穴位埋线结合耳穴贴压治疗功能性便秘的临床研究

发布时间：2018-04-15 03:06

本文选题：穴位埋线结合耳穴贴压 + 功能性便秘　；参考：《广西中医药大学》2017年硕士论文

【摘要】：目的:本课题将穴位埋线结合耳穴贴压治疗功能性便秘与单纯用乳果糖口服溶液治疗功能性便秘进行症状积分、临床疗效及生存质量评分的对比,以期望为功能性便秘提供更好的治疗方法,提高患者的生存质量。方法:将80名功能性便秘患者按照随机分配的原则分成2组,分别为治疗组(穴位埋线结合耳穴贴压组)40名和对照组(乳果糖口服溶液组)40名。治疗组穴位埋线每周1次,耳穴贴压每周2次,4周为1疗程;对照组予乳果糖口服溶液30ml口服,一日1次,早餐时服用,一周后减至维持量20ml,4周为1疗程。治疗组和对照组均治疗1个疗程即4周,于疗程结束后观察症状积分,比较两组的临床疗效及生存质量评分的变化,分析整理数据,用spss22.0系统软件进行分析,并在疗程结束后1个月进行随访。结果:通过分析临床研究及统计学数据:两组患者在年龄、性别、病程及症状积分方面统计学均无差异(P0.05),具备可比性。治疗1个疗程后,两种治疗方法均能改善患者的便秘症状总积分,但治疗组优于对照组,差异具有统计学意义(P0.05);在临床疗效方面,治疗组共39例,痊愈9例,显效19例,有效8例,无效3例,总有效率为92.30%;对照组共40例,痊愈8例,显效7例,有效21例,无效4例,总有效率为90.00%,经统计分析,治疗组优于对照组,差异有统计学意义(P0.05);比较PAC-QOL积分方面,治疗组经过治疗后得出的PAC-QOL积分较对照组有明显减少,说明治疗组的生存质量明显高于对照组,差异具有有统计学意义(P0.05)。疗程结束后一个月进行随访,症状总积分方面,两组病例的症状总积分均较治疗前减低,但治疗组远期症状总积分的改善优于对照组,差异具有统计学意义(P0.05);临床疗效方面,治疗组共39例,痊愈5例,显效20例,有效9例,无效5例,总有效率为87.17%;对照组共40例,痊愈6例,显效6例,有效19例,无效9例,总有效率为77.50%,经统计分析,差异具有统计学意义(P0.05)。结论:(1)穴位埋线结合耳穴贴压疗法治疗功能性便秘具有良好的近期疗效及远期疗效。(2)穴位埋线结合耳穴贴压疗法能够通导肠腑,改善患者的便秘症状,缩短排便时间,其综合疗效优于口服乳果糖口服溶液治疗。(3)穴位埋线结合耳穴贴压疗法治疗功能性便秘可减少患者的就诊频率,节省治疗成本,增强患者的自我调节能力,是适合生活节奏过快的现代人治疗功能性便秘的有效方法。(4)治疗组在治疗过程中没有出现不良反应,对照组部分患者有腹胀、腹痛等不良反应,说明穴位埋线结合耳穴贴压疗法治疗功能性便秘更加安全可靠。
[Abstract]:Objective: to compare the symptom score, clinical curative effect and quality of life score between acupoint catgut embedding and ear point pressing for functional constipation and lactofructose oral solution for functional constipation.In order to provide a better treatment for functional constipation, improve the quality of life of patients.Methods: 80 patients with functional constipation were divided into two groups according to the principle of random distribution: treatment group (40 cases in acupoint embedding and auricular pressing group and control group (40 cases in lactofructose oral solution group).The treatment group was treated with acupoint catgut embedding once a week and auricular acupoint pressing twice a week for a course of treatment, while the control group was treated with lactofructose oral solution 30ml, once a day, at breakfast, and reduced to 20 ml / 4 weeks as a course of treatment after one week.The treatment group and the control group were treated for one course of treatment, that is, 4 weeks. The symptom scores were observed at the end of the course of treatment. The changes of clinical efficacy and quality of life score were compared between the two groups, and the data were analyzed and analyzed by spss22.0 system software.The patients were followed up for 1 month after the course of treatment.Results: there were no statistical differences in age, sex, course of disease and symptom score between the two groups by analyzing the clinical research and statistical data.After one course of treatment, both methods could improve the total score of constipation symptoms, but the treatment group was superior to the control group, the difference was statistically significant (P 0.05).In the control group, 40 cases were cured, 7 cases were cured, 21 cases were effective, 4 cases were ineffective, and the total effective rate was 90.000.The treatment group was superior to the control group by statistical analysis.Compared with the control group, the PAC-QOL score of the treatment group was significantly lower than that of the control group, indicating that the quality of life in the treatment group was significantly higher than that in the control group, and the difference was statistically significant.One month after the end of the course of treatment, the total symptom score of the two groups was lower than that of the control group, but the improvement of the long-term symptom total score in the treatment group was better than that in the control group, and the difference was statistically significant (P 0.05).In the treatment group, 39 cases were cured, 20 cases were effective, 9 cases were effective, 5 cases were ineffective, and the total effective rate was 87.17; in the control group, 40 cases were cured, 6 cases were cured, 6 cases were marked effect, 19 cases were effective, 9 cases were ineffective, the total effective rate was 77.50 and the total effective rate was 77.50.The difference was statistically significant (P 0.05).Conclusion the treatment of functional constipation with acupoint catgut embedding combined with auricular plaster therapy has good short-term and long-term curative effect.) acupoint embedding combined with auricular point plaster therapy can improve the constipation symptoms and shorten the defecation time.The comprehensive curative effect is better than that of oral lactulose oral solution therapy. The treatment of functional constipation with catgut embedding at acupoint combined with ear point plaster therapy can reduce the frequency of treatment, save the cost of treatment, and enhance the self-regulation ability of the patients.It is an effective way to treat functional constipation for modern people who live too fast. (4) the treatment group has no adverse reactions during the treatment process, while some patients in the control group have adverse reactions such as abdominal distension, abdominal pain, etc.It shows that the treatment of functional constipation with catgut embedding at acupoint combined with auricular acupoint plaster therapy is more safe and reliable.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.1

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