本文選題：變應(yīng)性鼻炎 + 熱敏灸�。� 參考：《廣州中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：本研究采用前瞻性的科研方法,探討熱敏灸療法對變應(yīng)性鼻炎患者的癥狀和生活質(zhì)量的影響；對比熱敏灸與普通艾灸在治療AR時(shí)的效果,擇出更優(yōu)的治療方法；深入探索變應(yīng)性鼻炎患者的熱敏穴位出現(xiàn)規(guī)律。方法：根據(jù)嚴(yán)格的納排標(biāo)準(zhǔn),收集80例肺脾氣虛、鼻竅感寒型變應(yīng)性鼻炎病人,按入院奇偶順序分為兩組,每組各40例。治療組(熱敏灸組)和對照組(普通艾灸組)均用同種方法進(jìn)行熱敏腧穴的探查和記錄。熱敏灸組用已探查到的熱敏穴位進(jìn)行熱敏灸治療,40min/次,每天1次,6天為一療程,共治療1個(gè)療程。普通艾灸組于兩個(gè)熱敏穴位+其他熱敏穴位旁開2cm的位置施以溫和懸灸療法,40min/次,每天1次,6天為一療程,共治療1個(gè)療程。兩組病例均分別在治療前、治療后、3月后填寫鼻結(jié)膜炎生活質(zhì)量量表、癥狀體征評分量表、視覺模擬評估量表。根據(jù)這三個(gè)量表的評分結(jié)果進(jìn)行分析比較得出最終結(jié)論。結(jié)果：1.生活質(zhì)量7個(gè)維度的改善情況(1)兩組病例分別在治療前和后、治療前和3個(gè)月后隨訪RQLQ的7個(gè)維度及總分組內(nèi)比較結(jié)果顯示差異都具有統(tǒng)計(jì)學(xué)意義(P0.05),說明熱敏灸和普通艾灸均能不同程度的改善AR患者的生活質(zhì)量。(2)兩組病例在治療后RQLQ各維度及總分組間比較結(jié)果顯示在實(shí)際問題、眼部癥狀、情緒等維度組間比較差異均無統(tǒng)計(jì)學(xué)意義(P0.05)；其余4個(gè)維度及RQLQ總分組間比較結(jié)果差異有統(tǒng)計(jì)學(xué)意義(P0.05),說明熱敏灸和普通艾灸在實(shí)際問題、眼部癥狀、情緒等維度上的改善情況沒有差別,但熱敏灸在其余4個(gè)維度上的改善效果優(yōu)于普通艾灸,并且熱敏灸在改善AR患者總體生活質(zhì)量的效果優(yōu)于普通艾灸。(3)兩組病例在3個(gè)月后隨訪RQLQ各維度及總分組間比較結(jié)果顯示在睡眠、實(shí)際問題等2個(gè)維度組間差異無統(tǒng)計(jì)學(xué)意義(P0.05)；其余5個(gè)維度及RQLQ總分組間差異具有統(tǒng)計(jì)學(xué)意義(P0.05)；說明熱敏灸治療后3個(gè)月RQLQ各維度(除睡眠、實(shí)際問題)的改善情況優(yōu)于普通艾灸。2.治療后疾病總體療效及3個(gè)月后隨訪疾病總體療效情況疾病總體療效是根據(jù)治療前后癥狀和體征記分差值的百分比來判定。兩組病例均在治療前基線資料平衡的狀態(tài)下,采用相應(yīng)的統(tǒng)計(jì)學(xué)方法之后：(1)兩組病例在治療后疾病綜合療效情況結(jié)果比較：治療組的總有效率是90%,對照組的總有效率是65%,且差異有統(tǒng)計(jì)學(xué)意義(P0.05)。(2)兩組病例在3個(gè)月之后隨訪疾病綜合療效情況結(jié)果比較：治療組的總有效率是65%,對照組的總有效率是30%,且差異有統(tǒng)計(jì)學(xué)意義(p0.05)。(3)兩組病例治療后與3個(gè)月之后隨訪疾病綜合療效變化情況比較：治療組改善兩級者有0例,改善1級者有1例,不變或加重者有39例；對照組改善兩級者有0例,改善1級者有6例,不變或加重者有34例,且差異有統(tǒng)計(jì)學(xué)意義(P0.05)。3.AR患者的熱敏穴位多出現(xiàn)在陽氣充足的陽經(jīng)及督脈上；本研究記錄應(yīng)用頻次較高的熱敏穴位有：雙迎香、印堂、上星、大椎、雙肺俞、雙脾俞、雙腎俞、百會(huì)、神闕、足三里、合谷、三陰交、涌泉。結(jié)論：1.熱敏灸療法可以提高AR患者的生活質(zhì)量以及能夠減輕其發(fā)作時(shí)的臨床癥狀,該療法安全性較好值得臨床推廣應(yīng)用。2.熱敏灸療法在治療AR時(shí)的短期療效優(yōu)于普通艾灸。
[Abstract]:Objective: To explore the effect of thermosensitive moxibustion therapy on the symptoms and quality of life of patients with allergic rhinitis, and to compare the effect of hot moxibustion and ordinary moxibustion on the treatment of AR, and choose a better treatment method, and explore the regularity of the thermosensitive acupoints in patients with allergic rhinitis. 80 cases of lung spleen deficiency and allergic rhinitis were collected and divided into two groups, 40 cases in each group. The treatment group (heat sensitive moxibustion group) and the control group (ordinary moxibustion group) were used to investigate and record the heat sensitive acupoints with the same method. The thermosensitive moxibustion group was treated with thermosensitive moxibustion with the thermosensitive acupoints detected by the thermal moxibustion group, 40min / times, 1 times a day, 6 days as a course of treatment, a total of 1 courses of treatment. The ordinary moxibustion group was treated with mild moxibustion at the position of two hot points and other heat sensitive acupoints with 2cm, 40min/ times, 1 times a day, 6 days as a course of treatment, and a total of 1 courses of treatment. After treatment, after treatment, after March, the quality of life of nasal conjunctivitis was filled in, and after March, the quality of nose conjunctivitis scale of life was filled in. The symptoms and signs score scale, the visual simulation assessment scale. The results were analyzed and compared according to the results of the three scales. Results: 1. the improvement of 7 dimensions of life quality (1) two groups of cases were before and after treatment respectively, before and 3 months after treatment, the 7 dimensions of RQLQ and the comparison results in the total group showed the difference. There were statistical significance (P0.05), indicating that both the thermal moxibustion and the ordinary moxibustion could improve the quality of life of AR patients in different degrees. (2) the comparison between the two groups of cases in the RQLQ dimensions and the total scores showed that there was no significant difference between the dimensions of the ocular symptoms and the emotions (P0.05), and the other 4 dimensions and RQLQ. The difference between the total scores was statistically significant (P0.05), indicating that the improvement of the heat sensitive moxibustion and ordinary moxibustion had no difference in the actual problems, eye symptoms and emotion, but the effect of the thermosensitive moxibustion on the remaining 4 dimensions was better than that of the ordinary moxibustion, and the effect of thermosensitive moxibustion on improving the overall quality of life of AR patients was better than that of general moxibustion. (3) the two groups of cases were followed up 3 months after the follow-up of the RQLQ dimensions and the total scores showed that there was no statistical difference between the 2 dimensions of sleep and the actual problems (P0.05); the other 5 dimensions and the RQLQ total score were statistically significant (P0.05), and the RQLQ dimensions (except sleep, practice) after the treatment of thermo sensitive moxibustion The improvement of the problem was better than the general therapeutic effect of the common moxibustion.2. after treatment and the overall curative effect of the follow-up disease after 3 months. The overall effect of the disease was determined according to the percentage of the difference between the symptoms and signs before and after treatment. The two groups were all under the balance of baseline data before treatment, and the corresponding statistical methods were adopted. 1) comparison of the comprehensive curative effect of the two groups of cases after treatment: the total effective rate of the treatment group was 90%, the total effective rate of the control group was 65%, and the difference was statistically significant (P0.05). (2) the two group cases were followed up for 3 months after 3 months. The total effective rate of the treatment group was 65% and the total effective rate of the control group was 30%. And the difference was statistically significant (P0.05). (3) compared with the two groups after treatment and 3 months follow-up, the changes in the comprehensive curative effect were compared: 0 cases were improved in the treatment group, 1 in class 1, 1 in 1, 0 in the control group and 0 in the two level, and in the 1 level. The thermosensitive acupoints of P0.05.3.AR patients appeared on the Yang Meridian and Du Meridian with adequate Yang Qi; this study recorded the high frequency of the heat sensitive acupoints: Shuang Ying Xiang, printing hall, upper star, big vertebra, double lung Yu, double Shenshu, double Shenshu, Baihui, Shenque, Zusanli, Hegu, Sanyinjiao, Yongquan. Conclusion: 1. heat sensitive moxibustion therapy can improve AR development The quality of life and the clinical symptoms can be alleviated. The safety of the therapy is well worth the clinical popularization and application of.2. thermosensitive moxibustion therapy in the treatment of AR, the short-term effect is better than the ordinary moxibustion.
【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】：2016
【分類號】：R246.81

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10 黃芳林;變應(yīng)性鼻炎患者血清中IL-13、IL-25的測定及臨床意義[D];吉林大學(xué);2016年

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