“神阙八阵”治疗气虚型功能性便秘的临床研究
发布时间：2018-08-11 09:12
【摘要】：目的：通过研究“神阙八阵”针刺和常规针刺治疗气虚型功能性便秘,比较两种疗法的临床疗效、安全性和依从性。方法：采用随机、对照、单盲的研究方法,将符合纳入标准的72例患者,随机分为“神阙八阵”针刺治疗组和常规针刺对照组,每组36例。两组患者均连续治疗3个疗程,每个疗程治疗5天,间隔2天,并于治疗结束后的第4周随访。观察两组患者治疗前、治疗后及治疗后第4周随访的周排便次数、症状自评量表评分、生活质量自评量表评分及气虚型症状分级量化表评分的变化,以判定疗效。结果：1.两组在性别、年龄、年龄段分布、病程及病情严重程度等各方面均衡性较好(p0.05),基线水平可比。2.两组治疗前后比较：周排便次数、症状自评量表评分、生活质量自评量表评分及气虚型症状分级量化表评分均有显著性差异(p0.01)。3.两组3个疗程结束后比较：周排便次数结果比较,差异无统计学意义(p0.05)；症状自评量表评分、生活质量自评量表评分、气虚型症状分级量化表评分结果比较,差异有统计学意义(p0.05)。4.两组治疗结束后第4周随访比较：周排便次数结果比较,差异无统计学意义(p0.05)；症状自评量表评分、生活质量自评量表评分、气虚型症状分级量化表评分结果比较,差异有统计学意义(p0.05)。5.总有效率：“神阙八阵”针刺组的总有效率为85.71%,常规针刺组的总有效率为75.76%,两组差异无统计学意义(p0.05)。6.两组的安全性及依从性比较,差异无统计学意义(p0.05)。结论：1.“神阙八阵”针刺和常规针刺两种疗法对气虚型功能性便秘均有较好的疗效。2.“神阙八阵”针刺法改善气虚型功能性便秘患者的临床症状及生活质量的近期、远期疗效均优于常规针刺法；“神阙八阵”针刺法改善气虚型功能性便秘患者的周排便次数的近期、远期疗效均与常规针刺法相当。3.“神阙八阵”针刺法和常规针刺法的安全性及依从性均较好。4.“神阙八阵”针刺法较常规针刺法取穴精简,操作方便,痛感低,值得临床推广。
[Abstract]:Objective: to compare the clinical efficacy, safety and compliance of "Shenque Bachan" acupuncture and routine acupuncture in the treatment of functional constipation with deficiency of qi. Methods: a randomized, controlled and single-blind study was conducted. 72 patients were randomly divided into "Shenque eight Array" acupuncture treatment group and routine acupuncture control group (36 cases in each group). The patients in the two groups were treated for 3 consecutive courses of treatment for 5 days, with an interval of 2 days, and followed up for 4 weeks after the end of the treatment. The changes of weekly defecation frequency, symptom checklist scale (SCL-90), quality of life (QOL) and Qi-deficiency symptom scale (QDS) were observed before, after and 4 weeks after treatment in order to evaluate the curative effect. The result is 1: 1. The gender, age distribution, course of disease and severity of the disease were well balanced between the two groups (p0.05), and the baseline level was equal to. 2. 2. There were significant differences between the two groups before and after treatment: weekly defecation frequency, symptom checklist scale score, quality of life self-rating scale score and Qi-deficiency syndrome rating scale score (p0.01) .3. There was no significant difference between the two groups after three courses of treatment: the results of weekly defecation were not significantly different (p0.05), the scores of symptom Checklist, quality of Life scale and Qi-deficiency symptom scale were compared. The difference was statistically significant (p0.05). 4. There was no significant difference in the frequency of defecation between the two groups (p0.05), the scores of symptom Checklist, quality of Life scale (QOL) and Qi-deficiency symptom scale (QQS) were compared between the two groups after the end of the treatment, and there was no significant difference between the two groups in the frequency of defecation (p0.05). The difference was statistically significant (p0.05). Total effective rate: the total effective rate of acupuncture group was 85.71, that of routine acupuncture group was 75.76.The difference between the two groups was not statistically significant (p0.05) .6. There was no significant difference in safety and compliance between the two groups (p0.05). Conclusion 1. Both "Shenque eight Array" acupuncture and routine acupuncture have good curative effect on functional constipation of qi deficiency type. "Shenque eight arrays" acupuncture method to improve the clinical symptoms and quality of life of patients with functional constipation of Qi-deficiency type in the near future, long-term results are better than conventional acupuncture; "Shenque eight arrays" acupuncture method to improve the short term defecation frequency of patients with functional constipation with deficiency of qi, the long-term effect is equal to that of routine acupuncture. 3. The safety and compliance of "Shenque eight array" acupuncture method and conventional acupuncture method are good. 4. The "Shenque eight array" acupuncture method is simpler than the conventional acupuncture method, easy to operate and low in pain, so it is worth popularizing in clinic.
【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】：R256.35
本文编号：2176550
[Abstract]:Objective: to compare the clinical efficacy, safety and compliance of "Shenque Bachan" acupuncture and routine acupuncture in the treatment of functional constipation with deficiency of qi. Methods: a randomized, controlled and single-blind study was conducted. 72 patients were randomly divided into "Shenque eight Array" acupuncture treatment group and routine acupuncture control group (36 cases in each group). The patients in the two groups were treated for 3 consecutive courses of treatment for 5 days, with an interval of 2 days, and followed up for 4 weeks after the end of the treatment. The changes of weekly defecation frequency, symptom checklist scale (SCL-90), quality of life (QOL) and Qi-deficiency symptom scale (QDS) were observed before, after and 4 weeks after treatment in order to evaluate the curative effect. The result is 1: 1. The gender, age distribution, course of disease and severity of the disease were well balanced between the two groups (p0.05), and the baseline level was equal to. 2. 2. There were significant differences between the two groups before and after treatment: weekly defecation frequency, symptom checklist scale score, quality of life self-rating scale score and Qi-deficiency syndrome rating scale score (p0.01) .3. There was no significant difference between the two groups after three courses of treatment: the results of weekly defecation were not significantly different (p0.05), the scores of symptom Checklist, quality of Life scale and Qi-deficiency symptom scale were compared. The difference was statistically significant (p0.05). 4. There was no significant difference in the frequency of defecation between the two groups (p0.05), the scores of symptom Checklist, quality of Life scale (QOL) and Qi-deficiency symptom scale (QQS) were compared between the two groups after the end of the treatment, and there was no significant difference between the two groups in the frequency of defecation (p0.05). The difference was statistically significant (p0.05). Total effective rate: the total effective rate of acupuncture group was 85.71, that of routine acupuncture group was 75.76.The difference between the two groups was not statistically significant (p0.05) .6. There was no significant difference in safety and compliance between the two groups (p0.05). Conclusion 1. Both "Shenque eight Array" acupuncture and routine acupuncture have good curative effect on functional constipation of qi deficiency type. "Shenque eight arrays" acupuncture method to improve the clinical symptoms and quality of life of patients with functional constipation of Qi-deficiency type in the near future, long-term results are better than conventional acupuncture; "Shenque eight arrays" acupuncture method to improve the short term defecation frequency of patients with functional constipation with deficiency of qi, the long-term effect is equal to that of routine acupuncture. 3. The safety and compliance of "Shenque eight array" acupuncture method and conventional acupuncture method are good. 4. The "Shenque eight array" acupuncture method is simpler than the conventional acupuncture method, easy to operate and low in pain, so it is worth popularizing in clinic.
【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】：R256.35
【参考文献】
相关期刊论文 前10条
1 赖祥俊;李林平;何玲娜;;命门八阵穴针刺配合盒灸治疗多系统萎缩1例[J];四川中医;2015年11期
2 刘颖;王岗;蒲丹;苏文莉;黄彬洋;;神阙八阵穴闪罐治疗老年习惯性便秘体会[J];实用中医药杂志;2014年12期
3 张红丽;张虹;朱原;傅立新;刘志顺;;针灸与药物治疗单纯性功能性便秘疗效的系统评价[J];针灸临床杂志;2014年10期
4 冯丽英;;穴位埋线配合白术通便饮治疗老年功能性便秘62例[J];中国针灸;2014年09期
5 潘慧斌;陆建锋;汪瑶;李睿明;;Cajal间质细胞与胃肠道动力疾病的相关性研究进展[J];医学综述;2014年15期
6 李鸥;黄泳;何剑平;;针灸联合中药辨证治疗女性慢性功能性便秘的临床研究[J];河北中医;2014年06期
7 胡俊文;方芳;陈利芳;沈亚芳;沈醉;方剑乔;;电针治疗严重功能性便秘的随机对照试验[J];浙江中医药大学学报;2014年06期
8 罗玉琼;林超岱;;腹针治疗痛经的临床研究概况[J];中国民间疗法;2014年03期
9 郑华斌;张永辉;陈媛;;合募配穴法针刺治疗慢性功能性便秘35例观察[J];国医论坛;2014年02期
10 佟媛媛;;温针灸治疗气虚型功能性便秘68例[J];上海针灸杂志;2014年01期
相关博士学位论文 前1条
1 张思超;脑肠相通病机研究[D];山东中医药大学;2002年
相关硕士学位论文 前4条
1 杨芳;腹针疗法治疗气虚型功能性便秘的临床研究[D];广州中医药大学;2014年
2 黄莉莉;神阙伏羲八卦针刺疗法治疗中风后便秘的随机对照临床研究[D];成都中医药大学;2014年
3 张涛;针刺治疗慢性功能性便秘疗效的系统评价[D];北京中医药大学;2012年
4 麦玉书;便秘的现代中医文献整理及循证医学研究[D];广州中医药大学;2011年
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