点刺四缝穴与捏脊疗法治疗疳证疗效对照研究_论文

·1110· Shanghai J Acu-mox, Dec 2014, Vol 33, No 12

文章编号:1005-0957(2014)12-1110-04

·临床研究·

点刺四缝穴与捏脊疗法治疗疳证疗效对照研究

杨如杏,艾宙

(1.广州中医药大学第二临床医学院,广州 510000;2.广东省中医院珠海医院,广州 519015)

【摘要】 目的 比较点刺四缝穴法、捏脊法、点刺四缝穴配合捏脊法治疗疳证的疗效差异。方法 采取简单随机方法,将96例患者分为点刺组(32例)、捏脊组(32例)、联合组(32例)。治疗1个月为1个疗程。3组患者分别于治疗前和治疗1个疗程后采用症候积分量表评分,结合中医症状疗效标准评定疗效。结果 各组治疗后症状总积分皆较治疗前明显低(P＜0.01),提示3组均有效;3组治疗后症状总积分经方差分析两两比较,联合组治疗后症状总积分较点刺组、捏脊组降低(P＜0.05)。3组治疗方案对患者体重、身高的改善均无统计学差异(P＞0.05);而对于食欲、精神、睡眠、多汗、感染、大便失调、腹胀、头发光泽度症状均有明显改善,差异有统计学意义(P＜0.01)。点刺组愈显率为51.6%,捏脊组为48.4%,联合组为77.4%;联合组与点刺组、捏脊组经两两比较临床疗效差异有统计学意义(P＜0.05),说明联合组临床疗效优于点刺组及捏脊组。结论 点刺四缝穴、捏脊及二者联合3种治疗方案均能明显改善疳证的临床症状,二者联合法的临床疗效明显优于单纯采用点刺四缝穴法和捏脊法。 【关键词】 穴,四缝;点刺;捏脊;疳证

【中图分类号】 R246.4 【文献标志码】 A DOI:10.13460/j.issn.1005-0957.2014.12.1110

Control Study on Pricking Sifeng (EX-UE10) plus Spine Pinching for Infantile Dyspepsia YANG Ru-xing1, AI Zhou2. 1.The Second Clinical Medicine School of Guangzhou University of Chinese Medicine, Guangzhou 510000, China; 2.Zhuhai Hospital, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 519015, China

[Abstract] Objective To compare the therapeutic efficacies of pricking Sifeng (EX-UE10), spine pinching, and the combination of pricking Sifeng and spine pinching in treating infantile dyspepsia. Method By simple randomization, ninety-six patients were divided into a pricking group (n=32), a spine pinching group (n=32), and a combination group (n=32). One-month treatment was considered as a course. Before treatment and after 1 treatment course, the 3 groups were evaluated by symptom scale and the criteria of symptom and therapeutic efficacy of traditional Chinese medicine to determine the therapeutic efficacy. Result The total symptom score decreased significantly in the three groups after treatment (P＜0.01), indicating that the three treatment protocols were all effective; according to the paired comparison of the post-treatment total symptom score by using Chi-square test, the score of the combination group was significantly lower than that of the other two groups (P＜0.05). The improvement of body weight and height was statistically insignificant in the three groups (P＞0.05); while the improvements of appetite, vitality, sleep, hyperidrosis, infection, irregular defecation, abdominal bloating, and hair glossiness were statistically significant in the three groups (P＜0.01). The recovery and markedly-effective rate was 51.6% in the pricking group, 48.4% in the spine pinching group, and 77.4% in the combination group; the therapeutic efficacy of the combination group was significantly higher than that of the other two groups (P＜0.05). Conclusion The three treatment protocols, i.e. pricking Sifeng, spine pinching, and the combination of the two methods, all can effectively improve the symptoms of infantile dyspepsia, while the therapeutic efficacy of the combination protocol is superior to the two methods used separately. [Key words] Point, Sifeng (EX-UE10); Pricking; Chiropractics (TCM); Infantile dyspepsia

1

2

疳证是以喂养不当,或因多种疾病的影响,使脾胃受损、气液耗伤,而致全身虚弱羸瘦、面黄发枯、精神萎靡或烦躁、饮食异常、大便失常等为主要特征一种病证。西医对本病尚无针对性治疗,中医治疗本病有较好的优势。点刺四缝穴及捏脊在疳证治疗中沿用已久,疗效显著,且价廉方便易行,又无副反应,成为一种普遍认可的疗法。笔者将2012年7月至2012年12月就诊于广东省中医院珠海医院针灸科的疳证患者作为研究对象,随机分为点刺组、捏脊组、联合组,比较不同治疗方案疗效的差异,现报

作者简介:杨如杏(1985 - ),女,2010级硕士生 通信作者:艾宙(1965 - ),女,主任医师

[1]

道如下。

1 临床资料 1.1 一般资料

本研究病例来源为广东省中医院珠海医院针灸科门诊,收集符合纳入标准的患者共96例,按照首次来诊的先后顺序,患者家属在签署知情同意书并同意参加本研究后,采取简单随机化方法,根据样本含量,利用SPSS软件包制作随机数字表,制备随机信封。按就诊顺序拆开信封,按照信封的随机号将患者分为3组。按照随机分配方案被分配到3个组中进行治疗,每组32例。研究期间每组各脱落1例,

百度搜索“77cn”或“免费范文网”即可找到本站免费阅读全部范文。收藏本站方便下次阅读，免费范文网，提供经典小说综合文库点刺四缝穴与捏脊疗法治疗疳证疗效对照研究_论文在线全文阅读。