左升右降取穴法针刺治疗功能性便秘的临床疗效观察

发布时间：2018-03-03 00:39

本文选题：左升右降　切入点：针刺　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:本选题旨在通过采用左升右降取穴针刺疗法治疗功能性便秘,观察患者Bristol粪便性状评分、便秘临床评分量表(Clevelad Clinic Score,CCS)评分的改变情况,并与常规取穴针刺疗法进行对比,为明确此取穴法针刺治疗功能性便秘的临床疗效提供依据。方法:选取功能性便秘患者60例,并随机分为左升右降针刺组和常规针刺组,每组各30例。通过组内前后对比及组间对比,观察记录两组治疗前后Bristol评分、CCS评分的改变情况并作分析。结果:经过两个疗程的观察治疗,两组患者的Bristol评分、CCS评分均明显减小,左升右降取穴组总有效率为86.67%,常规取穴组总有效率为83.33%,差异无统计学意义。1.两组Bristol评分比较:两组患者在治疗后Bristol评分与治疗前相比较,差异无统计学意义(P㩳0.05);两组患者治疗后的Bristol评分结果作组间比较,有显著性差异(P㩳0.05)。2.两组CCS评分比较:两组患者治疗后的CCS评分结果与治疗前相比较,差异无统计学意义(P㩳0.05);两组患者治疗后的CCS评分结果在组间比较,差异无统计学意义(P㧐0.05)。结论:本研究结果表明左升右降取穴法针刺与常规取穴针刺治疗功能性便秘均有较好疗效,且在总体疗效上无明显差异。在Bristol评分比较方面,左升右降取穴法针刺组相较于常规取穴组能更好的改善患者粪便性状。两种取穴针刺方法都可以明显降低CCS评分结果,改善便秘患者的临床症状,且两种方法没有显著性差异。
[Abstract]:Objective: the purpose of this study was to treat functional constipation with acupuncture therapy of left ascending and right descending points, and to observe the changes of the scores of Bristol fecal traits and the clinical scale of constipation (Cleveland Clinic Score#en0#), and to compare them with the routine acupuncture therapy. Methods: 60 patients with functional constipation were randomly divided into left ascending and right descending acupuncture group and routine acupuncture group. Each group consisted of 30 cases. The changes of Bristol scores before and after treatment were observed and recorded by contrast between groups. Results: after two courses of treatment, the changes of CCS scores were observed and analyzed. The total effective rate of left ascending and right descending acupoint group was 86.67 and that of routine acupoint group was 83.33. There was no significant difference between the two groups in Bristol score comparison: after treatment, the Bristol score of the two groups was compared with that before treatment. The difference was not statistically significant. After treatment, the Bristol scores of the two groups were compared with each other, and there was a significant difference between the two groups. Comparison of CCS scores between the two groups: there was no significant difference in CCS scores between the two groups after treatment and before treatment. There was no significant difference in CCS scores between the two groups after treatment. Conclusion: the results of this study indicate that the acupuncture of left ascending and right descending points has good curative effect on functional constipation, and there is no significant difference in the total curative effect between the two methods. In the aspect of Bristol score, there is no significant difference in the treatment of functional constipation. Compared with the routine acupuncture group, the two acupuncture methods can significantly reduce the CCS score and improve the clinical symptoms of constipation patients, and there is no significant difference between the two methods.
【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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