【摘要】：目的:通過觀察調(diào)督溫陽法對陽虛質(zhì)亞健康狀態(tài)的調(diào)治,對比研究對象調(diào)治前后美國康奈爾醫(yī)學(xué)指數(shù)(Cornell Medical Index,CMI)總評分及中醫(yī)陽虛質(zhì)轉(zhuǎn)化分的變化情況,評價(jià)調(diào)督溫陽法調(diào)治陽虛質(zhì)亞健康狀態(tài)的臨床療效,為臨床調(diào)治陽虛質(zhì)亞健康狀態(tài)提供一種新思路。方法:收集并篩選陽虛質(zhì)亞健康狀態(tài)的研究對象,將符合納入標(biāo)準(zhǔn)的60例按就診先后順序編號(1~60號)并錄入SPSS程序,按照完全隨機(jī)設(shè)計(jì)1:1的方法分為調(diào)治組30例和對照組30例。兩組研究對象每天均進(jìn)行健康宣教,調(diào)治組采用調(diào)督溫陽法調(diào)治,選取百會(huì)穴、大椎穴、腰陽關(guān)穴、腎俞穴(雙)、太溪穴(雙)運(yùn)用補(bǔ)法針刺,同時(shí)取腰陽關(guān)穴加用溫和灸,每日針灸1次,6天為1個(gè)療程,休息1天,再進(jìn)行下一個(gè)療程,共調(diào)治4個(gè)療程。對照組則口服維生素E膠囊治療,每日2粒,分早、晚飯后半小時(shí)口服,7天為1個(gè)療程,連續(xù)口服4個(gè)療程。干預(yù)4個(gè)療程后,觀察兩組研究對象調(diào)治前后美國康奈爾醫(yī)學(xué)指數(shù)(CMI)總評分及中醫(yī)陽虛質(zhì)轉(zhuǎn)化分的變化結(jié)果。結(jié)果:調(diào)治后,兩組美國康奈爾醫(yī)學(xué)指數(shù)(CMI)總評分及中醫(yī)陽虛質(zhì)轉(zhuǎn)化分均有所降低,與調(diào)治前相比,兩組差異均有統(tǒng)計(jì)學(xué)意義(P0.05),且調(diào)治組美國康奈爾醫(yī)學(xué)指數(shù)(CMI)總評分及陽虛質(zhì)轉(zhuǎn)化分較對照組下降更明顯,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。數(shù)據(jù)統(tǒng)計(jì)結(jié)果顯示,調(diào)治組總有效率為86.67%,對照組總有效率為53.33%,調(diào)治組療效優(yōu)于對照組。結(jié)論:調(diào)治后相關(guān)數(shù)據(jù)結(jié)果表明,調(diào)督溫陽法能更好的改善陽虛質(zhì)亞健康狀態(tài)的亞健康表現(xiàn)及陽虛癥狀,有利于提高其生活質(zhì)量,值得在臨床上研究及推廣應(yīng)用。
[Abstract]:Objective: to compare the changes of the total score of Cornell Medical Index (Cornell Medical Index,CMI) and the transformation of Yang deficiency in Chinese medicine before and after treatment. To evaluate the clinical curative effect of regulating the Yang deficiency subhealth state by regulating the du and warming yang, and to provide a new way of thinking for the clinical treatment of Yang deficiency subhealthy state. Methods: the subjects of sub-health status of Yang deficiency were collected and screened. The 60 patients who met the inclusion criteria were numbered according to the order of consultation (1-60) and entered into the SPSS program. According to the totally randomized design of 1:1, 30 cases were divided into two groups: the control group (30 cases) and the control group (30 cases). The subjects of the two groups were given health education every day. The control group was treated with the method of regulating du and warming yang, selecting Baihui point, Dazhui point, Yaoyangguan point, Shenshu point (double), Taixi point (double), and taking Yaoyangguan point plus mild moxibustion. Acupuncture and moxibustion once a day, 6 days as a course of treatment, rest 1 day, then the next course of treatment, a total of 4 courses of treatment. The control group was treated with vitamin E capsule, 2 capsules per day, early, half an hour after supper, 7 days as a course of treatment, 4 consecutive courses of oral administration. After four courses of intervention, the changes of the total score of Cornell Medical Index (CMI) and the transforming score of Yang deficiency in TCM were observed before and after treatment in the two groups. Results: after treatment, the total score of Cornell Medical Index (CMI) and the transforming score of Yang deficiency in TCM were decreased in the two groups, and the difference between the two groups was statistically significant (P0.05). The total score of Cornell Medical Index (CMI) and the transformation score of Yang deficiency in the treatment group were significantly lower than those in the control group (P0.05). The results showed that the total effective rate of the regulating group was 86.67, the total effective rate of the control group was 53.33. The curative effect of the control group was better than that of the control group. Conclusion: the results of relevant data after treatment show that the method of regulating and warming yang can improve the sub-health performance and symptoms of Yang deficiency, which is beneficial to improve the quality of life, and is worth studying and popularizing in clinic.
【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】：2017
【分類號】：R246

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