针刺联合健脾荣络方治疗糖尿病胃轻瘫（脾胃虚弱证）的临床研究

发布时间：2018-01-28 02:05

本文关键词： 糖尿病胃轻瘫脾胃虚弱证针药联合　出处：《长春中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:本次研究所应用的方法是中医疗法结合特色治疗,验证合募配穴法联合香砂六君子汤在治疗糖尿病胃轻瘫(脾胃虚弱证)方面的疗效,观察其临床反应,证实针药联合疗法在治疗糖尿病胃轻瘫时的治疗效果。方法:在长春中医药大学附属医院内分泌科疗区与门诊、长春中医药大学二部门诊及疗区的患者中,选择符合诊疗和纳入标准的病例60例,随机分为对照组和治疗组,每组30例。对照组和治疗组在基础治疗前提下,分别加用多潘立酮口服治疗和针刺+香砂六君子汤治疗,4周为一个治疗周期。试验期间密切监测患者治疗前后的一般状态、体征、理化检查等结果,及临床症状的改善情况,记录并统计评价。结果:经过4周的临床治疗,将对治疗组和对照组所得的数据进行比对,结果表明:治疗组的治疗有效率明显高于对照组,有显著性差异(P0.05)。而且,两组患者的中医临床症状、胃排空试验等指标与治疗前相比都有明显提高,有显著性差异(P0.05)。治疗期间,两组也并未发生任何不良事件。临床总有效率:治疗组总有效率为93.4%,对照组总有效率为73.3%。由此,可以得出针刺联合香砂六君子汤治疗糖尿病胃轻瘫在临床上有一定的治疗效果。结论:针刺联合香砂六君子汤在治疗糖尿病胃轻瘫(脾胃虚弱证)上疗效显著,能够缩短胃排空时间,改善病患临床症状,增强病患胃动力。由此说明中医疗法对糖尿病胃轻瘫确实具有一定的疗效,值得进一步深入探讨研究和临床推广。
[Abstract]:Objective: the method used in this study is to combine traditional Chinese medicine therapy with characteristic treatment to verify the curative effect of combination of acupoint therapy and Xiangsha Liujunzi decoction in the treatment of diabetic gastroparesis (spleen and stomach weakness syndrome), and to observe its clinical reaction. To confirm the therapeutic effect of acupuncture and medicine combination therapy in treating diabetic gastroparesis. Methods: in the patients of Endocrinology Department and outpatient Department of Changchun University of traditional Chinese Medicine, Changchun University of traditional Chinese Medicine. Sixty patients who met the criteria of diagnosis and treatment were randomly divided into control group and treatment group with 30 cases in each group. The control group and treatment group were based on the premise of basic treatment. One treatment cycle was treated with oral administration of domperidone and acupuncture of Xiangsha Liujunzi decoction for 4 weeks. During the trial, the general state, physical and chemical results of the patients before and after treatment were closely monitored. Results: after 4 weeks of clinical treatment, the data of the treatment group and the control group were compared. The results showed that the effective rate of treatment in the treatment group was significantly higher than that in the control group, and there was a significant difference between the two groups (P 0.05). In addition, the clinical symptoms of TCM in the two groups were significantly higher than those in the control group. Gastric emptying test and other indicators were significantly improved compared with before treatment, there was significant difference (P 0.05) during the treatment. No adverse events occurred in the two groups. The total clinical effective rate was 93.4 in the treatment group and 73.3 in the control group. It can be concluded that acupuncture combined with Xiangsha Liujunzi decoction in the treatment of diabetic gastroparesis has a certain clinical efficacy. Conclusion: acupuncture combined with Xiangsha Liujunzi decoction in the treatment of diabetic gastroparesis (spleen and stomach weakness syndrome) has a significant effect. It can shorten the time of gastric emptying, improve the clinical symptoms of the patients and enhance the gastric motility of the patients, which shows that TCM therapy has a certain curative effect on diabetic gastroparesis, which is worthy of further study and clinical popularization.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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