揿针五脏背俞穴治疗慢性疲劳综合征的疗效研究

Effect of intradermal needle at five-zang Back-Shu points on treatment of chronic fatigue syndrome

目的:观察揿针五脏背俞穴治疗慢性疲劳综合征(chronic fatigue syndrome,CFS)的临床疗效,为背俞穴单穴应用提供临床思路。方法:将患者随机分为双侧背俞穴组、单侧背俞穴组和背部非穴组,剔除脱落病例后每组均30例。双侧背俞穴组取双侧五脏背俞穴;单侧背俞穴组取单侧五脏背俞穴,左右交替施治;背部非穴组于五脏背俞穴向外旁开取穴,左右交替施治。观察3组总有效率及疲劳量表-14(Fatigue Scale-14,FS-14)中疲劳总评分、躯体疲劳和脑力疲劳得分。结果:治疗8周后,双侧背俞穴组(83.33%)与单侧背俞穴组(76.67%)的总有效率均显著优于背部非穴组(50.00%)(P<0.01),双侧背俞穴组与单侧背俞穴组的总有效率比较无统计学差异(P>0.05)。双侧背俞穴组与单侧背俞穴组总评分、躯体疲劳与脑力疲劳评分均降低(P<0.05);背部非穴组仅总评分与躯体疲劳评分有所改善(P<0.05)。结论:(1)揿针五脏背俞穴治疗CFS患者疲劳疗效理想,对躯体疲劳和脑力疲劳均有改善作用,具有形、神兼调的效果;(2)五脏背俞穴双侧与单侧取穴治疗CFS疗效相当,提示可取单侧五脏背俞穴减少揿针耗材使用数量,降低医疗成本;(3)两组背俞穴揿针治疗均较背部非穴组揿针治疗具有明显疗效优势,提示五脏背俞穴对五脏功能具有特异性调节作用,这可能是揿针治疗CFS的原因之一。

Objective:To evaluate the effect of intradermal needle at five-zang Back-Shu points on chronic fatigue syndrome(CFS)and provide evidence for the application of unilateral Back-Shu points.Methods:Patients were randomly divided into the bilateral Back-Shu point group,the unilateral Back-Shu point group and the non-acupoint group,with 30 patients in each group.In the bilateral Back-Shu point group,both sides of five-zang Back-Shu points were selected.In the unilateral Back-Shu point group,only one side was selected,and alternate treatment was done on left or right side.The location where non-acupoint group inserted by intradermal needles was outward from the Back-Shu points,and alternate treatment was done on left or right side.The total effective rate was assessed and Fatigue Scale-14(FS-14)was used to evaluate the scores of total fatigue,physical fatigue and mental fatigue.Results:After the 8-week intradermal needle therapy,the total effective rate of the bilateral and unilateral Back-Shu point groups(83.33%and 76.67%)was significantly improved compared with the non-acupoint group(50.00%)(P<0.01).There was no significant difference in total effective rate between the bilateral Back-Shu point group and the unilateral Back-Shu point group(P>0.05).The scores of total fatigue,physical fatigue and mental fatigue in FS-14 questionnaires in the bilateral and unilateral Back-Shu point groups were significantly decreased(P<0.05).The scores of total fatigue and physical fatigue were improved in the non-acupoint group(P<0.05).Conclusion:(1)The intradermal needle therapy at five-zang Back-Shu points has a satisfying clinical efficacy in the treatment of CFS and can help to reduce both physical and mental fatigue of patients.Hence,it can regulate both body and spirits simultaneously.(2)Needling the unilateral acupoints can get similar clinical efficacy to the bilateral points.Therefore,intradermal needle therapy on the unilateral acupoints is preferred as the amount of intradermal needles used on one side can be reduced in order to cut cost.(3)Both the groups of Back-Shu point treatment obtain better clinical efficacy than the non-acupoint group,which reveals that the intradermal needle at five-zang Back-Shu points can regulate the functions of five organs to treat CFS.