针刺和热敏灸大肠俞募合敏化穴治疗功能性便秘的初步临床观察

发布时间：2018-12-12 14:25

【摘要】：目的:本研究通过针刺和热敏灸大肠背俞穴、募穴、下合穴(大肠俞、天枢、上巨虚)治疗功能性便秘,观察两种方法对功能性便秘患者的便秘症状改善情况,比较针刺和热敏灸治疗功能性便秘的疗效,为有效治疗功能性便秘寻求舒适高效的治疗方案。方法:将符合纳入标准的50例功能性便秘患者按数字表法随机分为针刺组(25例)和热敏灸组(25例),两组均无脱落,两组均选取大肠俞、天枢、上巨虚各热敏穴治疗,每组治疗4周。收集患者“功能性便秘日记卡”,对两组患者治疗前、治疗第2周、第4周及1个月随访的周自主排便次数、粪便性状及排便困难程度评分,并对数据进行统计与分析。结果:1.两组功能性便秘患者基线期分组比较均衡,性别、年龄、病程无显著性意义(P0.05),具有可比性。2.两组内比较:与治疗前相比,治疗2周、4周及1月后随访,两组患者周排便次数、大便性状及排便困难程度评分均有改善(P0.05);与治疗2周比,热敏灸组患者治疗第4周改善患者排便困难程度疗效更佳,有显著性差异(P0.05)。3.两组间比较:患者周排便次数、大便性状、排便困难程度评分比较无显著性差异(P0.05)。结论:1.针刺与热敏灸大肠俞募合敏化穴对功能性便秘均有治疗效果,随着治疗周期的延长,其疗效也在增加,并且1个月后随访仍有疗效。2.热敏灸对排便困难程度的改善情况优于针刺治疗。
[Abstract]:Objective: to study the treatment of functional constipation by acupuncture and heat sensitive moxibustion on the points of large intestine back Shu, Jun point and Xia he point (Dachang Shu, Tianshu, Shangzuxu), and to observe the improvement of constipation symptoms in patients with functional constipation. To compare the efficacy of acupuncture and heat sensitive moxibustion in the treatment of functional constipation. Methods: 50 patients with functional constipation were randomly divided into acupuncture group (25 cases) and heat sensitive moxibustion group (25 cases). Each group was treated for 4 weeks. Functional constipation diary cards were collected, and the number of spontaneous defecation, fecal traits and defecation difficulty scores of the two groups of patients were followed up for 2 weeks, 4 weeks and 1 month before treatment, and the data were statistically analyzed. Results: 1. The groups of functional constipation patients in baseline period were more balanced, gender, age, course of disease were not significant (P0.05), comparable. 2. Comparison between the two groups: compared with before treatment, 2 weeks, 4 weeks and 1 month follow-up, the two groups of patients defecation times, defecation traits and defecation difficulty score improved (P0.05); Compared with the treatment for 2 weeks, the Thermosensitive moxibustion group had a better effect on improving defecation difficulty in the 4th week (P0.05). There was no significant difference between the two groups in the number of times of weekly defecation, defecation traits, defecation difficulty score (P0.05). Conclusion: 1. Acupuncture and heat sensitive moxibustion of Dachang Shu Funhe sensitized point had therapeutic effect on functional constipation. With the prolongation of treatment cycle, the curative effect was also increasing, and the follow-up was still effective after 1 month. 2. Thermosensitive moxibustion improved defecation difficulty better than acupuncture.
【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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