“靳三针”调神针法治疗慢性疲劳综合征的临床研究

发布时间：2018-01-14 21:30

  本文关键词：“靳三针”调神针法治疗慢性疲劳综合征的临床研究　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

  更多相关文章： 靳三针 调神针法 慢性疲劳综合征

【摘要】：目的:慢性疲劳综合征是一组不明原因,持续反复性发作的疲劳状态,常伴随着发热、四肢关节酸痛、注意力不集中、焦虑抑郁等症状,不断影响着人民生活工作。针灸作为治疗慢性疲劳综合征的一种有效的方法,其在调整慢性疲劳综合征的疲劳状态和伴随症状表现出良好的疗效,深受医家的认可。"靳三针"是岭南针灸学派中代表,常用于治疗各科疾病,在情志方面尤其擅长,调神针法为治疗情志方面的主要手法之一,常用于治疗焦虑、抑郁、注意力不集中等。本研究通过观察"靳三针"调神针法治疗慢性疲劳综合征患者的临床疗效,探讨其治疗效果,为临床针灸治疗慢性疲劳综合征提供有效临床依据。方法:将符合诊断标准的60例慢性疲劳综合征患者按简单随机分组,分成对照组和治疗组,每组30例。对照组予常规针刺穴组:百会、关元、足三里、三阴交、太冲,予常规针刺手法,治疗30分钟。治疗组予针刺四神针、定神针(印堂、阳白)、手智针(神门、劳宫、内关)、合谷、太冲,快速破皮,缓慢进针,飞法行针。每次治疗留针30分钟,头部穴位留针,手足穴位每10分钟行手法1次,运用导气同精法行针。两组均一周治疗3次,隔日一次,治疗3周。治疗前后用疲劳量表(FS-14)进行评分,治疗后按照总体疗效判定标准进行评分,对两组患者治疗前后各项临床数据进行对比,进行数据整理与统计学分析。结果:1.治疗前,两组患者一般资料(性别、年龄、病程)的比较,差别无统计学意义(P0.05);两组的疲劳量表总评分、躯体疲劳评分、脑力疲劳评分比较,差异均无统计学意义(P0.05)。故可认为两组治疗前的基线资料无明显差异,具有可比性。2.两组治疗后疲劳量表总评分、躯体疲劳评分、脑力疲劳评分与治疗前比较,差异具有统计学意义(P0.05),说明两组均能有效改善患者疲劳量表总评分、躯体疲劳评分、脑力疲劳评分;两组治疗后疲劳量表总评分、脑力疲劳评分和治疗前后差值比较,差异具有统计学意义(P0.05),说明治疗组改善疲劳量表总评分、脑力疲劳评分优于对照组。两组治疗后躯体疲劳评分和治疗前后差值比较,差异无统计学意义(P0.05),说明两组改善躯体疲劳评分无显著性差异。临床疗效方面,治疗组治愈6例,显效8例,有效9例,无效7例,总有效率76.7%;对照组治愈3例,显效6例,有效10例,无效11例,总有效率63.3%,差异具有统计学意义(P0.05),说明治疗组优于对照组。结论:"靳三针"调神针法对改善慢性疲劳综合征有明显疗效,在疲劳量表总评分与脑力疲劳评分改善方面优于常规针刺;躯体疲劳评分改善方面与常规针刺无显著性差异。
[Abstract]:Objective: chronic fatigue syndrome is a group of unknown causes, persistent repeated attacks of fatigue state, often accompanied by fever, limb joint pain, attention loss, anxiety and depression and other symptoms. As an effective method to treat chronic fatigue syndrome, acupuncture and moxibustion has a good effect in adjusting the fatigue state and accompanying symptoms of chronic fatigue syndrome. "Jin three needles" is a representative of Lingnan acupuncture and moxibustion school, which is often used to treat all kinds of diseases, especially good at emotion. The method of regulating the mind and acupuncture is one of the main methods of treating emotion. This study is often used to treat anxiety, depression, attention loss and so on. In this study, we observed the clinical effect of Jin three Needles in treating patients with chronic fatigue syndrome, and discussed the therapeutic effect of Jin three Needles on patients with chronic fatigue syndrome. Methods: 60 patients with chronic fatigue syndrome who met the diagnostic criteria were randomly divided into two groups: control group and treatment group. There were 30 cases in each group. The control group was treated with routine acupuncture points: Baihui, Guan Yuan, Zusanli, Sanyinjiao, Taichong, treated with routine acupuncture manipulation for 30 minutes. Hand wisdom acupuncture (Shenmen, Laogong, Neiguan, Hegu, Taichung, fast skin break, slow needle, flying method needle. 30 minutes of treatment, head acupoint, hand foot acupoints every 10 minutes of manipulation. The two groups were treated 3 times a week, once every other day for 3 weeks. Before and after treatment, FS-14 was used to score the patients. The two groups of patients before and after treatment of clinical data were compared, data collation and statistical analysis. Results: 1. Before treatment, the two groups of patients general data (sex, age, course of disease) comparison. The difference was not statistically significant (P 0.05). There was no significant difference in total score, physical fatigue score and mental fatigue score between the two groups (P 0.05). Therefore, there was no significant difference in baseline data before treatment between the two groups. The total score, physical fatigue score and mental fatigue score of the two groups after treatment were significantly different from those before treatment (P 0.05). The results showed that both groups could effectively improve the total score, physical fatigue score and mental fatigue score of patients with fatigue scale. The total score of fatigue scale, mental fatigue score and difference before and after treatment were significantly different between the two groups (P 0.05), indicating that the treatment group improved the total score of fatigue scale. The scores of mental fatigue were better than those of the control group. There was no significant difference between the two groups in the scores of body fatigue after treatment and the difference before and after treatment (P 0.05). There was no significant difference between the two groups in improving somatic fatigue score. In the treatment group, 6 cases were cured, 8 cases were markedly effective, 9 cases were effective, 7 cases were ineffective, and the total effective rate was 76. 7%. In the control group, 3 cases were cured, 6 cases were markedly effective, 10 cases were effective, 11 cases were ineffective, and the total effective rate was 63.3% (P 0.05). Conclusion: "Jin San Jing" method of regulating the mind has obvious effect on improving chronic fatigue syndrome, and it is superior to the routine acupuncture in improving the total score of fatigue scale and the score of mental fatigue. There was no significant difference between the improvement of body fatigue score and that of routine acupuncture.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.9
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本文编号：1425415