本文選題：功能性消化不良 + 肝氣犯胃證�。� 參考：《廣州中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察溫針灸治療肝氣犯胃型功能性消化不良的臨床療效,比較溫針灸和普通針刺對肝氣犯胃型功能性消化不良的療效差異,探討溫針灸治療該病癥的有效性和可行性。方法:符合本研究納入標(biāo)準(zhǔn)的60例肝氣犯胃型功能性消化不良患者,按隨機(jī)數(shù)字表法分為溫針灸治療組和普通針刺對照組,每組30例;兩組均采用常規(guī)針刺,針刺穴位取中脘、足三里、內(nèi)關(guān)、公孫、太沖;治療組在此基礎(chǔ)上加用艾灸,即在中脘、足三里的針具上加艾灸2壯。治療頻率為2天1次,3次為一個療程,共治療2個療程。療效評定分別在治療前和治療結(jié)束(完成2個周期的治療后)時進(jìn)行,主要結(jié)局為癥候總得分。觀察兩組患者治療后的病情變化情況,比較兩組的臨床療效差異。結(jié)果:(1)一般資料基線分析兩組患者性別、年齡、病程等一般資料比較差異無統(tǒng)計學(xué)意義(P0.05,P0.05,P0.05),有可比性。(2)癥候總得分比較:基線分析:溫針灸治療組與普通針刺對照組治療前癥候總得分比較中,兩組治療前癥候總得分比較差異無統(tǒng)計學(xué)意義(P0.05),兩組具有可比性;組內(nèi)比較:溫針灸治療組和普通針刺對照組患者治療后癥候總得分均比治療前下降,差異有統(tǒng)計學(xué)意義(P0.01,P0.01);組間比較:溫針灸治療組和普通針刺對照組患者治療前、后組間癥狀總得分比較,差異無統(tǒng)計學(xué)意義(P0.05)。(3)總體療效比較:溫針灸治療組有效率為70.70%,總體療效優(yōu)于普通針刺治療組64.96%,差異有統(tǒng)計學(xué)意義(P0.05)。(4)健康狀況相關(guān)生活質(zhì)量量表(SF-36)積分比較:基線分析:兩組治療前比較,SF-36積分差異無統(tǒng)計學(xué)意義(P0.05),有可比性。組內(nèi)比較:溫針灸對照組中,治療后SF-36積分較治療前有所增加,差異有統(tǒng)計學(xué)意義(P0.01)。普通針刺對照組中,治療后SF-36積分較治療前有所增加,差異有統(tǒng)計學(xué)意義(P0.01)。組間比較:兩組治療后比較,溫針灸治療組較普通針刺對照組有所增加,差異有統(tǒng)計學(xué)意義(P0.01)。(5)安全性與不良反應(yīng)兩組治療過程中均無不良事件發(fā)生,沒有觀察病例因此中斷或退出治療。安全性為1級。結(jié)論:溫針灸治療肝氣犯胃型消化不良效果良好,有助于患者癥狀改善;與普通針刺相比,可提高臨床療效。鑒于溫針灸有效性高且安全性較好,值得臨床推廣。
[Abstract]:Objective: to observe the clinical efficacy of warming acupuncture in treating functional dyspepsia of the type of liver-qi invading stomach, compare the curative effect of warming acupuncture with that of common acupuncture on the type of functional dyspepsia of liver-qi invading stomach, and discuss the effectiveness and feasibility of warming acupuncture and moxibustion for the treatment of functional dyspepsia. Methods: sixty patients with functional dyspepsia of liver qi invading stomach type were randomly divided into warm acupuncture group and common acupuncture control group, 30 cases in each group. Zusanli, Neiguan, Gongsun, Taichong; treatment group on this basis plus moxibustion, that is, in Zhongwan, Zusanli acupuncture plus moxibustion 2 Zhuang. The frequency of treatment was 2 days, 3 times a course of treatment, a total of 2 courses of treatment. The efficacy was evaluated before treatment and at the end of treatment (after 2 cycles of treatment), with the main outcome being the total symptom score. To observe the changes of patients' condition after treatment, and to compare the difference of clinical effect between the two groups. Results: 1) General data baseline analysis of the two groups of patients gender, age, There was no significant difference in general data such as course of disease. There was no statistical significance between P0.05 and P0.05P0.05, which was comparable. Comparison of total score of symptoms: baseline analysis: comparison of total score of symptoms before treatment between warm acupuncture treatment group and common acupuncture control group. There was no significant difference in the total score of symptoms between the two groups before treatment, there was no significant difference between the two groups (P 0.05), and the two groups were comparable, and the total scores of symptoms in the warm acupuncture treatment group and the general acupuncture control group were all lower than those before treatment. The difference was statistically significant (P 0.01) and the comparison between the two groups: the total scores of symptoms before and after treatment were compared between the warm acupuncture group and the general acupuncture control group. There was no significant difference in the total curative effect: the effective rate of warming acupuncture group was 70.70, which was better than that of common acupuncture group (64.96), and the difference was statistically significant (P 0.05. 05. 0. 4) the score of SF-36) was higher than that of normal acupuncture group (P < 0. 05, P < 0. 05, P < 0. 05, P < 0. 05, P = 0. 05, P < 0. 05, P < 0. 05). Analysis: there was no significant difference in SF-36 score between the two groups before treatment (P 0.05). Group comparison: in the control group of warm acupuncture, the SF-36 score after treatment was higher than that before treatment, and the difference was statistically significant (P 0.01). In the normal acupuncture control group, the SF-36 score after treatment was higher than that before treatment, and the difference was statistically significant (P 0.01). Comparison between the two groups: after treatment, the warming acupuncture treatment group increased compared with the normal acupuncture control group, the difference was statistically significant (P 0.01. 05) the safety and adverse reaction of the two groups did not occur in the course of treatment. No observed cases were interrupted or withdrawn from treatment as a result. Safety level 1. Conclusion: the effect of warming acupuncture and moxibustion on dyspepsia caused by liver qi invading stomach is good, which is helpful to improve the symptoms of patients, and can improve the clinical effect compared with that of common acupuncture. In view of the high efficacy and safety of warming acupuncture and moxibustion, it is worth popularizing in clinic.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.1
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本文編號：1839997