肝肾养护疗法治疗慢性疲劳综合征的临床疗效观察

Clinical Observation of Tonifying Liver-kidney Therapy in Treating Chronic Fatigue Syndrome

【目的】观察肝肾养护法治疗慢性疲劳综合征(chronic fatigue syndrome,CFS)的临床疗效,并通过观察经络值变化探讨其疗效机制。【方法】将60例CFS患者随机分为治疗组和对照组,每组各30例。对照组给予常规针刺治疗,治疗组给予毛刺、点穴、药熨等综合方法治疗,取名肝肾养护疗法。每日1次,7次为1个疗程,间隔1 d再进行下1个疗程,共治疗3个疗程。治疗3个疗程后,比较2组患者治疗前后CFS证候积分、疲劳评定量表(FAI)积分及十二经络值积分的变化情况,并评价2组临床疗效。【结果】(1)治疗后,2组患者CFS各证候积分及总积分均明显改善(P<0.05或P<0.01),且治疗组在改善肌肉疼痛、关节疼痛、头痛、睡眠障碍、持续疲劳证候积分及总积分方面均明显优于对照组,差异均有统计学意义(P<0.05)。(2)治疗后,2组患者FAI积分明显改善(P<0.01),且治疗组在改善疲劳评定量表积分方面明显优于对照组,差异有统计学意义(P<0.05)。2组患者FAI积分治疗前后差值比较,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的十二经络值积分均明显改善(P<0.05),且观察组在改善膀胱经、三焦经、肝经经络值积分方面均明显优于对照组,差异均有统计学意义(P<0.05)。(4)治疗组总有效率为90.00%,对照组为73.30%。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】肝肾养护疗法通过振奋阳气,调养脏腑,温通经络,治疗CFS,能明显改善头痛、肌肉疼痛、关节疼痛、失眠、持续疲劳等症状,提高患者生活质量,临床疗效显著。

Objective To observe the curative effect of Tonifying Liver-kidney Therapy for the treatment of chronic fatigue syndrome(CFS), and to explore the therapeutic mechanism through observing the changes in meridian value. Methods Sixty CFS patients were randomized into treatment group and control group, 30 cases in each group. The control group received routine acupuncture treatment,and the treatment group received combination of skin needling,acupoint pressure and hot medicinal compress and so on,named Tonifying Liver-kidney Therapy.One time per day,7 times constituted one course,after one day next course gone on,and the treatment covered 3 courses. After 3 courses, the CFS syndrome score, fatigue assessment instrument(FAI)and changes of 12 meridian values in the two groups were evaluated before and after treatment. Results(1)After treatment, the each CFS syndrome score and total score were improved in the two groups(P < 0.05 or P < 0.01), and the improvement in the score of symptoms such as myalgia,arthralgia,headache,insomnia and sustained fatigue and total score of the treatment group was superior to that of the control group,the difference being statistically significant(P < 0.05).(2)After treatment,the FAI score was improved in the two groups(P < 0.01),and the improvement in the FAI score was superior to that of the control group,the difference being statistically significant(P < 0.05). There was a statistically significant difference in the difference value of FAI score before and after treatment in the two groups.(3)After treatment,the score of 12 meridian value in the two groups was improved(P<0.05),and the improvement in the bladder meridian,triple energizer meridian and liver meridian in the treatment group was superior to that of the control group,the difference being statistically significant(P < 0.05).(4)After treatment,the total effective rate was 90.00% in the treatment group,was 73.30% in the other group.The curative effect of the treatment group was superior to that of the control group,the difference being significant(P<0.05). Conclusion Tonifying Liver-kidney Therapy is obviously effective for improving the symptoms of myalgia,arthralgia,headache,insomnia and sustained fatigue of CFS patients by inspiring yang qi,adjusting viscera,warming meridian,and can promote quality of life.