背俞穴结合头部穴位推拿治疗慢性疲劳综合征

Back Shu Points Combined with Head Acupoint Massage in the Treatment of Chronic Fatigue Syndrome

[目的]探讨背俞穴结合头部穴位推拿方法对慢性疲劳综合征(chronic fatigue syndrome,CFS)患者疲劳症状、睡眠质量及生活质量的影响。[方法]收集2016年1月至2017年8月至我院就诊的CFS患者73例,按随机数字表法分为对照组和治疗组。对照组36例每周接受3次心理疏导,指导患者合理的休息配合适当体育运动;治疗组37例在对照组基础上增加背俞穴结合头部穴位推拿。比较两组患者健康调查简表(the MOS item short from health survey,SF-36)、疲劳症状采用疲劳量表-14(Fatigue Scale-14,FS-14)及匹茨堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI)。[结果]两组患者治疗前SF-36、FS-14及PSQI比较均无明显差异(P>0.05)。治疗后,两组患者SF-36、FS-14及PSQI相比治疗前均有明显的改善,对照组SF-36平均分值为84.2,治疗组为91.5,治疗组要高于对照组,差异具有统计学意义(P<0.05)。对照组躯体疲劳、脑力疲劳、PSQI平均分值分别为3.5、2.1、10.9,治疗组分别1.8、1.1、6.7,治疗组低于对照组,差异具有统计学意义(P<0.05)。[结论]背俞穴结合头部穴位推拿可以通过改善睡眠质量,缓解疲劳症状,从而提高CFS患者的生活质量。

[Objective] To explore the effect of Back Shu point combined with head acupoint massage on fatigue symptoms, sleep quality and quality of life in patients with CFS. [Method] From January 2016 to August 2017, a total of 73 patients with CFS were collected and randomly divided into control group and treatment group. In the control group, 36 patients underwent 3 times psychological counseling per week, and were guided reasonable rest and proper sports activities, while 37 patients in the treatment group underwent Back Shu point combined with the head acupoint massage on the basis of the control group.Compared with SF-36, FS-14 and PSQI between two groups. [Result] There was no significant difference in SF-36, FS-14 and PSQI between the two groups before treatment（P〉0.05）. After treatment, SF-36, FS-14 and PSQI in both groups were significantly improved compared with those before treatment. The average score of SF-36 in the control group was 84.2, the treatment group was 91.5, the treatment group was higher than the control group, the difference was statistically significant（P〈0.05）. In the control group, the average scores of physical fatigue, mental fatigue and PSQI were 3.5, 2.1, 10.9 respectively. The treatment group 1.8, 1.1, 6.7 respectively, the treatment group was lower than the control group, the difference was statistically significant（ P〈 0.05）.[Conclusion] The Back Shu point combined with head acupoint massage can effectively improve sleep quality and relieve fatigue, so as to improve the quality of life of the CFS patients.