盒灸背部防治体虚易感（气虚体质）者的临床疗效观察

发布时间：2018-04-17 19:48

本文选题：盒灸 + 背部　；参考：《成都中医药大学》2016年硕士论文

【摘要】：目的：观察盒灸背部防治体虚易感者(气虚体质)的临床疗效,探索其在临床上推广应用的可能性。方法：将90例体虚易感(气虚体质)患者按照计算机产生的随机数字表进行随机分配为组1、组2和组3,每组均30例。组1治疗组采用盒灸背部的治疗方法,每次治疗20分钟,隔日1次,共治疗计1月；组2条件对照组采取玉屏风散颗粒防治法,每日用温开水冲服,3次/天,5g/包,1包/次,共服用计1月；组3设置为空白对照组。临床疗效评价采用“体质评分量表”和观察期内外感次数比较,并观察记录下疗效指标结果和不良反应事件。课题总需时间4月：治疗1月,观察3月(其中气虚质评分观察分治疗后、治疗后1月、2月、3月4个阶段),具体以门诊和电话方式进行记录。并对完成课题的患者,再随访9月,观察其一年的外感次数,完善观察指标。结果：(1)外感次数比较：三组经单因素方差分析差异有统计学意义(p0.05)；多重两两比较：组1与组3比较差异有统计学意义(p0.05),组2与组3比较差异有统计学意义(p0.05),组1与组2比较差异有统计学意义(p0.05)。提示：组1、组2治疗方案均能有效减少外感次数,同时组1外感次数减少幅度明显优于组2。(2)气虚体质评分比较：组间比较(单因素方差分析)：三组气虚质评分在治疗后、治疗后1月、2月、3月各阶段比较均有统计学意义(p0.05)；两两比较：组1与组3、组2与组3经检验均有显著性差异p0.05,组1与组2经检验无显著性差异；组内比较：整体分析(单因素重复测量方差分析)无显著性意义。精细比较(两两比较,配对t检验)：组1治疗前与治疗后各个时间点两两比较差异均有统计学意义(p0.05)；治疗后各时间点两两比较差异均无统计学意义。组2治疗前与治疗后各个时间点两两比较差异均有统计学意义(p0.05)；治疗后各时间点两两比较差异均无统计学意义。组3各时间点两两比较差异均无统计学意义。提示：组1、组2均能有效降低气虚质评分,改善体虚易感者的气虚状态,两组经治疗后对气虚体质的改善均有较长远和稳定的效应。结论：在本次研究观察区间内盒灸背部对气虚易感患者的防治作用显著,具有明显改善患者气虚体质,减少外感次数的趋势,且安全、方便、易于接受,有临床应用推广的可行性。
[Abstract]:Objective: to observe the clinical effect of box moxibustion on prevention and treatment of deficiency of body (Qi deficiency constitution) and explore the possibility of popularizing it in clinic.Methods: 90 patients were randomly assigned to group 1 (group 2) and group 3 (30 cases in each group) according to the computer generated random digital table.Group 1 was treated with box moxibustion on the back, 20 minutes each time, once every other day, for a total of one month, and group 2 was treated with Yupingfeng Powder granule, 3 times a day with warm boiled water.Group 3 was set as blank control group.The clinical curative effect was evaluated by the physique score scale and the number of exogenous events during the observation period, and the curative effect index results and adverse reaction events were observed and recorded.The total time of the study was four months: one month of treatment and three months of observation (among which Qi-deficiency score was observed after treatment, and after treatment there were four stages: one month, two months and three months), which were recorded by out-patient service and telephone.The patients who completed the project were followed up for 9 months to observe the number of exogenous symptoms in one year and to perfect the observation index.Results (1) comparison of exogenous frequency: there was significant difference between the three groups by univariate ANOVA (p0.05), and the difference between group 1 and group 3 was statistically significant (P 0.05), the difference between group 2 and group 3 was statistically significant (P 0.05), the difference between group 1 and group 1 was significant (P 0.05), and that in group 1 was significantly higher than that in group 1 (P < 0.05).The difference between group 2 and group 2 was statistically significant (P 0.05).It is suggested that both the treatment schemes of group 1 and group 2 can effectively reduce the number of exogenous symptoms, and the reduction of the number of exogenous events in group 1 is obviously better than that in group 2. 2) the scores of Qi deficiency constitution in group 1 are significantly better than those in group 2. The comparison between groups (single factor analysis of variance: Qi-deficiency score in three groups after treatment)There was a significant difference between group 1 and group 3, group 2 and group 3 after treatment, and there was no significant difference between group 1 and group 2 after treatment, and there was no significant difference between group 1 and group 2 after the treatment, and there was no significant difference between group 1 and group 2 after treatment, and there was no significant difference between group 1 and group 2 after treatment.Intra-group comparison: there was no significant difference in global analysis (single factor repeated measurement ANOVA).Fine comparison (pairwise comparison, paired t test): there was significant difference between two groups before and after treatment in each time point (P 0.05), but there was no significant difference in each time point after treatment.In group 2, there were significant differences between the two groups before and after treatment, but there was no significant difference at each time point after treatment.There was no significant difference between two groups at each time point in group 3.Conclusion: group 1 and group 2 can effectively reduce the score of deficiency of qi and improve the state of deficiency of qi in those who are susceptible to physical deficiency. Both groups have a long-term and stable effect on the improvement of physical constitution of deficiency of qi after treatment.Conclusion: the preventive and therapeutic effects of moxibustion on the back of internal box in this study are significant, which can obviously improve the physique of the patients with deficiency of qi, reduce the number of exogenous symptoms, and be safe, convenient and easy to accept.It is feasible to popularize clinical application.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246

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