神阙隔药灸对阳虚质人群的干预效果观察

doi:10.3760/cma.j.issn.1007-1245.2022.16.029

摘要/Abstract

摘要： 目的　观察评价分析神阙隔药灸对阳虚质人群的临床效果。方法　选择2019年7月至2021年12月期间广州市增城区中医院治未病科门诊最终全部完成本次临床研究的阳虚质志愿者60例作为研究对象，按照阳虚质志愿者门诊先后顺序，采用随机数字表法分为两组。对照组30例中男12例，女18例，年龄（42.36±10.94）岁，采取神阙隔盐灸治疗；观察组30例中男11例，女19例，年龄（41.86±10.54）岁，应用神阙隔药灸治疗。比较两组治疗前后转化分数及治疗效果。统计学方法采用t检验、χ²检验。结果　60名受试者均顺利完整地完成了治疗疗程。观察组志愿者治疗后转化分数<30分非阳虚质者比例明显高于对照组［36.67%（11/30）比6.67%（2/30）］，差异有统计学意义（χ²=7.954 2，P=0.001 3）；观察组治疗后转化分数≥40分阳虚质者比例少于对照组［30.00%（9/30）比73.33%（22/30）］，差异有统计学意义（χ²=11.279 2，P=0.001 0）。观察组与对照组治疗后转化分数较治疗前均显著下降，差异均有统计学意义（t=13.291 4、7.081 5，均P<0.000 1）；而观察组治疗后转化分数低于对照组［（36.82±10.76）分比（47.75±11.76）分］，差异有统计学意义（t=3.755 8，P=0.000 4）。治疗3个疗程后，观察组的总有效率明显高于对照组［93.33%（28/30）比40.00%（12/30）］，差异有统计学意义（χ²=19.200 0，P=0.001 5）。结论　神阙隔药灸治疗方法可以明显地改善阳虚质人群，提高临床疗效，为临床治疗阳虚质人群提供了一种新的治疗思路和有效的治疗方法。

关键词: 阳虚质, 神阙隔药灸, 神阙隔盐灸, 临床效果

Abstract: Objective　To observe, evaluate, and analyze the clinical effect of herb-partitioned moxibustion at the Shenque acupoint on people with yang deficiency. Methods　From July 2019 to December 2021, 60 volunteers with yang-deficiency who finally completed the clinical study in the outpatient department of pre-treatment of Zengcheng Hospital of Traditional Chinese Medicine were selected as the research objects. The volunteers were divided into two groups according to the sequence of outpatient clinics with the random number table method. The control group consisted of 30 cases, 12 males and 18 females, aged (42.36±10.94) years; the observation group consisted of 30 cases, 11 males and 19 females, aged (41.86±10.54) years. The control group was treated with salt-partitioned moxibustion at the Shenque acupoint, and the observation group was treated with herb-partitioned moxibustion at the Shenque acupoint. The conversion scores before and after treatment and treatment effect were compared between the two groups. t test and χ² test were used for statistical analysis. Results　All 60 subjects completed the course of treatment successfully and completely. After treatment, the proportion of patients with non-yang-deficiency constitution and conversion score <30 points in the observation group was significantly higher than that in the control group [36.67% (11/30) vs. 6.67% (2/30)], with a statistically significant difference (χ²=7.954 2, P=0.001 3); the proportion of patients with yang-deficiency constitution and conversion score ≥40 points in the observation group was lower than that in the control group [30.00% (9/30) vs. 73.33% (22/30)], with a statistically significant difference (χ²=11.279 2, P=0.001 0). The conversion scores of the observation group and the control group after treatment were significantly lower than those before treatment, with statistically significant differences (t=13.291 4 and 7.081 5; both P<0.000 1); after treatment, the conversion score of the observation group was lower than that of the control group [(36.82±10.76) points vs. (47.75±11.76) points], with a statistically significant difference (t=3.755 8, P=0.000 4). After 3 courses of treatment, the total effective rate of the observation group was significantly higher than that of the control group [93.33% (28/30) vs. 40.00% (12/30)], with a statistically significant difference (χ²=19.200 0, P=0.001 5). Conclusion　Herb-partitioned moxibustion at the Shenque acupoint can significantly improve people with yang deficiency and the clinical efficacy, which provides a new treatment idea and an effective treatment method for the clinical treatment of people with yang deficiency.

Key words: Yang deficiency, Herb-partitioned moxibustion at the Shenque acupoint, Salt-partitioned moxibustion at the Shenque acupoint, Clinical effect

单醒瑜赖舒婷. 神阙隔药灸对阳虚质人群的干预效果观察[J]. 国际医药卫生导报, 2022, 28(16): 2343-2346.

Shan Xingyu, Lai Shuting. Observation on the intervention effect of herb-partitioned moxibustion at the Shenque acupoint on people with yang deficiency[J]. International Medicine and Health Guidance News, 2022, 28(16): 2343-2346.

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