基于TTM长蛇灸治疗慢性疲劳综合征的灸时-灸感-灸效研究

Study on moxibustion time and moxibustion sensation and moxibustion effect of hydra moxibustion in the treatment of chronic fatigue syndrome based on TTM

目的比较不同施灸时长的长蛇灸治疗慢性疲劳综合征(CFS)的灸感和疗效差异,探索灸时-灸感-灸效关系。方法选取成都中医药大学附属医院60例脾肾阳虚型CFS患者作为研究对象,患者随机纳入60 min长蛇灸组(A组)和30 min长蛇灸组(B组),接受改良长蛇灸治疗,每周3次(隔日1次),连续治疗4周,共12次,治疗结束时完成疲劳量表-14(FS-14)和脾肾阳虚中医证候量表评价。两组各随机抽取10例患者,在第1、12次的治疗前后完成共4次红外热断层成像(TTM)扫描,采用温度变化值作为灸感评价依据。结果随着疗程的增加,第12次治疗后,两组的疲劳程度及中医脾肾阳虚症状均得到改善,且A组在改善躯体疲劳方面效果更佳,差异均有统计学意义(P<0.05)。两组的灸感均随疗程增加而增强;两组在第1次治疗时灸感比较差异无统计学意义(P>0.05);随着疗程的增加,A组颈部传热、下肢传热、腹部透热程度较B组增强,差异均有统计学意义(P<0.05)。结论长蛇灸治疗CFS时灸感与灸效密切相关,60 min长蛇灸的灸感与灸效均优于30 min。

Objective To compare the moxibustion sensation and curative effect of hydra moxibustion with different moxibustion durations in the treatment of chronic fatigue syndrome(CFS),and to explore the relationship between moxibustion time,moxibustion sensation and moxibustion effect.Methods A total of 60 CFS patients with spleen and kidney yang deficiency in the Affiliated Hospital of Chengdu University of Traditional Chinese Medicine(TCM)were selected as the research objects.The patients were randomly divided into the 60 minutes hydra moxibustion group(group A)and the 30 minutes hydra moxibustion group(group B).The patients received modified hydra moxibustion three times a week(once every other day)for four consecutive weeks,with a total of 12 times.At the end of the treatment,the evaluation of Fatigue Scale-14(FS-14)and TCM syndrome scale of spleen and kidney yang deficiency were evaluated.Ten patients were randomly selected from each group,and a total of four times infrared thermal tomography(TTM)scans were completed before and after the first and twelfth sessions of treatment,and the temperature change value was used as the evaluation basis of moxibustion sensation.Results With the increase of the course of treatment,after the 12th treatment,the fatigue degree and symptoms of TCM deficiency of spleen and kidney yang in both groups were improved,and group A had a better effect in improving physical fatigue,and the difference was statistically significant(P<0.05).The moxibustion sensation of the two groups increased with the increase of the course of treatment.There was no significant difference in moxibustion sensation between the two groups during the first treatment(P>0.05).With the increase of course of treatment,the moxibustion sensation of neck heat transfer,lower limb heat transfer,and abdominal heat transfer in the group A were stronger than that in the group B,and the differences were statistically significant(P<0.05).Conclusion Hydra moxibustion is closely related to the moxibustion effect in the treatment of CFS,and the moxibustion sensation and moxibustion effect of hydra moxibustion for 60 minutes are better than those of 30 minutes.