隔药灸脐法治疗腹泻型肠易激综合征的量效研究

发布时间：2018-01-08 02:09

本文关键词：隔药灸脐法治疗腹泻型肠易激综合征的量效研究　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:本研究以腹泻型肠易激综合征患者为研究对象,施以隔药灸脐法治疗,探讨隔药灸脐法治疗该病的较佳灸量。方法:将60名IBS-D患者随机分为A、B、C三组,每组各20人,A组施以质量0.5g艾炷,B组施以1.0g艾炷,C组施以1.5g艾炷,分析比较三组志愿者的胃肠症状量表、灸感量表及特殊灸感量表的变化情况。结果:(1)胃肠症状的组内比较:A组:治疗2次后腹胀、稀便、排便急迫等症状与治疗前相比有显著性差异(P0.05),治疗3次后腹痛及腹部不适、肠鸣、排气、排便次数增多与治疗前相比有显著性差异(P0.05)。B组:治疗2次后腹胀、稀便、排便急迫症状与治疗前相比有显著性差异(P0.05),治疗3次后腹痛、肠鸣症状与治疗前相比有显著性差异(P0.05)。C组:治疗3次后腹痛及腹部不适、肠鸣、腹胀与治疗前相比差异较明显(P0.05)。(2)胃肠症状的组间比较:治疗1次后A组与C组比较在排便次数增多、稀便症状有显著性差异(P0.05),B组与C组在稀便症状有显著性差异(P0.05);治疗第4次后总评分在A组与C组及A组与B组之间出现显著差异(P0.05),组间之间具有可比性,且随访期差异仍然存在。(3)灸感的组间比较:第一次治疗过程中A组与C组在不同程度的喜热、舒适、愉悦等情感体验方面具有明显可比性(P0.01),第三次治疗过程中A组与C组在施灸部位出现节律性跳动、全身微汗出有显著差异(P0.01)(4)特殊灸感的组间比较:第一次治疗时A组与C组,A组与B组之间在肠蠕动方面具有显著差异(P0.01)。结论:(1)隔药灸脐法能显著改善IBS-D患者不适的胃肠症状。(2)相对于0.5g艾炷而言1.0g艾炷和1.5g艾炷在改善胃肠症状和产生灸感、特殊灸感方面效果更优。(3)脐灸过程中灸感、特殊灸感的产生因人而异。(4)灸感、特殊灸感明显者胃肠症状的缓解效果亦佳。
[Abstract]:Objective: to study the treatment of diarrhea irritable bowel syndrome (IBS) with moxibustion and umbilical moxibustion. Methods: 60 patients with IBS-D were randomly divided into three groups: group A (n = 20) and group A (n = 20) were given 0.5 g moxibustion. Group B was treated with 1.0 g moxa cone C group and 1.5 g moxa stick was applied to analyze and compare the gastrointestinal symptoms of the three groups of volunteers. Results the changes of moxibustion feeling scale and special moxibustion feeling scale. Results compared with group A of gastrointestinal symptoms, group A: abdominal distension and dilute stool after 2 times treatment. The symptoms of urgent defecation were significantly different from those before treatment (P 0.05). After 3 times of treatment, abdominal pain and abdominal discomfort, bowel ringing and exhaust were observed. There was significant difference in defecation frequency between before treatment and before treatment. Group B: abdominal distension, dilute stool and urgent defecation symptoms were significantly different from those before treatment (P0.05). After 3 times of treatment, there was significant difference between the symptoms of intestinal pain and that before treatment. Group C: after 3 times of treatment, abdominal pain and abdominal discomfort, bowel pain. Comparison of gastrointestinal symptoms between group A and group C after treatment: the number of defecation in group A was higher than that in group C. There was significant difference between group B and group C in the symptoms of dilute stool. There was significant difference in total score between group A and group C and between group A and group B after the fourth treatment (P 0.05). And there is still a difference in the follow-up period between the moxibustion group: group A and group C in the first treatment in different degrees of hot, comfortable. There was significant comparability in emotional experience such as pleasure. During the third treatment group A and C had rhythmic beat in moxibustion site. Comparison of special moxibustion feeling between group A and group C during the first treatment. There was a significant difference in intestinal peristalsis between group A and group B. conclusion the moxibustion with different drugs can significantly improve the gastrointestinal symptoms of patients with IBS-D. Compared with 0.5 g moxa moxa, 1.0 g moxibustion and 1.5 g moxibustion can improve gastrointestinal symptoms and produce moxibustion. The effect of special moxibustion is better. 3) in the process of umbilical moxibustion, the effect of special moxibustion is different from that of people, and the relief effect of special moxibustion is better when the feeling of special moxibustion is obvious.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1

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