雷火灸治疗气滞血瘀型血栓性外痔的临床观察

发布时间：2018-02-28 08:01

本文关键词： 雷火灸血栓性外痔临床观察　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:通过随机对照临床试验方法,进一步明确雷火灸活血化瘀行气止痛功效的有效性、安全性,完善其技术操作,形成应用规范和指南。方法:本研究观察患者均来源于吉林省中医院肛肠科门诊患者,将60例气滞血瘀型血栓性外痔的患者分成两组各30例,治疗组给予雷火灸治疗,对照组给予长春中医药大学附属医院的肛肠熏洗药物(院内制剂)治疗,两组均连续治疗7天;区别地观察和记录治疗前后两组病例在疼痛程度、病灶肿胀程度、异物感情况、局部皮肤颜色的积分情况以及临床疗效,所有数据均应用统计软件SPSS19.0来进行统计分析,证实本课题的相关观点。结果:60例患者全部完成临床观察研究,没有不良事件发生。通过治疗观察与统计学分析之后,显示出雷火灸组(临床痊愈2例,显效11例,有效12例,无效5例)与肛肠熏洗组(临床痊愈1例,显效5例,有效14例,无效10例)相比较有显著性差异(P0.05)。两组的总有效率分别为83.33%和66.67%。雷火灸治疗本病的疗效明显优于肛肠熏洗疗法。结论:雷火灸对于气滞血瘀型血栓性外痔的患者有效地改善了疼痛、病灶肿胀、异物感、局部皮肤颜色等临床表现,且较中药熏洗疗法显著。雷火灸疗法简单安全、疗效确切、价格便宜、不易产生依赖性、使用简便,值得临床推广应用,在气滞血瘀型血栓性外痔的患者的治疗上大大提高中医特色疗法的使用率,患者可以自行操作,既减轻患者的经济负担又使医生减少了工作强度。
[Abstract]:Objective: to further clarify the efficacy and safety of fire moxibustion with activating blood circulation and removing blood stasis to relieve pain by randomized controlled clinical trial, and to improve its technical operation. Methods: in this study, 60 patients with thrombotic hemorrhoids of Qi stagnation and Blood stasis type were divided into two groups, 30 cases in each group, and 30 cases in treatment group were treated with moxibustion with thunder fire. The control group was treated with anus and intestinal fumigation drugs (in-hospital preparations) in the affiliated hospital of Changchun University of traditional Chinese Medicine. The two groups were treated continuously for 7 days. The pain degree, swelling degree and foreign body sensation of the two groups were observed and recorded separately before and after treatment. The integral of local skin color and clinical effect were analyzed by statistical software SPSS19.0. Results all 60 patients completed the clinical observation study. There were no adverse events. After treatment observation and statistical analysis, it was shown that the group of thunder fire moxibustion (2 cases of clinical cure, 11 cases of remarkable effect, 12 cases of effective and 5 cases of ineffective) and the group of anorectal fumigation and washing (1 case of clinical cure, 5 cases of remarkable effect), Effective 14 cases, The total effective rates of the two groups were 83.33% and 66.67 respectively. The curative effect of Thunderfire moxibustion on this disease is obviously better than that on anorectal fumigation. Conclusion: Thunderfire moxibustion is effective in treating thrombotic external hemorrhoids of qi stagnation and blood stasis type. Has effectively improved the pain, The lesion swelling, foreign body sensation, local skin color and other clinical manifestations are more obvious than traditional Chinese medicine fumigation and washing therapy. Thunderfire moxibustion therapy is simple, safe, effective, cheap, not easy to produce dependence, easy to use and worthy of clinical application. In the treatment of patients with thrombotic external hemorrhoids of qi stagnation and blood stasis type, the utilization rate of traditional Chinese medicine characteristic therapy is greatly improved, the patients can operate on their own, which not only lightens the economic burden of patients but also reduces the working intensity of doctors.
【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】：R246.2

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