| 引用本文: |
刘红华,刘迈兰,钟欢,刘密,欧阳里知,曹佳男,常小荣,谢辉.隔姜灸治疗虚寒型功能性腹泻的临床研究[J].湖南中医药大学学报,2020,40(9):1065-1069[点击复制] |
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| 隔姜灸治疗虚寒型功能性腹泻的临床研究 |
| 刘红华,刘迈兰,钟欢,刘密,欧阳里知,曹佳男,常小荣,谢辉 |
| (湖南中医药大学针灸推拿学院, 湖南 长沙 410208;湖南中医药大学护理学院, 湖南 长沙 410208;湖南中医药大学针灸推拿学院, 湖南 长沙 410208;浏阳市中医医院, 湖南 浏阳 410300;郴州市第一人民医院西院, 湖南 郴州 423000) |
| 摘要: |
| 目的 观察隔姜灸对虚寒型功能性腹泻（functional diarrhea，FD）患者的临床疗效。方法 将60例虚寒型FD患者随机分为隔姜灸组与中药组，隔姜灸组给予隔姜灸，中药组给予参苓白术散汤剂加减，持续治疗2个疗程，观察并比较两组患者治疗结束总体疗效，以及患者治疗第7天、治疗第14天与治疗后第14天腹泻临床症状积分和大便性状积分。结果 治疗结束时隔姜灸组愈显率48%，中药组22.72%，两组间差异具有统计学意义（P<0.05）；隔姜灸组总有效率84.00%、中药组72.73%，两组间差异无统计学意义（P>0.05）。与治疗前比较，隔姜灸组、中药组治疗第7天、第14天及治疗后第14天的腹泻临床症状总积分、大便性状积分降低，差异均有统计学意义（P<0.01）；两组间比较，各时间点腹泻临床症状总积分、大便性状总积分差异均无统计学意义（P>0.05）。结论 隔姜灸能够温补中阳，健脾和胃，治疗虚寒型FD疗效确切，具有“以温达补”效应。 |
| 关键词: 虚寒型功能性腹泻 艾灸 温补 隔姜灸 |
| DOI：10.3969/j.issn.1674-070X.2020.09.004 |
| 投稿时间：2020-05-09 |
| 基金项目:国家重点基础研究发展计划（973计划）项目（2015CB554502）；国家自然科学基金项目（81674084）；国家中医药管理局全国名老中医药专家传承工作室项目（国中医药人教函〔2019〕41号）；湖南省自然科学基金项目（2018JJ2295）；湖南省高校创新平台开放基金项目（18K066）。 |
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| Clinical Study on Ginger Moxibustion in the Treatment of Patients with Functional Diarrhea of Deficiency Cold Syndrome |
| LIU Honghua,LIU Mailan,ZHONG Huan,LIU Mi,OUYANG Lizhi,CAO Jianan,CHANG Xiaorong,XIE Hui |
| (College of Acupuncture-Moxibustion and Tuina, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;School of Nursing, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;College of Acupuncture-Moxibustion and Tuina, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Liuyang Hospital of Chinese Medicine, Liuyang, Hunan 410300, China;West Hospital of Chenzhou First People's Hospital, Chenzhou, Hunan 423000, China) |
| Abstract: |
| Objective To investigate the clinical effect of ginger moxibustion on the patients with the functional diarrhea（FD） of deficiency-cold syndrome. Method A total of 60 cases with the FD of deficiency-cold syndrome were randomly divided into a ginger moxibustion group and a Chinese materia medica group. The ginger moxibustion group was treated with the ginger moxibustion, and the Chinese materia medica group was treated with modified Shenling Baizhu Decoction for 2 courses of continuous treatment. The total efficacy score of the 2 groups after treatment, and the score of clinical symptoms of diarrhea and stool character score on day 7, day 14, and after day 14 were observed and compared. Results At the end of the treatment, the improvement rate was 48% and 22.72% respectively in the ginger moxibustion group and the Chinese materia medica group, and the difference was statistically significant (P<0.05). The total effective rate was 84.00% and 72.73% respectively in the ginger moxibustion group and the Chinese materia medica group, and the difference was not statistically insignificant (P>0.05). Compared with before treatment, the total scores of clinical symptoms of diarrhea and the scores of stool traits in the ginger moxibustion group and the Chinese materia medica group decreased on day 7, day 14, and day 14 of follow-up after treatment, and the differences were statistically significant (P<0.01); In comparison between groups, there was no significant difference in the total scores of diarrhea clinical symptoms and stool traits at each time point (P>0.05). Conclusion Ginger moxibustion can warm and supplement spleen Yang, and invigorate spleen and harmonize stomach, which has certain clinical efficacy in treating FD of deficiency-cold syndrome, with effect of “supplementing by warming”. |
| Key words: functional diarrhea of deficiency-cold syndrome moxibustion warming and supplementing ginger moxibustion |
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