不同灸量隔药灸脐法对IBS-D患者生存质量影响的临床研究

发布时间：2018-06-27 07:40

本文选题：隔药灸脐法 + 灸量　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:本研究通过对腹泻型肠易激综合征患者进行不同灸量隔药灸脐治疗,观察隔药灸脐法治疗腹泻型肠易激综合征时灸量对患者生存质量及临床症状的影响,探讨隔药灸脐法治疗腹泻型肠易激综合征时的适宜灸量。方法:选取60名腹泻型肠易激综合征患者(脾虚型),随机分成三组,其中A组(0.5g)、B组(1.0g)、C组(1.5g)各20例,评价三组治疗前、后患者生存质量评分及脾虚泄泻症状评分的变化,比较三组间的差异。结果:生存质量的维度组内比较A组治疗前后焦虑不安、行为障碍、躯体意念、健康忧虑、社会功能、人际关系6个维度评分比较有显著统计学差异(P0.05);B、C两组治疗前后比较,焦虑不安、行为障碍、躯体意念、健康忧虑、社会功能、挑食、性行为、人际关系8个维度均有显著统计学差异(P0.05)。治疗后组间比较B组与A组比较,在焦虑不安、行为障碍、躯体意念、社会功能、性行为、人际关系6个维度有显著统计学差异(P0.05);C组与A组比较,在焦虑不安、行为障碍、躯体意念、社会功能、人际关系5个维度有显著统计学差异(P0.05);B组与C组相比,仅在躯体意念1个维度存在显著性差异(P0.05)。脾虚泄泻症状评分组内比较A组治疗前后仅在食欲不振方面不具有显著统计学意义(P0.05),B、C两组治疗前后脾虚泄泻症状积分均具有显著统计学意义(P0.05);组间比较治疗后B组与A组比较在腹痛腹胀、脘痞腹满、大便泄泻、食欲不振、神疲懒言5个方面有显著统计学意义(P0.05);A组与C组脾虚泄泻各方面症状评分比较,在大便泄泻、神疲懒言、腹痛腹胀、脘痞腹满4个方面有显著统计学意义(P0.05);B组与C组治疗后脾虚泄泻各方面症状评分比较不具有统计学意义(P0.05)。结论:隔药灸脐法可明显提高患者生存质量,改善患者脾虚泄泻症状;施灸时间为120min时,艾炷质量为1.0g组、1.5g组在患者生存质量改善及症状改善方面均优于0.5g组,但1.0g组和1.5g组相比较,疗效相当。
[Abstract]:Objective: to observe the effect of moxibustion volume on the quality of life and clinical symptoms of patients with diarrhea irritable bowel syndrome treated by moxibustion with different moxibustion quantity. To explore the suitable moxibustion quantity for treating diarrhea irritable bowel syndrome with moxibustion and umbilical moxibustion. Methods: sixty patients with diarrhea type irritable bowel syndrome (spleen deficiency type) were randomly divided into three groups: group A (0.5 g), group B (1.0 g) and group C (1.5 g). The differences among the three groups were compared. Results: the scores of anxiety, behavioral disorder, somatic ideation, health anxiety, social function and interpersonal relationship in group A were significantly different before and after treatment (P0.05). Anxiety, behavioral disorders, body thoughts, health anxiety, social function, picky food, sexual behavior, interpersonal relationships had significant statistical differences (P0.05). After treatment, there were significant differences in anxiety, behavioral disorder, somatic ideation, social function, sexual behavior and interpersonal relationship between group B and group A (P0.05). There were significant differences in the five dimensions of somatic ideation, social function and interpersonal relationship (P0.05). Only one dimension of somatic ideation had significant difference between group B and group C (P0.05). Comparison of symptoms of diarrhea due to spleen deficiency in group A before and after treatment, there was no significant difference between group A and group A in terms of loss of appetite (P0.05). (P0.05) the scores of symptoms of diarrhea due to spleen deficiency in group B were statistically significant before and after treatment (P0.05), and the scores of symptoms of diarrhea due to spleen deficiency were significantly higher in group A than in group B after treatment (P0.05). Group A compared with group A in abdominal pain abdominal distension, There were significant statistical significance in five aspects of abdominal fullness, stool diarrhea, loss of appetite, fatigue and laziness (P0.05) in group A and group C, the scores of symptoms of diarrhea due to spleen deficiency were compared with those in group C. In stool diarrhea, fatigue, abdominal pain and abdominal distension, there were significant differences between group A and group C in terms of symptoms of diarrhea, restlessness, abdominal pain and abdominal distension. There was significant statistical significance in four aspects of abdominal fullness of epigastric (P0.05). There was no significant difference in symptom scores between group B and group C after treatment of spleen deficiency and diarrhea (P0.05). Conclusion: herbal moxibustion with umbilical method can obviously improve the quality of life and improve the symptoms of diarrhea due to spleen deficiency, and when the moxibustion time is 120min, the quality of life and symptoms in the group of 1.0 g and 1.5 g of moxibustion are better than that of the group of 0.5 g. But compared with 1.5 g group, the curative effect of 1.0 g group was similar to that of 1.5 g group.
【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】：R246.1

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