特制药线穴位埋植对慢性疲劳综合征的临床评价

Clinical Evaluation of Special Drug Acupoint Catgut Embedding for Chronic Fatigue Syndrome

目的：观察特制药线穴位埋植对气血亏虚型慢性疲劳综合征的治疗疗效。方法：将59例气血亏虚型慢性疲劳综合征患者随机分为3组，其中采用药线治疗的有20例，采用肠线法的是21例，采用温针灸治疗的为18例。采用疲劳程度及VAS疼痛评定法作为指标。结果：特制药线穴位埋植对慢性疲劳综合征的治疗总有效率达到100％，优于其他两组（P〈0．05）；3组治疗前后疼痛指数相比较，药线组和肠线组之间有非常显著对差异（P〈0．01），与温针灸组之间体现显著差异（P〈0．05），药线组的疼痛变化率和温针组比较有非常显著意义（P〈0．01）而和肠线组比较有显著差异（P〈0．05）；3组治疗前后疲劳指数有非常显著的差异（P〈0．01），就其变化率来讲，虽未见显著性意义，但可以看到药线组有改善明显的趋势。结论：特制药线埋植能有效缓解慢性疲劳综合征之疼痛和疲乏之症，实验阶段未出现明显不良反应，患者依从性较好。

Objective ： To observe the clinical therapeutic effect of the special drug acupoint catgut embedding for chro- nic fatigue syndrome of Qi and Blood deficiency. Methods ： A total of 59 cases of chronic fatigue syndrome of Qi and blood deficiency were randomized into three groups：the special drug acupoint catgut embedding group（ 20 cases） , the acupoint catgut embedding group（21 cases）, the warmed needle group（ 18 cases）. We used the fatigue and the VAS pain assess- ment method as the index. Results： After one course of treatment, the special drug acupoint catgut embedding group gained a good therapeutic effect with the total effective rate and cure markedly effective being 100.00%, better than oth- ers（ P 〈 0. 05 ）. As for the comparison of pain indexes （visual analogue scale, VAS） in the three groups before and after treatment,we got the results that between the special drug acupoint catgut embedding group and the acupoint catgut em- bedding group there was a very significant difference（P 〈0. 01 ） ,while between the special drug acupoint catgut embed- ding group and the warmed needle group there was a significant difference （ P 〈 0. 05 ）. The change rate of pain index （visual analogue scale, VAS） in the special drug acupoint catgut embedding group and the warmed needle group had a very significant difference （P 〈 0. 01 ） , while the special drug acupoint catgut embedding group and the warmed needle group also had a significant difference（ P 〈 0. 05 ）. The three groups＇ fatigue index before and after treatment had a very significant difference（ P 〈 0. 01 ）. As for the change rate of fatigue index before and after treatment, the three groups had no more significant differences. We could considered that the special drug acupoint catgut embedding group was better than others. Conclusion： The method of the special drug acupoint catgut embedding can effectively relieve pain and fa- tigue of chronic fatigue syndrome of Qi and blood deficiency and has no obvious adverse reaction, with good compliance in the experimental stage.