针刺配合刮痧治疗梅核气的临床疗效观察

发布时间：2018-07-01 21:14

本文选题：梅核气 + 针刺　；参考：《广州中医药大学》2017年硕士论文

【摘要】：目的:本研究采取随机对照的方法,观察针刺配合刮痧疗法治疗梅核气的临床疗效,进而为今后临床治疗梅核气提供更多的方法和思路。方法:本研究选取2015年12月-2016年12月期间就诊于悉尼中医养生馆的患者,共收集60例符合纳入标准的梅核气患者,其中针刺配合刮痧疗法的治疗组30例,常规针刺的对照组30例。两组均为每周治疗两次,共治疗4周。对梅核气患者的咽部主要症状、全身症状作为观察指标,并对两组间的疗效进行比较分析。结果:临床疗效评定比较两组梅核气患者治疗后的临床疗效评定方面比较:针刺配合刮痧疗法的治疗组总有效率达到93.33%;常规针刺的对照组总有效率为73.33%;经秩和检验,z=-2.57,P=0.01,差别存在统计学上的意义(P0.05)。治疗前、后评分的组内比较针刺配合刮痧组梅核气患者治疗前、后咽部主要症状评分经2相关样本非参数检验,有明显差异(P0.01);针刺配合刮痧组梅核气患者治疗前、后全身症状评分经配对t检验,有明显差异(P0.01)。常规针刺组梅核气患者治疗前、后咽部主要症状评分经2相关样本非参数检验,有明显差异(P0.01);常规针刺组梅核气患者治疗前、后全身症状评分经配对t检验,有明显差别(P0.01)。治疗后组间评分比较两组咽部主要症状评分治疗前后的差值经2独立样本非参数检验,差异有意义(P0.01)。两组全身症状评分治疗前后的差值经独立样本t检验,差异有意义(P0.01)。结论:研究结果表明,常规针刺法及针刺配合刮痧疗法对于缓解梅核气患者的咽部主要症状和全身症状均有一定疗效。但针刺配合刮痧疗法的临床疗效比常规针刺法更为显著。说明针刺配合刮痧疗法具有一定的临床推广价值。
[Abstract]:Objective: to observe the clinical efficacy of acupuncture combined with scraping therapy in the treatment of Meimei nuclear gas, and to provide more methods and ideas for future clinical treatment. Methods: from December 2015 to December 2016, 60 patients with Meimei gas were collected, including 30 patients in the treatment group who were treated with acupuncture combined with scraping therapy. 30 cases of control group were treated with routine acupuncture. The two groups were treated twice a week for 4 weeks. The main pharynx symptoms and systemic symptoms of Meinnuchi patients were observed and compared with each other. Results: comparison of clinical efficacy evaluation between the two groups: the total effective rate of acupuncture combined with scraping therapy group was 93.33; the total effective rate of routine acupuncture control group was 73.33; and the rank sum test was used. The difference was statistically significant (P0.05). Before and after treatment, there were significant differences in the scores of the main symptoms of the posterior pharynx between the acupuncture and scraping group before treatment (P0.01), and before the treatment of the patients with nuclear gas in the group of acupuncture and scraping, there was a significant difference in the scores of the main symptoms of the posterior pharynx (P0.01). There was significant difference in the score of post-systemic symptoms by paired t test (P0.01). Before and after treatment, the scores of main symptoms in the posterior pharynx in the routine acupuncture group were significantly different from those in the control group (P0.01), and the scores of systemic symptoms in the routine acupuncture group were significantly different before and after the treatment (P0.01). After treatment, the difference of the main symptoms of pharynx between the two groups before and after treatment was tested by 2 independent samples, and the difference was significant (P0.01). The difference between the two groups before and after treatment was significant (P0.01). Conclusion: the results showed that routine acupuncture and acupuncture combined with scraping therapy were effective in relieving the main pharynx symptoms and systemic symptoms. But the clinical effect of acupuncture combined with scraping therapy was more obvious than that of routine acupuncture. It shows that acupuncture combined with scraping therapy has certain clinical popularization value.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.81

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