调神法在针灸治疗阴虚质痤疮的临床疗效观察
发布时间：2019-02-27 15:28
【摘要】：研究目的本课题运用随机对照原则在临床中抽取小样本进行观察研究,最终评估阴虚质痤疮在调神针法结合针灸在临床中的疗效,对比治疗组(调神针灸组)和对照组(普通针灸组)之间是否存在显著差异性,寻找治疗阴虚质痤疮的更好的治疗方法。研究方法本课题将60例符合纳入标准的阴虚体质痤疮患者随机分成治疗组(30例)和对照组(30例),治疗分仰卧位和俯卧位两个体位进行。执行方案(参考新世纪第二版全国高等中医药院校规划教材《针灸治疗学》)：1)治疗组：颧毼、大椎、合谷、曲池、内庭、百会、定神针(印堂、双侧阳白各上0.5寸)、内关、神门、劳宫(温针灸)、涌泉(温针灸)、肺俞(温灸)、膏肓(温灸)、太溪、三阴交；2)对照组：颧毼、大椎、合谷、曲池、内庭、劳宫(温针灸)、涌泉(温针灸)、肺俞(温灸)、膏肓(温灸)、太溪、三阴交；每周2次,4周为1个疗程,总共2个疗程。记录患者治疗前及治疗后的痤疮积分以及阴虚质转化分,采用SPSS 22.0对数据进行统计学分析,比较两组之间的总体疗效。研究结果1.60例受试者中,治疗组剔除因治疗期间怀孕而不得不终止试验的患者1例,最后完成29例；对照组完成30例。两组病例在性别、年龄、病程、治疗前痤疮严重程度、治疗前阴虚质转化分均无显著差异(P0.05),两组具有可比性。研究结果是治疗组和对照组治疗后痤疮积分均有下降,具有统计意义(P＜0.05),说明两种方法都能有效改善患者的痤疮。治疗组治疗后治愈7例,显效15例,有效6例,无效1例；对照组治疗后治愈3例,显效13例,有效9例,无效5例,经秩和检验,Z=-2.136,P=0.033,P0.05,两组疗效具有显著差异性,说明治疗组治疗效果优于对照组。2.治疗后两组阴虚质转化分均有下降,说明体质具有可调性,两种方法对体质调理都有一定效果。治疗组阴虚质转化分治疗前后差值"f10分的有17例,11-20分的有10例,21-30分有1例,30分有1例。对照组阴虚质转化分治疗前后差值"f10分的有20例,11-20分的有9例,21-30分的有0例,30分的有1例,经秩和检验,Z=-2.063,P=0.039,P0.05,两组间具有显著差异性,说明治疗组体质调理效果更好。但是体质调理是一个渐进缓慢的过程,笔者认为本研究的研究时间较短,认为该结果仍有待日后进一步考究。研究结论从调神法在针灸调理阴虚质痤疮患者的临床观察中得出：相对于普通针灸组,运用调神法在治疗阴虚质痤疮方面更显优势；2、针灸对阴虚体质的改善有确切疗效,且具有统计学差异,但笔者认为调理体质需要漫长的过程,而非1～2个月就能看见明显效果的,本课题值得进一步深入研究；3.本研究能有效改善阴虚质痤疮,而运用调神法进行针灸调理的效果更佳,值得在临床上推广。
[Abstract]:Objective to evaluate the curative effect of Yin-deficiency acne combined with acupuncture and moxibustion in clinic by using random control principle to select small samples in clinical observation and study, and finally to evaluate the therapeutic effect of Yin-deficiency acne in clinical practice. In order to find a better treatment method for Yin deficiency acne, we compared the difference between the treatment group and the control group (ordinary acupuncture group), and compared the difference between the treatment group and the control group whether there was a significant difference between the treatment group and the control group. Methods 60 patients with acne due to Yin deficiency were randomly divided into two groups: treatment group (30 cases) and control group (30 cases), which were divided into two positions: supine position and prone position. The patients were divided into two groups: treatment group (n = 30) and control group (n = 30). Implementation plan (reference to the second edition of the National College of traditional Chinese Medicine Planning textbook "Acupuncture Therapy"): 1) treatment group: zygomatic, Dazhui, Hegu, Quchi, atrium, Baihui, Shenshen Needle (Yin Tang), Each side Yangbai 0.5 inches above), Neiguan, Shenmen, Lao Gong (warm acupuncture), Yongquan (warm acupuncture), Feishu (warm moxibustion), Gaohuai (warm moxibustion), Taixi, Sanyinjiao; 2) Control group: zygomatic, Dazhui, Hegu, Quchi, atrium, Laogong (warm acupuncture), Yongquan (warm acupuncture), Feishu (warm moxibustion), Gaohuai (warm moxibustion), Taixi, Sanyinjiao; Two times a week, four weeks as a course of treatment, a total of 2 courses. The scores of acne before and after treatment and the scores of Yin-deficiency transformation were recorded. The data were analyzed statistically with SPSS 22. 0 to compare the overall curative effect between the two groups. Results 1. Among 60 subjects, the treatment group excluded one patient who had to terminate the trial because of pregnancy during treatment, and completed 29 cases in the treatment group and 30 cases in the control group. There was no significant difference between the two groups in sex, age, course of disease, severity of acne before treatment and the score of Yin deficiency quality transformation before treatment (P0.05), and the two groups were comparable. The results showed that the acne scores of the treatment group and the control group decreased significantly after treatment (P < 0.05), indicating that both methods could effectively improve the acne of the patients. In the treatment group, 7 cases were cured, 15 cases were markedly effective, 6 cases were effective and 1 case was ineffective. After treatment, 3 cases were cured, 13 cases were markedly effective, 9 cases were effective and 5 cases were ineffective in the control group. The results showed that the therapeutic effect of the treatment group was better than that of the control group. The results showed that the therapeutic effect of the treatment group was better than that of the control group. The results showed that the therapeutic effect of the treatment group was better than that of the control group. After treatment, the scores of quality transformation of Yin deficiency in both groups decreased, indicating that physique is adjustable, and both methods have certain effect on physique conditioning. In the treatment group, there were 17 cases with the difference of "f-10" before and after treatment, 10 cases with 11-20 points, 1 case with 21-30 points and 1 case with 30 points. In the control group, there were 20 cases with f10, 9 cases with 11-20 points, 0 cases with 21-30 points and 1 case with 30 points before and after treatment in the control group. By rank-sum test, Z, 2.063, P0. 039, P 0. 05, P < 0. 063, P < 0. 05, P < 0. 063. There was significant difference between the two groups, indicating that the treatment group had better physique conditioning effect. However, physique conditioning is a gradual and slow process. The author thinks that the study time is short, and the results need to be further studied in the future. Conclusion from the clinical observation of acupuncture and moxibustion on Yin-deficiency acne patients, we can draw a conclusion: compared with the ordinary acupuncture group, the treatment of Yin-deficiency acne by tonifying mind-regulating method is superior to that of normal acupuncture group; 2, acupuncture and moxibustion on the improvement of Yin deficiency physique has a definite curative effect, and there are statistical differences, but the author believes that the physical conditioning needs a long process, rather than one or two months to see the obvious effect, this topic is worth further in-depth study; 3. This study can effectively improve the Yin deficiency acne, and the effect of acupuncture and moxibustion conditioning by tonifying mind method is better, which is worth popularizing in clinical practice.
【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】：2016
【分类号】：R246.7
本文编号：2431388
[Abstract]:Objective to evaluate the curative effect of Yin-deficiency acne combined with acupuncture and moxibustion in clinic by using random control principle to select small samples in clinical observation and study, and finally to evaluate the therapeutic effect of Yin-deficiency acne in clinical practice. In order to find a better treatment method for Yin deficiency acne, we compared the difference between the treatment group and the control group (ordinary acupuncture group), and compared the difference between the treatment group and the control group whether there was a significant difference between the treatment group and the control group. Methods 60 patients with acne due to Yin deficiency were randomly divided into two groups: treatment group (30 cases) and control group (30 cases), which were divided into two positions: supine position and prone position. The patients were divided into two groups: treatment group (n = 30) and control group (n = 30). Implementation plan (reference to the second edition of the National College of traditional Chinese Medicine Planning textbook "Acupuncture Therapy"): 1) treatment group: zygomatic, Dazhui, Hegu, Quchi, atrium, Baihui, Shenshen Needle (Yin Tang), Each side Yangbai 0.5 inches above), Neiguan, Shenmen, Lao Gong (warm acupuncture), Yongquan (warm acupuncture), Feishu (warm moxibustion), Gaohuai (warm moxibustion), Taixi, Sanyinjiao; 2) Control group: zygomatic, Dazhui, Hegu, Quchi, atrium, Laogong (warm acupuncture), Yongquan (warm acupuncture), Feishu (warm moxibustion), Gaohuai (warm moxibustion), Taixi, Sanyinjiao; Two times a week, four weeks as a course of treatment, a total of 2 courses. The scores of acne before and after treatment and the scores of Yin-deficiency transformation were recorded. The data were analyzed statistically with SPSS 22. 0 to compare the overall curative effect between the two groups. Results 1. Among 60 subjects, the treatment group excluded one patient who had to terminate the trial because of pregnancy during treatment, and completed 29 cases in the treatment group and 30 cases in the control group. There was no significant difference between the two groups in sex, age, course of disease, severity of acne before treatment and the score of Yin deficiency quality transformation before treatment (P0.05), and the two groups were comparable. The results showed that the acne scores of the treatment group and the control group decreased significantly after treatment (P < 0.05), indicating that both methods could effectively improve the acne of the patients. In the treatment group, 7 cases were cured, 15 cases were markedly effective, 6 cases were effective and 1 case was ineffective. After treatment, 3 cases were cured, 13 cases were markedly effective, 9 cases were effective and 5 cases were ineffective in the control group. The results showed that the therapeutic effect of the treatment group was better than that of the control group. The results showed that the therapeutic effect of the treatment group was better than that of the control group. The results showed that the therapeutic effect of the treatment group was better than that of the control group. After treatment, the scores of quality transformation of Yin deficiency in both groups decreased, indicating that physique is adjustable, and both methods have certain effect on physique conditioning. In the treatment group, there were 17 cases with the difference of "f-10" before and after treatment, 10 cases with 11-20 points, 1 case with 21-30 points and 1 case with 30 points. In the control group, there were 20 cases with f10, 9 cases with 11-20 points, 0 cases with 21-30 points and 1 case with 30 points before and after treatment in the control group. By rank-sum test, Z, 2.063, P0. 039, P 0. 05, P < 0. 063, P < 0. 05, P < 0. 063. There was significant difference between the two groups, indicating that the treatment group had better physique conditioning effect. However, physique conditioning is a gradual and slow process. The author thinks that the study time is short, and the results need to be further studied in the future. Conclusion from the clinical observation of acupuncture and moxibustion on Yin-deficiency acne patients, we can draw a conclusion: compared with the ordinary acupuncture group, the treatment of Yin-deficiency acne by tonifying mind-regulating method is superior to that of normal acupuncture group; 2, acupuncture and moxibustion on the improvement of Yin deficiency physique has a definite curative effect, and there are statistical differences, but the author believes that the physical conditioning needs a long process, rather than one or two months to see the obvious effect, this topic is worth further in-depth study; 3. This study can effectively improve the Yin deficiency acne, and the effect of acupuncture and moxibustion conditioning by tonifying mind method is better, which is worth popularizing in clinical practice.
【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】：2016
【分类号】：R246.7
【相似文献】
相关期刊论文 前5条
1 尹红;;心理护理对社区2型糖尿病阴虚质患者的影响[J];齐鲁护理杂志;2014年06期
2 漆亚学;梁永林;高彩霞;张云展;张迎君;柳春;;应用中医体质量表对大学生兼夹体质情况的研究[J];甘肃中医学院学报;2013年02期
3 王琦;;分清体质才好养生[J];天津政协公报;2009年05期
4 陈银环;刘叶;黄钢花;钟嘉熙;;清养透解合剂对阴虚质系统性红斑狼疮患者Th1/Th2细胞漂移的影响[J];上海中医药杂志;2013年04期
5 ;[J];;年期
相关会议论文 前2条
1 李红;李灿东;任林;梁文娜;林雪娟;;围绝经期阴虚体质妇女雌激素受体α基因多态性分析[A];第十次全国中医药传承创新与发展学术交流会暨第二届全国中医药博士生优秀论文颁奖会议论文集[C];2011年
2 钟逸斐;陈以平;邓跃毅;;IgA肾病阴虚质与TGF-β1基因启动子区C-509T单核苷酸多态性之相关性研究[A];2007年浙沪两地肾脏病学术年会资料汇编[C];2007年
相关重要报纸文章 前1条
1 北京中医药大学博士生导师 王琦;分清体质好养生(上)[N];家庭医生报;2010年
相关博士学位论文 前2条
1 王天;六味地黄丸干预阴虚质的临床观察及其血浆代谢组学机制研究[D];南方医科大学;2015年
2 黄钢花;清养透解法干预阴虚质SLE患者Th1/Th2细胞失衡及血管损伤的研究[D];广州中医药大学;2011年
相关硕士学位论文 前3条
1 潘慧娟;调神法在针灸治疗阴虚质痤疮的临床疗效观察[D];广州中医药大学;2016年
2 高歆昌;滋阴清热法治疗女性阴虚质青春期后痤疮患者证候变化规律的研究[D];成都中医药大学;2014年
3 王洪真;复发性脑卒中患者体质特征研究[D];青岛大学;2014年
，本文编号：2431388
本文链接：https://www.wllwen.com/zhongyixuelunwen/2431388.html
最近更新
教材专著
