针刺治疗气滞血瘀型黄褐斑优选方案的临床正交设计研究

发布时间：2018-03-11 17:35

本文选题：黄褐斑　切入点：气滞血瘀　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:通过针刺部位(体针、腹针)、局部围刺(是、否)、刺血拔罐(是、否)、健康指导(是、否)四因素两水平的正交试验设计观察其对气滞血瘀型黄褐斑的临床治疗效果,研究、比较各因素水平在对气滞血瘀型黄褐斑中的治疗作用及其主次关系,同时评价针刺部位、局部围刺、刺血拔罐三因素的相互作用对本病疗效的影响,进而探讨、优选出针对气滞血瘀型黄褐斑更加有效的临床治疗方案。方法:本课题共纳入48例气滞血瘀型黄褐斑患者,按就诊顺序和随机数字表分为8组,依照正交设计方案进行治疗,分别记录治疗前、治疗后的黄褐斑皮损积分和中医兼证积分,并对所得数据进行统计学分析,观察结果是否存在统计学差异。结果:1、综合来看,各方案治疗气滞血瘀型黄褐斑均取得良好疗效(两项观察指标治疗前后比较均为P≤0.01)。2、基于治疗前后黄褐斑皮损积分差值和黄褐斑中医兼证积分差值的方差分析,治疗后局部围刺、刺血拔罐与误差项比较有显著性差异(P0.05);而针刺部位、健康指导与误差项比较无显著性差异(P0.05);因素交互作用中所考虑因素两水平间差异无统计学意义(P0.05),故不考虑其对试验结果的影响。结合直观分析,得出其优化方案为腹针配合局部围刺、刺血拔罐并给予健康指导。3、基于治疗前后黄褐斑皮损积分差值和黄褐斑中医兼证积分差值的极差分析,四因素对黄褐斑皮损积分治疗前后差值的影响大小次序为:局部围刺刺血拔罐针刺部位健康指导;四因素对黄褐斑中医兼证积分治疗前后差值的影响大小次序为:刺血拔罐局部围刺健康指导针刺部位。结论:根据结果可知,针刺治疗气滞血瘀型黄褐斑的最佳治疗方案为腹针结合局部围刺、刺血拔罐并给与健康指导。
[Abstract]:Objective: through acupuncture (acupuncture and abdominal acupuncture), local waici (yes, no), blood letting puncture and cupping (yes, no), health guidance (yes, no) study the clinical results of qi stagnation and blood stasis type Chloasma by orthogonal design with four factors and two levels of each factor level in the treatment of qi stagnation and blood stasis type chloasma and the relationship between primary and secondary, as well as the evaluation of the acupuncture, local encircled needling, then discuss the effects and interaction of three factors of pricking and cupping on the disease curative effect, optimize clinical treatments for the qi stagnation and blood stasis type chloasma more effectively. Methods: This study included a total of 48 cases of qi stagnation and blood stasis in patients with chloasma were randomly, and were randomly divided into 8 groups, were treated according to the orthogonal design, were recorded before treatment, after treatment of melasma and TCM syndrome integral and integral, and the data were statistically analyzed and observed Results there was significant difference. Results: 1. Overall, the treatment of qi stagnation and blood stasis type chloasma have achieved good effect (before and after treatment comparison of two observation indexes were P = 0.01.2), variance analysis before and after the treatment of melasma chloasma and integral integral and TCM syndrome based on difference, after treatment local encircled needling, pricking and cupping and errors had significant difference (P0.05); and the acupuncture, there is no significant difference between the health guidance and error (P0.05); interaction in consideration of the differences between the factors and two levels showed no statistically significant (P0.05), it does not consider the impact on the test results. The combination of visual analysis, optimization scheme for abdominal acupuncture combined with local encircled needling, pricking and cupping therapy and health guidance.3, range analysis before and after the treatment of melasma chloasma and traditional Chinese medicine and integral syndrome difference based on four factors The size of the order of effect before and after treatment of melasma were local integral difference around thorn cupping acupuncture health guidance; effects of the four factors on chloasma and syndrome of TCM before and after treatment the integral difference order: thorn encircled needling acupuncture position cuppingtherapy health guidance. Conclusion: according to the results, the best treatment of acupuncture treatment qi stagnation and blood stasis type chloasma for abdominal acupuncture combined with encircled needling, pricking and cupping and provide health guidance.

【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】：R246.7

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