腹针治疗慢性疲劳综合征睡眠障碍疗效分析

A retrospective analysis of abdominal acupuncture for casino workers with sleep disorder in chronic fatigue syndrome

目的：观察腹针对博彩雇员慢性疲劳综合征（chronic fatigue syndrom，CSF）睡眠障碍的临床疗效，并进行了疲劳评定量表（FAI）评分与匹兹堡睡眠质量指数（PSQI）各因子的相关性分析。方法收集2011年10月至2013年1月澳门卫生局黑沙环卫生中心针灸科门诊患者65例，均符合CSF睡眠障碍诊断标准，采用腹针治疗4周后，应用PSQI、FAI作为评价工具，对治疗前后和随访1个月时积分减分率进行比较，采用多元线性回归模型分析了FAI与PSQI各因子间的相关性。结果治疗后及随访时PSQI总分[分别为（8.66±4.26）分、（8.26±4.66）分]均较治疗前降低[（13.78±3.23）分，P＜0.05]；睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍6个因子评分治疗后[分别为（1.28±1.24）分、（2.20±0.83）分、（1.52±1.12）分、（1.34±1.08）分、（1.09±0.98）分、（1.23±1.13）分]和随访1个月时[分别为（1.22±1.28）分、（2.14±0.79）分、（1.46±1.16）分、（1.25±1.15）分、（1.02±0.98）分、（1.18±1.07）分]均较治疗前降低[分别为（2.26±1.14）分、（2.71±0.49）分、（2.48±0.99）分、（2.35±0.84）分、（1.65±0.76）分、（2.37±0.95）分，P＜0.05]；治疗后及随访时FAI评分[分别为（92.60±14.64）分、（90.75±14.75）分]较治疗前降低[（147.55±7.03）分，P＜0.05]；多元回归分析提示，PSQI的睡眠质量、睡眠时间、睡眠障碍、日间功能4个因子评分与FAI评分有相关性（r＝0.373～0.702，P＜0.05）。结论腹针可改善博彩业雇员CSF睡眠障碍。

Objective To retrospectively analyze the effect of abdominal acupuncture for the casino workers with sleep disorder in chronic fatigue syndrome and analyze the correlation between them.Method 65 patients were all from the Acupuncture Department of Health Center of the Black Sand, Macao Health Bureau, 2011 October to 2013 January, who were diagnosed with sleep disorder in chronic fatigue syndrome and in accordance with the inclusion criteria. They were received abdominal acupuncture treatment for 4 weeks. Pittsburgh sleep quality index（PSQI） and Fatigue Assessment Instrument（FAI）were adopted to evaluate the effect before treatment 、after treatment and one month follow-up. Multiple regression analysis model was used to analyze the correlation of each factor of FAI and PSQI. Results Compared with before treatment （13.78± 3.23）, the total score of PSQI after treatment（8.66 ± 4.26）and follow-up（8.26 ± 4.66） were significant decreased（P〈0.05）;the score of 6 dimensions（sleep quality, Time to fall asleep, sleep time, sleep efficiency, sleep disorders daytime function） after treatment and follow-up were significant decreased（P〈0.05）,compared with those before treatment;the FAI score after treatment （92.60±14.64） and follow-up（90.75±14.75） were significant lower（P〈0.05）than those before treatment （147.55±7.03） .Multiple regression analysis showed that 4 dimensions of PSQI （sleep quality, sleep time, sleep disorders, daytime function）had close relationship with FAI score（r=0.373-0.702, P〈0.05）. Conclusion Abdominal acupuncture can improve the casino workers＆#39; sleep disorder in chronic fatigue syndrome and is worth of further study.