通元法治疗慢性疲劳综合征的临床疗效观察

发布时间：2018-10-15 14:31

【摘要】：目的:本研究通过采取随机对照的方法观察通元法治疗慢性疲劳综合征的临床疗效,客观评价通元法治疗慢性疲劳综合征的临床疗效并为其在临床治疗中的应用及推广提供参考依据。方法:本课题选取广州中医药大学第一附属医院针灸科以及广州市萝岗区黄陂医院中医科门诊并符合研究纳入标准且自愿参加本研究的患者70例。随机分为常规针刺组(以下称为对照组)(35例)、通元治疗组(以下称为治疗组)(35例)。对照组采用常规针刺选穴:百会、关元、双脾俞、双肝俞、双肾俞、双足三里、双三阴交。通元组采用常规针刺选穴:印堂、水沟、百会、关元、气海、大椎、双肝俞、双肾俞。每周针刺5次,10次为一疗程,连续治疗2疗程。分别于首次治疗以及末次治疗,治疗结束后1月,应用疲劳评定量表(FAI)、疲劳量表(FS-14)、抑郁自评量表(SDS)、生活质量评价量表(SF-36)进行疗效评价,并根据慢性疲劳综合征各项评分进行整体疗效评估;收集并整理数据后。最后使用SPSS19.0软件进行数据统计分析。结果:本研究所纳入的70例患者,按随机分组方法,分为治疗组及对照组各35例。其中,剔除0人,对照组脱落2人,最终68例患者完成临床观察。共进行了 3次量表数据采集。治疗结束、随访提示:两组方法均能有效的改善FAI、FS-14、躯体疲劳,脑力疲劳、SDS、PF、RP、BP、GH、VT、SF、RE、MH评分。通元组改善躯体疲劳、PF、RP、BP、SF评分上与对照组相近,但通元组在改善FAI、FS-14、脑力疲劳、SDS、GH、MH、RE、VT评分上优于对照组。初步证实,通元组选择通督入络脑,能更好的改善脑力相关性疲劳情况,以及具有更好的一个中期治疗维持效应,为临床上治疗慢性疲劳综合征提供依据。结论:通元法在治疗慢性疲劳综合征的疗效优于普通针刺组,其具有多通路影响、多机制并行、整体调节、无明显不良反应的优点。因此运用通元针法治疗CFS在无不良反应的基础上,不需要使用更多的特需装备,能取得较其余疗法更优的效果,值得在临床上推广和应用。
[Abstract]:Objective: to observe the clinical effect of Tongyuan method in the treatment of chronic fatigue syndrome. Objective to evaluate the clinical efficacy of Tongyuan method in the treatment of chronic fatigue syndrome and to provide reference for its application and popularization in clinical treatment. Methods: 70 patients from the Department of Acupuncture and moxibustion of the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine and the Department of traditional Chinese Medicine of Huangpi Hospital of Luogang District of Guangzhou were selected. They were randomly divided into routine acupuncture group (control group) (35 cases) and Tongyuan treatment group (35 cases). The control group was treated with routine acupuncture: Baihui, Guan Yuan, Shuangpi Yu, Shuangganshu, Shuangshenshu, ShuangZusanli and ShuangSanyinjiao. Tongyuan group was treated with conventional acupuncture: Yantang, Shuigou, Baihui, Guanyuan, Qihai, Dazhui, Shuangganshu, Shuangshenshu. Acupuncture 5 times a week, 10 times as a course of treatment, continuous treatment for 2 courses. One month after the first treatment and the last treatment, the efficacy was evaluated with (FAI), fatigue scale (FS-14) and self-rating depression scale (SDS), quality of life (SF-36). And according to the chronic fatigue syndrome scores to evaluate the overall efficacy; collect and collate the data. Finally, SPSS19.0 software is used for statistical analysis. Results: 70 patients were randomly divided into treatment group (n = 35) and control group (n = 35). Among them, 0 cases were eliminated, 2 cases were lost in the control group, and 68 cases completed the clinical observation. A total of 3 times of scale data collection. At the end of the treatment, follow-up showed that both groups could effectively improve FAI,FS-14, physical fatigue, mental fatigue and SDS,PF,RP,BP,GH,VT,SF,RE,MH score. The PF,RP,BP,SF score of Tongyuan group was similar to that of control group, but the SDS,GH,MH,RE,VT score of Tongyuan group was superior to that of control group in improving FAI,FS-14, mental fatigue. It was preliminarily confirmed that the selection of Tongyuan group into the collaterals can improve the mental fatigue and maintain the treatment in the medium term, and provide the basis for the clinical treatment of chronic fatigue syndrome. Conclusion: Tongyuan method is superior to common acupuncture group in the treatment of chronic fatigue syndrome. It has the advantages of multi-pathway effect, multi-mechanism parallel, global regulation and no obvious adverse reactions. Therefore, the use of Tongyuan acupuncture in the treatment of CFS on the basis of no adverse reactions, do not need to use more special equipment, can achieve better results than the other treatments, it is worth in clinical promotion and application.
【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：2272846