泻肺清肠针刺法治疗中风后实证便秘的疗效观察

发布时间：2018-03-13 06:42

本文选题：针刺　切入点：中风　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:观察泻肺清肠针刺法治疗中风后实证便秘患者的临床疗效。方法:将64例纳入本试验的受试者随机分为2组,治疗组与对照组各组32例,两组患者均予以西医常规药物治疗以及中风的基础针刺治疗,治疗组:针刺双侧合谷、偏历、列缺、尺泽、天枢、支沟,实热证配鱼际,气滞配太冲,施以泻法,留针50分钟,每日1次;对照组:针刺双侧天枢、支沟,针刺手法及时间同前。两组患者均连续治疗2周后评定疗效。采用便秘的临床症状积分表评定两组患者的治疗效果(见附录三),并参照《中医病证诊断疗效标准》来评估其临床疗效。结果:1.两组患者疗后临床症状总积分比较,P0.05;症状总积分组内比较,P0.01。治疗后两组患者首次排便时间、排便间隔时间、排便速度组间比较,P0.05;首次排便时间、排便间隔时间、排便速度经组内比较,P0.05。治疗组与对照组都能改善中风后实证便秘患者的情况,但治疗组优于对照组。2.临床疗效:治疗组总有效率93.10%,对照组总有效率71.42%,经统计学检验,P0.05,治疗组总有效率明显优于对照组。结论:1.泻肺清肠针刺法在改善中风后实证便秘患者首次排便时间、排便间隔时间、排便速度上优于对照组。2.泻肺清肠针刺法治疗中风后实证便秘疗效确切。
[Abstract]:Objective: to observe the clinical effect of purging lung and clearing intestine acupuncture on patients with severe constipation after apoplexy. Methods: 64 subjects were randomly divided into two groups: treatment group (n = 32) and control group (n = 32). The patients in both groups were treated with routine western medicine and basic acupuncture for stroke. The treatment group was treated with acupuncture on both sides of Hegu, partial calendar, column deficiency, Zizawa, Tianshu, branch ditch, heat syndrome and hypothenar, Qi stagnation and Taichong, applied catharsis, and kept the needle for 50 minutes. Control group: acupuncture of bilateral armature, branchial sulcus, Acupuncture manipulation and time were the same as before. Two groups of patients were treated continuously for 2 weeks to evaluate the curative effect. The clinical symptom integral table of constipation was used to evaluate the therapeutic effect of both groups (see appendix III, and refer to the criteria for diagnosis of TCM disease and syndrome). Results the total score of clinical symptoms in the two groups was higher than that in the control group (P0.05). The first defecation time of the patients in the two groups after treatment was higher than that in the control group. The first defecation time, defecation interval time, defecation speed were compared with P0.05. both the treatment group and the control group could improve the condition of the patients with severe constipation after stroke. But the treatment group is superior to the control group. 2. Clinical efficacy: the total effective rate of the treatment group is 93.1010 and the total effective rate of the control group is 71.42. The total effective rate of the treatment group is obviously better than that of the control group by statistical test (P0.05). Conclusion the total effective rate of the treatment group is obviously better than that of the control group. Conclusion: 1. The time of first defecation in patients with constipation, The interval time of defecation and defecation speed were better than that of control group. 2. The effect of purging lung and clearing intestine acupuncture on positive constipation after apoplexy was definite.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

【相似文献】