针刺治疗慢性肾脏病（3-5期）患者胃肠道症状的临床观察

发布时间：2018-03-24 08:16

本文选题：慢性肾脏病　切入点：胃肠道症状　出处：《山东中医药大学》2016年硕士论文

【摘要】：目的:通过系统的临床研究,观察中医针刺疗法对于慢性肾脏病(3-5期)患者胃肠道症状的相关治疗效果,对该方法的安全性以及可操作性进行评估,并对该疗法的机理进行研究,为结合中医方法治疗该病提供新的思路。方法:选取六十个患有慢性肾脏病(3-5期)具有胃肠道症状的脾肾亏虚兼湿浊中阻型患者随机分成2组,针刺组和对照组,对照组使用较为普遍的中西医治疗方案,针刺组则在使用上述方案治疗的同时加以针刺疗法,每天1次,共计2周。观察患者各项临床症状的变化判定疗效。结果:针刺组显效率20.00%,总体有效率为82.30%;对照组显效率13.33%,总体有效率为70.20%,由此结果发现,针刺组在显效率及总有效率方面均明显优于对照组;针刺疗法在改善中医证候方面有明显疗效,且安全性高,但在调节血肌酐、尿素氮方面疗效并不明显。结论:在中西医常规治疗基础上加用针刺疗法对慢性肾脏病患者胃肠道症状的疗效优于单纯常规治疗,且不增加副作用。
[Abstract]:Objective: to observe the efficacy of acupuncture therapy in treating gastrointestinal symptoms in patients with chronic kidney disease (stage 3-5), and to evaluate the safety and maneuverability of the method. The mechanism of the therapy was studied to provide a new idea for the treatment of the disease with traditional Chinese medicine. Methods: sixty patients with gastrointestinal symptoms were randomly divided into two groups: spleen and kidney deficiency and dampness turbid and middle obstruction. The acupuncture group and the control group, the control group and the control group were treated with traditional Chinese and western medicine, while the acupuncture group received the acupuncture treatment at the same time, once a day, while the acupuncture group received the acupuncture treatment at the same time. Results: the effective rate of acupuncture group was 20.00 and the total effective rate was 82.300.The effective rate of the control group was 13.33 and the total effective rate was 70.20.The results showed that the effective rate of the acupuncture group was 20.00 and the total effective rate was 82.300.The total effective rate of the control group was 13.33 and the total effective rate was 70.20. The effective rate and total effective rate of acupuncture group were significantly better than that of control group, acupuncture therapy had obvious curative effect in improving TCM syndrome, and high safety, but in regulating serum creatinine, acupuncture group was superior to control group in effective rate and total effective rate. Conclusion: on the basis of routine treatment of traditional Chinese and western medicine, the effect of acupuncture on gastrointestinal symptoms of patients with chronic kidney disease is better than that of routine treatment without increasing side effects.
【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】：R246.9

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