督脉与膀胱经推拿治疗银屑病的临床疗效观察

发布时间：2018-01-24 19:50

本文关键词： 银屑病督脉与膀胱经推拿干姜　出处：《广州中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：本研究旨在以“督脉与膀胱经”推拿理论为指导,通过人体背部穴位推拿结合干姜内服对比单纯性干姜内服治疗寻常型稳定期银屑病进行临床观察,为银屑病治疗提供创新性的理论依据,并提供有效的治疗措施。方法：本临床疗效观察采取临床随机对照试验的研究观察方法,自2015年6月至2016年2月收集马来西亚吉隆坡TCM中医诊所门诊患者,将其中符合诊断标准及纳入标准的银屑病患者60例作为临床研究观察对象,运用统计随机数字表法,分为治疗组30例给予“督脉与膀胱经”推拿结合干姜内服治疗,对照组30例则为单纯性干姜内服。整个疗程观察时间为两个月,在每两周将会实行一次银屑病皮损面积和严重程度评分PASI评分,接着通过对比两组病例治疗前后PASI评分评定临床疗效。本研究中的统计学采用SPSS17.0统计软件,将治疗组与对照组治疗的前后比较,并对两组的各项指标与整体疗效进行评估比较。结果：纳入本临床观察研究的60例病例中,实际完成临床治疗病例数“督脉与膀胱经”推拿加干姜内服”组30例,单纯服用干姜组30例。基线情况：两组病例分别在性别、年龄、年龄分布、病程、PASI前病情分析及治疗前评分的差异上,均无统计学意义(P0.05),显示两组具有可比性。疗效评价方面：“督脉与膀胱经”推拿集合干姜内服治疗组与单纯性干姜内服对照组均能明显且有效改善银屑病患者的整体症状,总有效率分别为治疗组82.2%和对照组73.5%,两组间有明显差异(P0.05)。在PASI评分方面,“督脉与膀胱经”推拿几个干姜内服组和单纯性干姜内服组均能明显降低评分,两组间没有明显差异(P0.05),均对改善银屑病的整体症状有所疗效。结论：“督脉与膀胱经推拿”理论指导银屑病及服用干姜治疗疗效显著,与对照组相比较,干姜结合督脉与膀胱经推拿的疗效并未优于单纯服用干姜治疗,但穴位推拿结合干姜内服有助于缩短病程,并提高疗效,而且在远期疗效持续性上也较为相对稳定。
[Abstract]:Objective: the purpose of this study was to treat psoriasis vulgaris at stable stage by using massage theory of "du pulse and bladder meridian" as the guidance, and comparing the simple dry ginger internal administration with acupoint massage combined with dry ginger on the back of human body for the treatment of psoriasis vulgaris. To provide innovative theoretical basis for the treatment of psoriasis, and to provide effective treatment measures. Methods: the clinical efficacy was observed by clinical randomized controlled trial. From June 2015 to February 2016, the outpatients of TCM Clinic in Kuala Lumpur, Malaysia were collected. Sixty patients with psoriasis who met the diagnostic criteria and were included in the criteria were selected as the clinical observation objects, and the statistical random digital table method was used. The treatment group (30 cases) was treated with "du pulse and bladder meridian" massage combined with ginger orally, while the control group (30 cases) was treated with simple ginger. The whole course of treatment was observed for two months. The psoriasis area and severity score (PASI) will be given once every two weeks. Then the clinical efficacy was evaluated by comparing the PASI scores before and after treatment in two groups. The statistics in this study were compared with those in the control group by SPSS17.0 software. The indexes of the two groups were evaluated and compared with the overall curative effect. Results: 60 cases were included in this clinical study. The actual number of cases completed clinical treatment "du pulse and bladder meridian" "massage plus ginger" group of 30 cases, only take ginger group of 30 cases. Baseline: two groups of cases in sex, age, age distribution, course of disease. There was no significant difference in the state of illness before PASI and the score before treatment (P 0.05). The results showed that the two groups were comparable. Evaluation of curative effect: "du pulse and bladder meridian" massage collection of ginger treatment group and simple dry ginger oral control group can significantly and effectively improve the overall symptoms of patients with psoriasis. The total effective rate was 82.2% in the treatment group and 73.5 in the control group. There was a significant difference between the two groups in the PASI score. "du pulse and bladder meridian" massage group and simple ginger group can significantly reduce the score, there is no significant difference between the two groups (P0.05). Conclusion: "du meridian and bladder meridian massage" theory to guide psoriasis and take ginger treatment effect is significant, compared with the control group. The curative effect of dry ginger combined with du pulse and bladder meridian massage was not better than that of taking ginger alone, but acupoint massage combined with internal administration of ginger could shorten the course of disease and improve the curative effect. And in the long-term efficacy sustainability is relatively stable.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.7

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