艾灸与推拿对亚健康状态脑力疲劳干预作用的临床对比观察

Observation of Clinical Efficacy on Treating on Sub- health state of mental fatigue with Moxibustion and Massage

目的:对比观察推拿与艾灸两种主要中医非药物疗法对亚健康状态脑力疲劳的干预作用。方法:100例亚健康脑力疲劳状态门诊就诊者被随机分为两组:观察组(艾灸组)、对照组(推拿组),每组各50例。对照组采用推拿疗法操作于头面部及腰背部,观察组采用艾条温和灸疗法灸印堂、神阙穴,均为每天1次,5 d为1个疗程,疗程与疗程之间休息2 d,共调治4个疗程。干预开始当天及完成临床干预当天各评价1次疲劳量表、工作倦怠量表得分及工作效率,并对两组的评分结果进行统计学分析。结果:100例受试者均完成了临床观察。观察组与对照组干预前后比较,其疲劳量表、工作倦怠量表及工作效率评分差异均有显著性(P<0.05);干预后两组间比较,上述3项评分差异无显著性(P>0.05)。结论:艾灸疗法与推拿疗法均能改善亚健康脑力疲劳状态的疲劳与工作倦怠症状,均能提高工作效率,且在改善疲劳与工作倦怠症状、提高工作效率方面二者并无优劣之分。

Objective： To compare therapeutic effects of Moxibustion and Massage on Sub- health state of mental fatigue. Methods： 100 cases of clinic patients with Sub- health state of mental fatigue in outpatient department were divided into experimental group（ Moxibustion group） and control group（ Massage group） randomly,50 cases in each group.The patients in experimental group were treated with mild moxibustion at Yintang（ EX- HN 3） and Shenque（ CV 8） one time per day,while the patients in control group（ Massage group） were treated with Massage on the head,face and lower back. The treatment of 5 days made 1 session. There were 2 days at the interval between two sessions. The treatment was for 4 weeks totally in the two groups. Their curative effect was measured with Fatigue Scale- 14（ FS- 14）,the Maslach burnout inventory（ MBI- GS） and the operating efficiency evaluation score before and after the treatment separately. Results： 100 Cases completed the clinical observation. There was a significant difference compared before and after treatment in the Fatigue Scale- 14（ FS- 14）,the Maslach burnout inventory（ MBI- GS） and the operating efficiency evaluation score in both groups（ P〈0. 01）. The two groups compared after treatment,the above three score there was no significant difference（ P〉0. 05）. Conclusion： Moxibustion and massage all can relieve fatigue and work burnout symptoms,all can improve the work efficiency. There is no advantages or disadvantages between the two groups.