不同留针时间对风寒感冒的临床疗效对照-针灸推拿学专业论文.docxVIP

成都中医药大学研究生论文 成都中医药大学研究生论文 中文摘要 目的：观察同一针灸方法，分别以留针 30 分钟和留针 15 分钟治疗风寒感 冒的临床疗效的差异,为临床针灸治疗风寒感冒选择留针时间的长短提供参考。 方法：采用随机、对照的临床研究方法，将60名患者分成30分钟组和15 分钟组。两组均每天治疗1次，连续治疗3天。诊断标准采用2002年中国医药科 技出版社《中药新药临床研究指导原则》中“风寒感冒”的证侯诊断标准，治疗 前后的疗效评定标准分别参照上述原则中的证侯分级评分表及自制患者主观感 觉程度表进行疗效评定。 结果：60 例患者中 57 例完成治疗过程，脱落 1 例，剔除 2 例；治疗结束 后第一天 57 例完成随访。经过连续 3 天的治疗，30 分钟组总有效率 93.10%，治 愈率 31.03%。15 分钟组总有效率 89.28 %，治愈率 21.43%。两组病例自身治疗 前、后的比较，证侯评分及主观感觉都有统计学差异，P0.05。两组间比较，在 证侯评分及主观感觉的改善上均无统计学差异，P0.05。 结论：留针 30 分钟和留针 15 分钟在治疗风寒感冒的临床疗效上没有统计 学差异，但就总有效率及治愈率来说，在治疗风寒感冒的疗效上，留针 30 分钟 较留针 15 分钟为好，这也为针灸临床医生在治疗风寒感冒时选择更有效的留针 时间提供了一定的参考依据。 关键词：风寒感冒；临床研究；不同留针时间 ABSTRACT Objective: To observe the differences of clinical efficacy in treating wind-cold induced common cold with needles retained for 15 minutes and 30 minutes under the same needling method. To provide reference for choosing a preferable period of needle retaining time in treating wind-cold induced common cold with acupuncture. Method: Based on the randomized and controlled clinical research method, a total of 60 patients were respectively divided into 15-minute group and 30-minute group. Each group had treatment once a day for 3 consecutive days. The diagnosis criteria is based on symptomatic diagnosis standards of common cold in guiding principles for clinical research on new Chinese material medicines by Chinese medicine and technology publishing house in 2002. The pretreated and post treated efficacy evaluation was made based on the symptom rating score sheet from the above principles and with a homemade symptom checklist. Result: Fifty-seven in sixty cases have finished the whole course of treatment, with one case falling off and two eliminated. And fifty-seven cases have completed follow-up the next day. After three consecutive days of treatment, the total effective rate and the cure rate of 30-minute group are 93.10% and 31.03% respectively and that of 15-minute group are 89.28% and 21.43% respectively. Self control of both groups before and after the trea