中医治未病理论在慢性疲劳结合征防治中的应用

Application of TCM theory of preventive treatment in the prevention and treatment of chronic fatigue syndrome

目的分析将中医治未病理论应用于慢性疲劳综合征的临床治疗过程中所获得的应用效果。方法选择2018年4月至2019年10月本院就诊的慢性疲劳综合征患者46例,随机分为对照组及观察组,每组23例,对照组采取常规药物治疗,观察组在常规药物治疗基础上联用中医治未病治疗方案,比较两组组间疗效差异。结果观察组治疗后免疫球蛋白G IgG(10.95±1.01)g/L、免疫球蛋白A IgA(1.97±0.52)g/L、免疫球蛋白M IgM(1.41±0.43)g/L均高于对照组的(9.98±1.15)g/L、(1.79±0.49)g/L、(1.27±0.36)g/L(P<0.05);观察组治疗后疲劳评定量表评分FAI(91.16±10.28)分低于对照组的(99.04±9.83)分(P<0.05);观察组治疗后匹兹堡睡眠质量指数评分(Pittsburgh sleep quality index,PSQI)(5.69±4.12)分低于对照组的(7.70±4.50)分(P<0.05);观察组治疗后生理职能(67.20±10.39)分、生理机能(70.13±10.24)分、情感职能(71.42±12.57)分、精力(75.76±13.23)分、社会功能(85.91±11.74)分、精神健康(75.70±13.18)分、健康状况(69.84±10.46)分、躯体疼痛(65.52±7.56)分高于对照组的(60.44±11.32)分、(62.76±9.27)分、(61.50±13.59)分、(68.53±14.25)分、(78.65±12.96)分、(65.41±14.36)分、(64.12±11.17)分、(58.29±8.83)分(P<0.05)。结论将中医治未病理论应用于慢性疲劳综合征的临床治疗过程中能够获得良好的临床效果。

Objective To analyze the effect of applying the TCM theory of preventive treatment in the clinical treatment of chronic fatigue syndrome(CFS).Methods Forty-six patients with chronic fatigue syndrome admitted to our hospital from April 2018 to October 2019 were selected as subjects and were randomly divided into the control group and the observation group,with 23 patients in each group.The control group was given conventional drug therapy,while the observation group was given conventional drug therapy combined with the TCM preventive treatment scheme,and the difference in efficacy between the groups was analyzed.Results After treatment,the levels of IgG(10.95±1.01)g/L,IgA(1.97±0.52)g/L and IgM(1.41±0.43)g/L in the observation group were higher than those in the control group,which were(9.98±1.15)g/L,(1.79±0.49)g/L and(1.27±0.36)g/L respectively(P<0.05).The FAI score of the observation group was(91.16±10.28)points,which was lower than that of the control group as(99.04±9.83)points(P<0.05).The Pittsburgh sleep quality index(PSQI)score of the observation group was(5.69±4.12)points,which was lower than that of the control group as(7.70±4.50)points(P<0.05).After treatment,the physical role score was(67.20±10.39)points,physiological function(70.13±10.24)points,emotional function(71.42±12.57)points,energy(75.76±13.23)points,social function(85.91±11.74)points,mental health(75.70±13.18)points,health status(69.84±10.46)points and body pain(65.52±7.56)points in the observation group,which were higher than those in the control group[which were(60.44±11.32),(62.76±9.27),(61.50±13.5),(68.53±14.25),(78.65±12.96),(65.41±14.36),(64.12±11.17)and(58.29±8.83)points respectively](P<0.05).Conclusion The application of TCM theory of preventive treatment in the treatment of chronic fatigue syndrome is effective.