本文關鍵詞： 功能性便秘 通元針法 針刺　出處：《廣州中醫(yī)藥大學》2017年碩士論文　論文類型：學位論文

【摘要】：目的:本研究通過觀察對比賴氏通元針法和常規(guī)針刺治療功能性便秘的臨床療效,旨在探索出一種更有效、更安全、更簡單、更持久的治療方法,為臨床上治療功能性便秘提供一個創(chuàng)新性的思路。方法:本研究采用小樣本隨機對照的方法,將合格的受試者依次編號1-60,由隨機數(shù)字法代表產生60個隨機數(shù)字,以1:1的比例分配至治療組(通元針法組)和對照組(常規(guī)針刺組)。治療組采用通元針法(氣海、關元、天樞、歸來、大腸俞)治療30例,對照組采用常規(guī)針刺法(照海、支溝、上巨虛、大腸俞)治療30例。兩組實施相同的操作方法,均治療24次。將便秘癥狀評分量表(Cleveland Clinic Score,CCS)和便秘患者生活質量問卷(Constipation-Quality of Life satisfaction subscale,PAC-QOL)作為觀察指標,通過統(tǒng)計學分析,對比兩組患者治療前后的排便情況、生活質量改善情況及總體療效。結果:(1)兩組患者治療前后CCS評分、APC-QOL評分組內比較差異存在統(tǒng)計學意義,說明治療后兩組患者CCS評分、APC-QOL評價均顯著降低(P0.01)(2)兩組治療后CCS評分組間比較差異存在統(tǒng)計學意義,說明治療后兩組CCS評分存在顯著性差異(P=0.0110.05);(3)兩組治療后PAC-QOL評價組間比較差異有統(tǒng)計學意義(P=0.0040.05);(4)常規(guī)針刺組患者治療后總體有效率83%,而通元針法組為89%,兩組患者總體療效組間比較差異無統(tǒng)計學意義(P=0.4510.05)。結論:通元針法和常規(guī)針刺法均可以有效地治療功能性便秘,但通元針法在改善患者便秘癥狀、提高患者生活質量方面明顯優(yōu)于常規(guī)針刺法。
[Abstract]:Objective: to observe and compare the clinical efficacy of Lai's Tongyuan acupuncture and routine acupuncture in the treatment of functional constipation in order to explore a more effective, safe, simple and lasting treatment method. Methods: in this study, the eligible subjects were numbered 1-60, and 60 random numbers were generated by the random number method. 30 cases were divided into treatment group (Tongyuan acupuncture group) and control group (routine acupuncture group) by proportion of 1: 1. 30 cases were treated with Tongyuan acupuncture method (Qihai, Guanyuan, Tianshu, return, Dachang Yu) in treatment group, and 30 cases in control group were treated with routine acupuncture (Zhaohai, branch ditch). 30 cases were treated with Shangzuxu and Dachang Yu. The two groups were treated with the same operation method, 24 times. The constipation symptom scale (Cleveland Clinic ScoreCCS) and the Constipation-Quality of Life satisfaction subscale (PAC-QOL) were used as the observation indexes, and the statistical analysis was carried out. Results there were significant differences in CCS score and APC-QOL score between the two groups before and after treatment. The results showed that the CCS score and APC-QOL of the two groups were significantly lower than that of the control group after treatment (P 0.01 / 2) there was significant difference in the CCS score between the two groups after treatment, and there was a significant difference between the two groups in the evaluation of APC-QOL. It shows that there is a significant difference in CCS score between the two groups after treatment (P < 0.0110.05)) there is a significant difference between the two groups in the evaluation of PAC-QOL after treatment. There is a significant difference between the two groups. There is a significant difference between the two groups. The total effective rate of the patients in the routine acupuncture group after treatment is 83%, while that in the Tongyuan acupuncture group is 89%. The total effective rate of the two groups is 83.The total therapeutic effect of the two groups is as follows. Conclusion: both Tongyuan acupuncture and routine acupuncture can effectively treat functional constipation. But Tongyuan acupuncture is superior to conventional acupuncture in improving constipation symptoms and quality of life.
【學位授予單位】：廣州中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.1
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本文編號：1550061