispersible tablets, three times a day, and rabeprazole enteric-coated tablet 10mg was given orally twice a day for 4 weeks as a course of treatment. The treatment group was treated with "abdominal five points" catgut embedding once a week for 4 weeks. Observe the improvement of symptoms of regurgitation, heartburn, chest pain and food reaction before and after treatment, and analyze the symptoms with RDQ questionnaire, monitor the acupoints of du pulse (Dazhui, Zhiyang) before and after treatment. The change of infrared skin temperature was used to explore the mechanism of non-erosive reflux disease treated by embedding thread. All the experimental data were analyzed by SPSS 23.0 software, the measurement data were expressed by the mean 鹵standard deviation (X 鹵S), the normal distribution data by t test, the non-normal distribution data by rank sum test, the count data by X2 test. Rank data are processed by rank sum test. Results: the total effective rates of the treatment group and the control group were 96.6% and 83.3%, respectively. The difference between the two groups was significant (P0.05). Observation of the point on du Mai by infrared thermography showed that Dazhui acupoint increased 2.6 degrees to Yang point 1.8 degrees and Shengmen raised 2.2 degrees in the treatment group and had statistical significance. Conclusion: the symptom integral of RDQ scale shows that the treatment of non-erosive reflux disease with "abdominal five points" embedding thread has a good clinical effect, and the curative effect is obviously superior to that of western medicine alone. And in the course of experimental observation, we found that infrared thermal imaging monitoring can quickly and effectively detect the symptoms of the disease, so we boldly put forward the infrared thermal imaging detection technology can be used in the diagnosis of non-erosive reflux disease. As one of its detection methods.
【學(xué)位授予單位】：廣西中醫(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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