针刺背俞穴治疗慢性疲劳综合征的临床疗效及对心理状态的影响

Therapeutic Effect of Acupuncture of Back-shu Points Treating Chronic Fatigue Syndrome and Effect of Psychological State

目的:观察针刺背俞穴治疗慢性疲劳综合征的临床疗效及对患者心理状态的影响。方法:将63例患者随机分为两组,治疗组采用针刺背俞穴治疗,对照组采用针刺百会、印堂、神门等穴治疗。观察疲劳整体症状量表、疼痛量表、临床症状自评量表的评分情况和总有效率。结果:治疗组和对照组治疗后疲劳整体症状量表评分和疼痛量表评分较治疗前均具有统计学差异(P<0.01),且治疗后两组组间比较均有统计学差异(P<0.05);治疗组总有效率(90.7%)优于对照组总有效率(70.9%)(P<0.05);治疗组治疗后躯体症状、强迫症状、抑郁、焦虑、恐怖、偏执因子评分及总评分较治疗前具有统计学差异(P<0.01),对照组治疗后躯体症状、抑郁、焦虑因子评分及总评分较治疗前具有统计学差异(P<0.05),两组治疗后躯体症状、强迫症状、抑郁、焦虑、恐怖、偏执因子评分及总评分比较具有统计学差异(P<0.05)。结论:针刺背俞穴治疗慢性疲劳综合征疗效显著,能有效缓解其引起的心理问题,且疗效优于对照组。

Objective： To observe the therapeutic effect of acupuncture of back - shu points treating chronic fatigue syndrome and the effect of the psychological state of patients. Methods ： 63 cases were dived into 2 groups ： treated group with acupuncture of back - shu points and control group with acupuncture of Baihui, Yintang, Shenmen etc. And the changes of the fatigue scores, the scores of SF - MPQ, the scores of SCL - 90 factors and the total effective rate of the two groups were observed. Results ： After treatment, the scale marks of the fatigue scores and SF - MPQ scores of treated group were obviously lower （ P 〈0. 01 ） ,after treatment the scale marks of the fatigue scores and SF - MPQ scores of control group were lower （ P 〈 0. 05）, and the treated group scores were still obviously lower than that of the control group （ P 〈 0.05 ）. The total effective rate of treated group was better than control group （ P 〈 0. 05 ）. The scores of SCL - 90 factors after treatment on physical, compulsion, depression, anxiety, horror, bigotry in the treated group were significantly im- proved （ P 〈 0. 01 ）, the scores of SCL -90 factors after treatment on physical, depression, anxiety in the control group were improved （ P 〈0. 05） ,the scores of SCL -90 factors on physical , compulsion , depression , anxiety , horror , bigotry in the treated group were all improved than those of the control group （ P 〈 0. 05）. Conclusion ： Acupuncture of back - shu points could significantly improve the fatigue symptoms, regulate the emotion of CFS patients, and the therapeutic effect is better than control group.