基于“脾主时”理论运用盒灸治疗腹泻型肠易激综合征（脾虚型）的临床研究

发布时间：2018-01-06 23:28

本文关键词：基于“脾主时”理论运用盒灸治疗腹泻型肠易激综合征（脾虚型）的临床研究　出处：《成都中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：研究目的基于“脾主时”理论,在不同时间段运用灸法治疗腹泻型肠易激综合征(IBS-D)(脾虚型)临床疗效观察,长夏组与季末组进行对比,为腹泻型肠易激综合征(IBS-D)的临床治疗提供一个更加有效的治疗方法及治疗时间。研究方法本研究采取随机对照的方法,将65例腹泻型肠易激综合征(IBS-D)(脾虚型)患者,随机分为长夏组31例和季末组34例。主穴均选取天枢、神阙、足三里。除神阙穴外,所有穴位均取双侧,两组均采用盒灸治疗。试验组治疗时间在夏末秋初,共计36天,治疗6个疗程；季末组治疗时间在秋季之末及冬季之末各18天,共计36天,治疗6个疗程。采用中医证候积分量表及肠易激综合征症状严重性量表(IBS-SSS)进行治疗前后的临床疗效评价,并记录数据,建立数据库,用SPSS19.0软件进行数据的统计分析。研究结果通过治疗前后的对比分析,长夏组和季末组均对治疗腹泻型肠易激综合征(IBS-D)(脾虚型)有疗效,并能改善腹痛、腹胀、腹泻、神疲乏力、纳呆食少、排便不尽感等临床症状以及腹痛程度、腹痛天数、腹胀程度、排便习惯满意度以及疾病对生活影响程度这五个方面(P0.05)。长夏组在中医证候积分中腹痛、腹泻以及总积分的改善优于季末组(P0.05)。长夏组在肠易激综合征症状严重性量表中的腹痛程度、腹痛天数这两个方面优于季末组(P0.05)。长夏组的总有效率为93.55%,季末组的总有效率为58.62%。结果说明,在临床疗效方面,长夏组较季末组更有效(P0.05)。研究结论1.长夏组与季末组均能改善腹泻型肠易激综合征(IBS-D)(脾虚型)受试者的临床症状和症状严重度。说明盒灸是一种安全、简便、有效的治疗腹泻型肠易激综合征的方法。2.长夏组在改善腹泻型肠易激综合征(IBS-D)(脾虚型)受试者的腹泻、腹痛及中医症候总积分3个方面优于季末组；在改善腹痛程度、腹痛天数2个症状严重度方面优于季末组。3.长夏组对于治疗腹泻型肠易激综合征(IBS-D)(脾虚型)受试者的临床疗效优于季末组。在长夏时节治疗腹泻型肠易激综合征(IBS-D) (脾虚型)效果更优。
[Abstract]:Based on the purpose of "spleen" theory in different period of time using moxibustion for treatment of diarrhea predominant irritable bowel syndrome (IBS-D) (spleen type) clinical curative effect observation, long summer group group compared with the end of the quarter, for diarrhea irritable bowel syndrome (IBS-D) to provide a more effective method of treatment at the time of treatment and clinical treatment. This study adopts randomized method, 65 patients with diarrhea type of irritable bowel syndrome (IBS-D) (spleen type) patients were randomly divided into group of 31 cases and a long summer season at the end group of 34 cases. The main points were selected at Tianshu, Zusanli. In addition, Shenque outside, all the points were taken bilateral, two groups were treated with box moxibustion treatment. Treatment time of the experimental group in the late summer and early autumn, a total of 36 days, 6 course of treatment; treatment group at the end of the season in the autumn and winter time at the end of the end of the 18 days, a total of 36 days, the treatment period was 6 months. The TCM syndrome product component table and IBS Symptom severity scale (IBS-SSS) clinical curative effect was evaluated before and after treatment, and record data, database, statistical data analysis was performed using SPSS19.0 software. The research results through comparative analysis before and after treatment, the long summer group and at the end of the season were for the treatment of diarrhea predominant irritable bowel syndrome (IBS-D) (spleen type) has curative effect, and can improve the abdominal pain, abdominal distension, diarrhea, fatigue, poor appetite, endless sense of clinical symptoms such as abdominal pain and abdominal pain, abdominal distension, days, effects of defecation habits and diseases to the satisfaction degree of the five aspects of life (P0.05). The long summer group abdominal pain in TCM syndrome symptoms, diarrhea and the total score was better than that at the end of season group (P0.05). The long summer group bowel syndrome symptom severity scale of abdominal pain in intestine, abdominal pain is better than the days of the two aspects at the end of season group (P0.05). The long summer group, the total efficiency is 93.55%, the end of the season The total effective rate of group 58.62%. shows that in the aspect of clinical curative effect, the long summer group compared to the quarter more effective group (P0.05). The conclusion of the study group and 1. long summer season group can improve the diarrhea type of irritable bowel syndrome (IBS-D) (spleen type) clinical symptoms and symptoms in subjects with severe. That box moxibustion is a safe, simple, effective and easy treatment of diarrhea type intestinal bowel syndrome method.2. long summer group in improving the diarrhea type of irritable bowel syndrome (IBS-D) (spleen type) of subjects with diarrhea, abdominal pain and TCM syndrome total score is better than that of group 3 aspects at the end of the season to improve the degree of abdominal pain, abdominal pain; 2 days than the severity of symptoms in group.3. at the end of the season long summer treatment for the group of diarrhea type irritable bowel syndrome (IBS-D) subjects (spleen type) clinical curative effect is better than the end of the season. In the summer long group treatment of diarrhea type irritable bowel syndrome (IBS-D) (spleen type) is better.

【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1

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