针刺背俞穴配合中医汤药治疗慢性疲劳综合征临床疗效

Curative Effect of Acupuncture at Back-Shu Points Combined with TCM Decoction in Treatment of Chronic Fatigue Syndrome

目的探讨针刺背俞穴配合中医汤药治疗慢性疲劳综合征疗效观察。方法选取2019年10月—2021年3月在医院就诊的肝郁脾虚型慢性疲劳综合征患者129例,采用随机数字表法将其分为针刺背俞穴配合解郁健脾通经汤的治疗组(n=43例),普通针刺治疗的对照组A(n=43例),逍遥散治疗的对照组B(n=43例),比较3组患者治疗前后中医证候积分、疲劳症状积分、不良反应、临床疗效及生活质量评分。结果治疗1个月后3组患者的临床症状均有所改善,治疗组的中医证候积分、疲劳症状积分明显低于对照组A和对照组B(P<0.05);治疗组的总有效率为86.05%(37/43)显著高于对照组A 53.49%(23/43)和对照组B 60.47%(26/43)(P<0.05);3组患者治疗过程中均未出现明显不良反应;治疗后治疗组的生活质量评分显著高于对照组A和对照组B(P<0.05)。结论针刺背俞穴配合解郁健脾通经汤治疗肝郁脾虚型慢性疲劳综合征患者可显著改善患者的疲劳症状和中医证候,疗效确切,不良反应发生率低,有助于患者早日康复,生活质量更高,值得临床推广。

Objective To explore the curative effect of acupuncture at back-Shu points combined with TCM decoction in the treatment of chronic fatigue syndrome.Methods A total of 129 patients with chronic fatigue syndrome of liver stagnation and spleen deficiency treated in the hospital from October 2019 to March 2021 were enrolled in the study.Using random number table method,they were divided into treatment group[n=43,acupuncture at back-Shu points combined with Jieyu Jianpi Tongjing Decoction(解郁健脾通经汤)],control group A(n=43,common acupuncture)and control group B[n=43,Xiaoyao Powder(逍遥散)].The TCM symptom scores,fatigue scores,adverse reactions,clinical effects and quality of life scores were compared among the three groups.Results After 1 month of treatment,the clinical symptoms of the three groups were improved.The TCM symptom scores and fatigue scores of the treatment group were significantly lower than those of control group A and control group B(P<0.05).The total response rate in the treatment group was 86.05%,significantly higher than 53.49%in control group A and 60.47%in control group B(P<0.05).No significant adverse reactions were observed in the three groups during treatment.After treatment,quality of life scores of the treatment group were significantly higher than those of control group A and control group B(P<0.05).Conclusion Acupuncture at back-Shu points combined with Jieyu Jianpi Tongjing Decoction can significantly improve fatigue symptoms and TCM syndromes in patients with chronic fatigue syndrome of liver stagnation and spleen deficiency,with obvious curative effect and a low incidence of adverse reactions.Besides,it is conductive to the patients'early recovery and improvement of quality of life.