节气针灸治疗慢性疲劳综合征的临床研究

Solar-Term Acupuncture and Moxibustion for Chronic Fatigue Syndrome

目的观察评价节气针灸对慢性疲劳综合征的临床疗效。方法将75例慢性疲劳综合征患者随机平均分为节气组、7d组和对照组。节气组、7d组采用自拟针灸处方,节气组在节气当日治疗,7d组在节气后7d治疗,24次为1个疗程。对照组不采用任何治疗。1个疗程后依据临床症状及疲劳评定量表(FAI)、抑郁自评量表(SDS)和焦虑自评量表(SAS)进行疗效评定。自拟针灸处方:(1)双肝俞、脾俞、肾俞用VitB12穴位注射各1ml;(2)关元、中脘、双侧足三里温针灸;(3)背部走罐。评定后进行治疗前后比较和3组组间比较。结果 3组疗效比较差异有统计学意义(P<0.01)。节气组和7d组治疗后FAI、SDS和SAS评分与治疗前比较差异均有统计学意义(P<0.05);节气组、7d组治疗后FAI、SDS和SAS评分与对照组比较差异均有统计学意义(P<0.05);节气组和7d组治疗后2组FAI、SDS和SAS评分比较差异亦均有统计学意义(P<0.05)。结论本节气针灸处方对慢性疲劳综合征确有疗效,选择节气时治疗在改善患者疲劳程度和焦虑抑郁情绪上较平时治疗为优。

Objective To observe and evaluate the therapeutic effects of solarterm acupuncture and moxibustion on chronic fatigue syndrome （CFS） . Methods Totally 75 CFS patients were randomly equally divided into 3 groups ： solar - term acupuncture and moxibustion group （SAM）, 7d group and control group. Prescription： （1）Injection of VB - 12 with lml at Ganshu （BL18） , Pishu （BL20） and Shenshu （BL23） of both side. （2）Warming acupuncture at Guanyuan （RN4）, Zhongwan （RN12）, and both Zusanli （ST36）, （3）Sliding cupping on Back. The prescription was applied respectively for SAM group （on the day of solar - term） and 7d group （ on the 7th day after solar - term day） once a day for 24 times altogether as a course. No treatment was given for the control group. Their therapeutic effects were assessed by clinical symptoms and Fatigue Assessment Instrument （FAI） , Self - rating Depression Scale （ SDS ） and Self - rating Anxiety Scale （ SAS ） . Results The difference in effect after the therapy among the 3 groups was statistically significant （ P 〉 0. 05 ）. The sores in FAI, SDS and SAS in the solar - term group and 7 d were significantly improved after the therapy, with statistical difference （ P 〈 0. 05 ） ; and the results showed statistical difference as compared with the control group （ P 〈 0. 05 ）. And the differences in FAI, SDS and SAS scores between the solar - term and 7 d groups were also statistically different （ P 〈 0.05 ）. Conclusion The prescription of solar - term acupuncture and moxibustion is of definite effect for chronic fatigue syndrome. And the effect of treatment on the solar - term day is better than that on the ordinary days in improving the fatigue, anxiety and depression.