| 邓亮,张元维,沈录峰,肖泽埠,曾纪焕,余婷,肖强.热敏灸治疗胸腰椎骨折后腹胀便秘的临床疗效观察及其腧穴敏化规律研究[J].实用中西医结合临床,2020,20(15): |
| 热敏灸治疗胸腰椎骨折后腹胀便秘的临床疗效观察及其腧穴敏化规律研究 |
| Clinical observation on the therapeutic effect of heat sensitive moxibustion on abdominal distention and constipation after thoracolumbar fracture and Study on the law of acupoint sensitization |
| 投稿时间：2020-06-09 修订日期：2020-07-17 |
| DOI： |
| 中文关键词: 热敏灸 胸腰椎骨折 腹胀 便秘 腧穴敏化 |
| 英文关键词: Heat sensitive moxibustion thoracolumbar fracture abdominal distension constipation acupoint sensitization |
| 基金项目:江西省中医药科研课题(编号：2019A141) |
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| 中文摘要: |
| 目的：观察分析热敏灸治疗胸腰椎骨折后腹胀、便秘的临床疗效，并研究其相关的腧穴敏化规律。方法：选取2017年1月至2018年12月在我院确诊为胸腰椎骨折后腹胀、便秘症状的63例患者作为研究对象，并分别记录每例患者的年龄、性别及伤后天数。按照治疗方案不同，将接受一般治疗联合热敏灸治疗的患者列入观察组共32例，将仅接受一般治疗的患者列入对照组共31例，对两组患者的临床疗效进行观察分析，并进一步分析其相关的腧穴敏化规律。结果：观察组患者腹胀、便秘症状缓解的总有效率为87.50%，与对照组患者的总有效率（67.74%）相比，差异具有统计学意义（P＜0.05）。热敏灸治疗后观察组内患者的热敏腧穴主要分布在10个腧穴上，根据其分布频率依次为中脘、足三里、天枢、关元、气海、神阙、通便、大横、大巨、归来。同时，观察组内患者的热敏灸感以传热灸感为主，扩热灸感次之，而透热、非热觉、表面不（微）热深部热、局部不（微）热远部热等灸感依次分布其后，且非热觉灸感主要表现为痒感。结论：热敏灸治疗胸腰椎骨折后腹胀、便秘的临床疗效显著，且兼具操作便携、安全可靠、成本低廉、无毒副作用等优势。其次，在进一步探明热敏灸治疗胸腰椎骨折后腹胀、便秘的腧穴敏化规律后，可进一步提升可提升探查热敏腧穴的效率及临床疗效，值得临床推广应用。 |
| 英文摘要: |
| Objective: To observe and analyze the clinical effect of heat sensitive moxibustion on abdominal distension and constipation after thoracolumbar fracture, and study the related acupoint sensitization rules. Methods: 63 patients with abdominal distension and constipation after thoracolumbar fracture in our hospital from January 2017 to December 2018 were selected as the research objects, and the age, gender and days after injury of each patient were recorded. According to different treatment schemes, 32 patients who received general treatment combined with heat sensitive moxibustion were included in the observation group, and 31 patients only received general treatment were included in the control group. The clinical efficacy of the two groups was observed and analyzed, and the relevant acupoint sensitization rules were further analyzed. Results: the total effective rate of abdominal distension and constipation in the observation group was 87.50%, which was significantly different from that in the control group (67.74%) (P < 0.05). After heat sensitive moxibustion treatment, the heat sensitive acupoints of patients in the observation group were mainly distributed on 10 acupoints, according to the distribution frequency, they were Zhongwan, Zusanli, Tianshu, Guanyuan, Qihai, Shenque, Tongbian, Daheng, Daju, and Huihui. At the same time, the heat sensitive moxibustion sensation of patients in the observation group was mainly heat transfer moxibustion, followed by heat expanding moxibustion, while the moxibustion sensations such as diathermy, non thermal sensation, superficial non (micro) deep heat and local non (micro) heat far part heat distributed successively, and the non thermal moxibustion sensation was mainly itchy. Conclusion: the clinical effect of heat sensitive moxibustion on abdominal distension and constipation after thoracolumbar fracture is significant, and it has the advantages of portability, safety, low cost and non-toxic side effects. Secondly, after further exploring the acupoint sensitization rules of heat sensitive moxibustion in the treatment of abdominal distension and constipation after thoracolumbar fracture, it can further improve the efficiency and clinical efficacy of heat sensitive acupoints exploration, which is worthy of clinical application. |
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