一指禅灸法对慢性疲劳综合征患者睡眠质量及反应能力的影响

Influence of specific acupoints moxibustion of Yizhichan on quality of sleep, ability to reaction of patinets with chronic fatigue syndrome

目的探讨一指禅灸法对慢性疲劳征（chronicfatiguesyndrome，CFS）患者心理状况、反应能力、睡眠质量及中医体质的影响。方法将符合入选标准的143例CFS患者按就诊时间随机分为对照组45例、悬灸组42例、一指禅灸熏组56例。对照组给予被动手法推拿放松治疗；悬灸组在对照组治疗基础上配合清艾常规悬灸法治疗；一指禅灸熏组在对照组治疗基础上配合清艾一指禅灸法治疗。6次／周，3周为1个疗程，共治疗5个疗程。治疗结束后检测患者睡眠质量、入睡时间、睡眠时间、曰间功能障碍等相关指标，评价临床疗效。结果治疗后，对照组、悬灸组与一指禅灸熏组患者睡眠质量[（1．73±0．73）分、（1．54±0．85）分比（0．83±0．52）分，F=14．130]、入睡时间[（1．57±0．60）分、（1.35±0．60）分比（1．03±0．54）分，F=5．386]、睡眠时间[（1．78±O．71）分、（1．77±0．61）分比（0．67±0．65）分，F=19．811]、日间功能障碍[（1．78±0．78）分、（1．64±0．83）分比（1．03±0．83）分，F=4．798]评分比较，差异均有统计学意义（P〈0．05）。对照组总有效率为42．2％（19／45）、悬灸组为66．7％（28／42）、一指禅灸熏组为83．9％（47／56），3组总有效率比较，差异有统计学意义（χ2=13．973，P=0．001）。结论一指禅灸法可有效改善CFS患者睡眠质量，提高运动员反应能力，疗效优于传统的悬灸法。

Objective To study the effects of Hzhichan moxibustion on chronic fatigue syndrome （CFS） athletes. Methods 143 patients of CFS were blind randomly devided into3 groups, which were moxibustion of Yizhichan （56 cases） group, general moxibustion group （42 cases）, and normal group （45 cases）. The normal group was treated by passive massage for relaxation, the moxibustion of }7zhichan group was treated by specific acupoints application of moxibustion of Yizhichan in addition to passive massage; and the general moxibustion groupwas treated by general moxibustion in addition to passive massage. All sample were treated once a day for 6 days in a week. 3 weeks was a period of treatment, and the total time of treatment was 15 weeks. Results After treatment, the sleep quality （1.73 ± 0.73, 1.54 ± 0.85 vs. 0.83 ±0.52, F=14.130）, time for sleep （1.57 ± 0.60, 1.35 ± 0.60 vs. 1.03± 0.54, F=5.386）, sleep time （1.78 ± 0.71, 1.77 ±0.61 vs. 0.67 ±0.65, F=19.811）, daytime dysfianction （0.78 ± 0.83, 1.64 ± 0.83 vs. 1.03 ± 0.83, F=4.798） in the control group, moxibustion of Yizhichan group and a general moxibustion group were statistically significant（P〈0.05）. The total effective rate of the moxibustion of Yizhichan group was better than the control group and the general moxibustion group （83.8%, 42.2% vs. 63.6%; χ2=13.973, P=0.001）. Conclusion Specific acupoints moxibustion of Yizhichan is a beneficial exploration of moxibustion methods of traditional Chinese medicine, and can improve CFS athletes level of physical health, attention and sleep quality.