首页|中药凝胶贴膏四时序贯贴敷法改善阳虚体质的随机对照研究

中药凝胶贴膏四时序贯贴敷法改善阳虚体质的随机对照研究

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目的:观察中药凝胶贴膏四时序贯贴敷疗法改善阳虚体质的临床疗效,探究穴位贴敷改善阳虚体质的最佳剂型和干预时间。方法:研究对象为北京中医药大学深圳医院(龙岗)门诊和龙岗区 19 家社康中心门诊 2022 年7月至2022年8月的360例阳虚患者,按随机数字表法分为四季凝胶组146例、四季常规组73例、冬夏凝胶组79例和冬夏常规组 62 例。四季凝胶组采用中药凝胶贴膏配合四时序贯疗法,四季常规组采用常规敷料配合四时序贯疗法贴敷,冬夏凝胶组采用中药凝胶贴膏在三伏、三九两个时间段贴敷,冬夏常规组采用常规敷料在三伏、三九两个时间段贴敷。分别于治疗前、末次治疗后观察患者的阳虚质量表转化分、中医证候积分及生活质量评价量表(SF-36)评分等,并进行疗效评估。结果:四季凝胶组患者总有效率显著高于其他三组,差异具有统计学意义(P<0。05);四组患者治疗后中医证候积分均较治疗前有明显下降,且冬夏常规组治疗后中医证候积分明显高于其他三组,差异具有统计学意义(P<0。05);四组患者治疗后健康调查简表(SF-36)评分均较治疗前有明显提高,差异具有统计学意义(P<0。05);四组患者治疗后SF-36 评分比较,差异无统计学意义(P>0。05)。结论:中药凝胶贴膏配合四时序贯疗法改善阳虚体质疗效显著,并可有效改善症状,提高生活质量,有助于实现全民大健康。
Randomized Controlled Study on the Use of Traditional Chinese Medicine Gel Patches with Sequential Application in Four Seasons to Improve Yang-Deficiency Constitution
Objective To observe the clinical efficacy of traditional Chinese medicine gel patches with sequential application in four seasons in improving the yang-deficiency constitution,and to explore the optimal dosage form and intervention time for acupoint application to improve the yang-deficiency constitution.Methods The study subjects were 360 patients with yang-deficiency from the outpatient department of Beijing University of Chinese Medicine Shenzhen Hospital(Longgang)and 19 Community Health Centers in Longgang District from July 2022 to August 2022.They were randomly divided into four groups:the Four Seasons Gel Group with 146 cases,the four seasons conventional group with 73 cases,the winter-summer gel group with 79 cases,and the winter-summer conventional group with 62 cases.The four seasons gel group used traditional Chinese medicine gel patches combined with the sequential therapy in four seasons,the four seasons conventional group used conventional dressings combined with the sequential therapy,the winter-summer gel group used traditional Chinese medicine gel patches during the"Sanfu"and"Sanjiu"periods,and the winter-summer conventional group used conventional dressings during the same periods.The patients'yang-deficiency quality scale conversion score,traditional Chinese medicine symptom score,and health survey short form 36 questionair(SF-36)score were observed before treatment and after the last treatment,and the efficacy was evaluated.Results The total effective rate in the four seasons gel group was significantly higher than that of the other three groups,with a statistically significant difference(P<0.05);the traditional Chinese medicine symptom scores in all four groups were significantly reduced after treatment compared to before,and the score in the winter-summer conventional group was significantly higher than that of other three groups after treatment,with statistically significant differences(P<0.05);the SF-36 scores in all four groups were significantly improved after treatment compared to before,with statistically significant differences(P<0.05);there was no statistically significant difference in SF-36 scores among the four groups after treatment(P>0.05).Conclusion Traditional Chinese medicine gel patches combined with sequential therapy in four seasons significantly improve the yang-deficiency constitution,effectively alleviate symptoms,and enhance the quality of life,contributing to the realization of comprehensive health for all.

Yang-Deficiency constitutionAcupoint applicationTreatment according to seasonGel patches

徐良玉、王丽杰、伍少敏、李平、吴昊、刘爔、张国辉、廖思、李芳莉

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深圳市龙岗区社区健康服务管理中心,广东 深圳 518100

北京中医药大学深圳医院(龙岗),广东 深圳 518100

阳虚体质 穴位贴敷 因时制宜 凝胶贴膏

深圳市龙岗区医疗卫生科技计划项目

LGWJ2021-138

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(16)