背俞指针疗法治疗脾气亏虚型功能性腹泻的临床研究

发布时间：2017-12-27 23:08

本文关键词：背俞指针疗法治疗脾气亏虚型功能性腹泻的临床研究　出处：《广西中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:通过对脾气亏虚型功能性腹泻患者进行为期4周的背俞指针疗法治疗,观察背俞指针疗法对该类患者的临床疗效,探讨背俞指针疗法对脾气亏虚型功能性腹泻的治疗机制,为其临床推广运用奠定基础。方法:1.共纳入功能性腹泻患者54例,脱落4例,经各项检查合格,随机分为背俞指针疗法组(治疗组)和西医治疗组(对照组),每组各25例。2.治疗组进行背俞指针疗法治疗;对照组采用复合乳酸菌胶囊(0.33g×12粒/盒,江苏美通制药有限公司),口服,2粒/次,3次/天,共治疗4周。3.通过收集患者"功能性腹泻日记卡",分别对两组患者基线期、入组后第2周、入组后第4周、入组后第8周进行疗效评估,收集各组各疗效评估点的周排便次数、粪便性状积分、正常排便维持时间等数据以分析,观察各组治疗效果。探讨背俞指针疗法治疗脾气亏虚型功能性腹泻的作用机制。结果:1.两组功能性腹泻患者基线情况良好,分组比较均衡(P0.05),可比性较强;2.两组内比较,对入组后第2周、第4周、第8周的周排便次数、粪便性状改变及正常排便维持时间的各项评估均有显著差异(P0.05),且后期疗效优于前期;3.两组间比较,对入组后第2周在周排便次数、粪便性状改变及正常排便维持时间的各项评估P0.05,无统计学意义,说明两组在第2周时疗效相当;入组第4周、第8周的周排便次数、粪便性状改变及正常排便维持时间的各项评估均有显著差异(P0.05),提示治疗组比对照组疗效好;4.治疗组和对照组在治疗前后疗效的差异,P0.05。说明治疗组对功能性腹泻的疗效优于对照组。结论:1.治疗组在改善脾气亏虚型功能性腹泻的周排便次数、大便性状上、正常排便维持时间及伴随症状上优于对照组;2.治疗组在疾病临床疗效上优于对照组;3.背俞指针疗法治疗脾气亏虚型功能性腹泻的机理与背俞指针疗法调理脾胃气机升降,而达到健脾温阳,行气祛湿,止泻的作用有关。
[Abstract]:Objective: a back Shu pointer therapy 4 weeks of treatment of patients with deficiency of temper by loss of functional diarrhea, to observe the clinical efficacy of Beishu pointer therapy on this kind of patients, to explore the treatment mechanism of deficiency of back Shu pointer therapy deficiency of functional diarrhea of spleen, for the clinical use of foundation. Methods: 1. patients with functional diarrhea were divided into 54 cases and 4 cases of abscission. They were randomly divided into the back Shu acupuncture therapy group (Western medicine treatment group) and the western medicine treatment group (control group), 25 cases in each group. The 2. treatment groups were Beishu pointer therapy; the control group using Lactobacillus Complex Capsules (0.33g * 12 / box, Jiangsu MEITONG Pharmaceutical Co. Ltd), oral, 2 tablets, 3 times / day, a total of 4 weeks of treatment. 3. patients were collected by "functional diarrhea diary card", the two groups of patients were enrolled after baseline, second weeks, fourth weeks, after entering the group into the group after eighth weeks to evaluate the curative effect and the curative effect evaluation point was collected weekly defecation frequency, stool score, maintain normal defecation time and other data to analysis of the therapeutic effects were observed. To explore the mechanism of the back - Shu pointer therapy in the treatment of functional diarrhea of deficiency of spleen - deficiency type. Results: two groups of 1. patients with functional diarrhea baseline in good condition, comparing the equilibrium (P0.05), comparable in the two groups; 2., second weeks, fourth weeks and eighth weeks in group after weeks of defecation frequency and stool change and maintain the normal defecation time assessment has significant difference (P0.05), and the latter effect is better than that of early; 3. between the two groups in the group after second weeks in the week defecation frequency and stool change and maintain the normal defecation time assessment of P0.05, was not statistically significant, indicating that the two groups at second weeks treatment group for fourth weeks, eighth; in the weeks of defecation, stool change and maintain the normal defecation time assessment has significant difference (P0.05), the treatment group than the control group curative effect is good; the difference in the curative effect before and after treatment 4. treatment group and control group, P0.05. The effect of the treatment group on functional diarrhea was better than that of the control group. Conclusion: the stool defecation, 1. week treatment group of deficiency of functional diarrhea in the improvement of temper, normal defecation duration and accompanying symptoms than the control group; 2. in the treatment group than the control group on the clinical curative effect of the disease; 3. back Shu pointer therapy spleen qi deficiency type diarrhea mechanism and function back Shu pointer therapy lifting stomach gas machine, to strengthen spleen and warm yang, Qi dampness, related to diarrhea.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1

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