赖氏通元针法治疗功能性便秘的临床研究

发布时间：2018-03-01 02:36

  本文关键词： 功能性便秘 通元针法 针刺　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:本研究通过观察对比赖氏通元针法和常规针刺治疗功能性便秘的临床疗效,旨在探索出一种更有效、更安全、更简单、更持久的治疗方法,为临床上治疗功能性便秘提供一个创新性的思路。方法:本研究采用小样本随机对照的方法,将合格的受试者依次编号1-60,由随机数字法代表产生60个随机数字,以1:1的比例分配至治疗组(通元针法组)和对照组(常规针刺组)。治疗组采用通元针法(气海、关元、天枢、归来、大肠俞)治疗30例,对照组采用常规针刺法(照海、支沟、上巨虚、大肠俞)治疗30例。两组实施相同的操作方法,均治疗24次。将便秘症状评分量表(Cleveland Clinic Score,CCS)和便秘患者生活质量问卷(Constipation-Quality of Life satisfaction subscale,PAC-QOL)作为观察指标,通过统计学分析,对比两组患者治疗前后的排便情况、生活质量改善情况及总体疗效。结果:(1)两组患者治疗前后CCS评分、APC-QOL评分组内比较差异存在统计学意义,说明治疗后两组患者CCS评分、APC-QOL评价均显著降低(P0.01)(2)两组治疗后CCS评分组间比较差异存在统计学意义,说明治疗后两组CCS评分存在显著性差异(P=0.0110.05);(3)两组治疗后PAC-QOL评价组间比较差异有统计学意义(P=0.0040.05);(4)常规针刺组患者治疗后总体有效率83%,而通元针法组为89%,两组患者总体疗效组间比较差异无统计学意义(P=0.4510.05)。结论:通元针法和常规针刺法均可以有效地治疗功能性便秘,但通元针法在改善患者便秘症状、提高患者生活质量方面明显优于常规针刺法。
[Abstract]:Objective: to observe and compare the clinical efficacy of Lai's Tongyuan acupuncture and routine acupuncture in the treatment of functional constipation in order to explore a more effective, safe, simple and lasting treatment method. Methods: in this study, the eligible subjects were numbered 1-60, and 60 random numbers were generated by the random number method. 30 cases were divided into treatment group (Tongyuan acupuncture group) and control group (routine acupuncture group) by proportion of 1: 1. 30 cases were treated with Tongyuan acupuncture method (Qihai, Guanyuan, Tianshu, return, Dachang Yu) in treatment group, and 30 cases in control group were treated with routine acupuncture (Zhaohai, branch ditch). 30 cases were treated with Shangzuxu and Dachang Yu. The two groups were treated with the same operation method, 24 times. The constipation symptom scale (Cleveland Clinic ScoreCCS) and the Constipation-Quality of Life satisfaction subscale (PAC-QOL) were used as the observation indexes, and the statistical analysis was carried out. Results there were significant differences in CCS score and APC-QOL score between the two groups before and after treatment. The results showed that the CCS score and APC-QOL of the two groups were significantly lower than that of the control group after treatment (P 0.01 / 2) there was significant difference in the CCS score between the two groups after treatment, and there was a significant difference between the two groups in the evaluation of APC-QOL. It shows that there is a significant difference in CCS score between the two groups after treatment (P < 0.0110.05)) there is a significant difference between the two groups in the evaluation of PAC-QOL after treatment. There is a significant difference between the two groups. There is a significant difference between the two groups. The total effective rate of the patients in the routine acupuncture group after treatment is 83%, while that in the Tongyuan acupuncture group is 89%. The total effective rate of the two groups is 83.The total therapeutic effect of the two groups is as follows. Conclusion: both Tongyuan acupuncture and routine acupuncture can effectively treat functional constipation. But Tongyuan acupuncture is superior to conventional acupuncture in improving constipation symptoms and quality of life.
【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】：2017
【分类号】：R246.1
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本文编号：1550061