基于中医体质学的腧穴配伍治疗慢性疲劳综合征的临床观察

Clinical Observation on the Treatment of Chronic Fatigue Syndrome based on the Combination of Acupoints in Traditional Chinese Medicine Constitution Theory

目的:探讨基于中医体质学的腧穴配伍治疗慢性疲劳综合征患者的临床疗效。方法:将90例慢性疲劳综合征患者按照随机数字表法分为对照组与观察组,每组各45例。对照组针刺百会、印堂、关元、足三里、三阴交、太冲,观察组在对照组选穴的基础上分别对不同体质的患者选取对应的腧穴配穴针刺。两组针刺治疗隔日一次,3次为1个疗程,连续5个疗程。治疗结束后比较两组患者的临床症状积分、疲劳量表评分、临床疗效等指标。结果:该临床研究实际完成87例患者,其中观察组43例,对照组44例。治疗后两组患者临床症状积分和疲劳量表评分均有改善(P<0.05);观察组治疗后临床症状积分和疲劳量表评分均低于对照组(P<0.05);观察组愈显率及总有效率均高于对照组(P<0.01,P<0.05)。结论:基于中医体质学指导下的辨体施穴对慢性疲劳综合征患者的临床症状积分和疲劳量表评分改善更明显,愈显率及总有效率更高,可有效提高临床疗效。

Objective:To explore the clinical efficacy of acupoint combination therapy based on TCM constitution in the treatment of patients with chronic fatigue syndrome.Methods:A total of 90 patients with chronic fatigue syn-drome were divided into an observation group and a control group according to the random number table method,with 45 cases in each group.The control group received acupuncture at Baihui,Yintang,Guanyuan,Zusanli,Sanyinjiao,and Taichong.The observation group selected acupoints corresponding to patients with different constitutions based on the acupoint selection of the control group.Acupuncture treatment was performed every other day in both groups,3 times as a course of treatment,and 5 courses of treatment were continued.After the treatment,the clinical symptom scores,fa-tigue scale scores,clinical efficacy and other indicators of the two groups were compared.Results:A total of 87 patients were actually completed in this clinical study,including 43 cases in the observation group and 44 cases in the control group.After treatment,the clinical symptom scores and fatigue scale scores of the two groups of patients were improved(P<0.05);the clinical symptom scores and fatigue scale scores of the observation group were lower than those of the control group(P<0.05);the cure rate and total effective rate of the observation group were higher than those of the con-trol group(P<0.01,P<0.05).Conclusion:Based on the guidance of TCM constitution,the clinical symptom scores and fatigue scale scores of patients with chronic fatigue syndrome can be improved more significantly by acupuncture,and the cure rate and total effective rate are higher,which can effectively improve the clinical efficacy.