针刺和热敏灸大肠俞募合穴治疗功能性腹泻的初步临床观察

发布时间：2018-07-15 15:39

【摘要】：目的:本研究选取大肠之背俞穴、募穴、下合穴(大肠俞、天枢、上巨虚),采用针刺和热敏灸疗法,治疗功能性腹泻,比较观察两种疗法治疗功能性腹泻的疗效,期望为临床医师提供可靠依据以采取更佳治疗方案、增强临床疗效。方法:纳入符合纳入标准的功能性腹泻患者50例,随机分为针刺组25例和热敏灸组25例,热敏灸组脱落2例。针刺组给予普通针刺配合电针治疗,热敏灸组给予热敏灸疗法治疗,治疗时间都为4周。采用“功能性腹泻日记卡”,分别对两组患者基线期、入组后第2周、第4周、第8周的周排便次数、粪便性状积分、正常排便天数进行评价,以评估临床疗效。结果:1.两组功能性腹泻患者在性别、年龄、病程方面,比较无显著性差异(P0.05),可比性较强;2.两组组内比较,对入组后第2周、第4周、第8周的周排便次数、粪便性状改变及正常排便维持时间进行评估,各项结果均有显著差异(P0.05);3.两组组间比较,同一疗效评估点在改善周排便次数及粪便性状方面的比较有显著差异(P0.05)。且热敏灸组优于针刺组。结论:针刺疗法和热敏灸疗法治疗功能性腹泻均有较好疗效,患者的临床症状均可得到一定程度改善,且热敏灸组优于针刺组。
[Abstract]:Objective: to study the therapeutic effects of acupuncture and thermosensitive moxibustion on functional diarrhea by selecting the points of large intestine at the back of the intestine, raising the points, and the points of the lower joint (Dachang Yu, Tianshu, Shangjixu), and observing the therapeutic effects of the two kinds of therapy on the functional diarrhea, and to compare the therapeutic effects of the two methods in the treatment of functional diarrhea. It is expected to provide reliable basis for clinicians to adopt better treatment plan and enhance clinical efficacy. Methods: 50 patients with functional diarrhea were randomly divided into acupuncture group (n = 25), heat sensitive moxibustion group (n = 25) and heat sensitive moxibustion group (n = 2). The acupuncture group was treated with common acupuncture combined with electroacupuncture, and the heat sensitive moxibustion group was treated with thermosensitive moxibustion for 4 weeks. Functional diarrhea Diary Card was used to evaluate the baseline period, the weekly defecation times, the fecal traits score and the normal defecation days in the second, fourth and eighth weeks after entering the group, respectively, in order to evaluate the clinical efficacy. The result is 1: 1. There was no significant difference in sex, age and course of disease between the two groups (P0.05). The number of times of defecation, the change of fecal traits and the time of maintenance of normal defecation in the second, fourth and eighth weeks after entering the group were evaluated. The results were significantly different (P0.05). There were significant differences between the two groups in the improvement of weekly defecation frequency and fecal traits at the same therapeutic evaluation point (P0.05). The heat sensitive moxibustion group was superior to the acupuncture group. Conclusion: both acupuncture and thermosensitive moxibustion are effective in the treatment of functional diarrhea, and the clinical symptoms of the patients can be improved to some extent, and the thermosensitive moxibustion group is superior to the acupuncture 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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