肝经子母配穴针刺法治疗肝郁气滞型烟草依赖的临床观察

发布时间：2018-09-17 15:14

【摘要】：目的：本文主要从文献及临床研究方面来观察肝经子母配穴针刺法治疗肝郁气滞型烟草依赖的临床有效性及作用机制,同时通过比较两组不同方法在治疗烟草依赖上的效果,为日后的临床治疗提供新思路。方法：将60例符合诊断和纳入标准的烟草依赖患者,按其就诊的顺序随机分组,治疗组(30例)和对照组(30例)。治疗组采用肝经子母配穴针刺法,对照组采用常规针刺法。两组患者每天治疗1次,每次40分钟,一周治疗6天,休息1天,2周为1疗程,对两组患者在治疗前、治疗后及治疗后三月随访进行中医症状评分、吸烟强度指数评分、烟草依赖测试表及烟草依赖自评量表评分,整理并统计后,进行疗效评估。结果：治疗前对两组患者在性别、年龄、烟龄、每日平均吸烟量、中医症状评分、吸烟强度指数评分、烟草依赖评分及烟草依赖自评量表上比较无明显性差异,提示两组样本具有可比性。两组治疗后及随访的各项评分与疗前比较均有显著性差异(P0.01),提示两种方法均有效,但治疗组优于对照组(P0.05)。两组试验者治疗1疗程及三个月随访时与治疗前相比均有治疗效果,但随访时评分均低于治疗1疗程后,表明两种方法在治疗烟草依赖上均有效,但均有复吸,且治疗组复吸低于对照组(P0.05)。总体疗效上结果显示在改善烟草依赖的效果上治疗组疗效更显著(P0.05),从3个月后随访上看,说明治疗组在戒除与复吸的长远疗效上优于对照组(P0.05)。结论：肝经子母配穴针刺法治疗肝郁气滞型烟草依赖具有确切疗效,与对照治疗相比有更高的戒烟效果。
[Abstract]:Objective: to observe the clinical efficacy and mechanism of treatment of tobacco dependence with liver stagnation and qi stagnation by combining acupoint acupuncture with Gan Meridian Zimu point from literature and clinical research. At the same time, the effect of two different methods on tobacco dependence was compared. To provide new ideas for future clinical treatment. Methods: 60 patients with tobacco dependence were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with liver meridian mother and acupoint acupuncture, while the control group was treated with routine acupuncture. Patients in the two groups were treated once a day for 40 minutes, 6 days a week for 6 days, and 1 day for 2 weeks as a course of treatment. The patients in both groups were followed up before, after and after treatment for TCM symptom score and smoking intensity index score. Tobacco dependence test form and self-rating scale of tobacco dependence score, collate and statistics, then evaluate the efficacy. Results: there were no significant differences in sex, age, smoking age, average daily smoking volume, TCM symptom score, smoking intensity index score, tobacco dependence score and tobacco dependence self-rating scale between the two groups before treatment. The results suggest that the two groups of samples are comparable. There were significant differences in the scores after treatment and follow-up between the two groups (P0.01), indicating that the two methods were effective, but the treatment group was better than the control group (P0.05). Patients in both groups were treated for one course and three months after treatment, but the scores at the follow-up were lower than those after one course of treatment, indicating that the two methods were effective in the treatment of tobacco dependence, but both had relapse. The relapse in the treatment group was lower than that in the control group (P0.05). The results showed that the treatment group was more effective than the control group in improving tobacco dependence (P0.05). From the follow-up of 3 months, the treatment group was superior to the control group in the long-term effect of abstinence and relapse (P0.05). Conclusion: the treatment of tobacco dependence with liver stagnation and qi stagnation by combining acupoint acupuncture with Gan meridian daughter has definite curative effect and has higher smoking cessation effect than that of control therapy.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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