本文關(guān)鍵詞：“靳三針”調(diào)神針法治療慢性疲勞綜合征的臨床研究　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的:慢性疲勞綜合征是一組不明原因,持續(xù)反復(fù)性發(fā)作的疲勞狀態(tài),常伴隨著發(fā)熱、四肢關(guān)節(jié)酸痛、注意力不集中、焦慮抑郁等癥狀,不斷影響著人民生活工作。針灸作為治療慢性疲勞綜合征的一種有效的方法,其在調(diào)整慢性疲勞綜合征的疲勞狀態(tài)和伴隨癥狀表現(xiàn)出良好的療效,深受醫(yī)家的認(rèn)可。"靳三針"是嶺南針灸學(xué)派中代表,常用于治療各科疾病,在情志方面尤其擅長(zhǎng),調(diào)神針法為治療情志方面的主要手法之一,常用于治療焦慮、抑郁、注意力不集中等。本研究通過觀察"靳三針"調(diào)神針法治療慢性疲勞綜合征患者的臨床療效,探討其治療效果,為臨床針灸治療慢性疲勞綜合征提供有效臨床依據(jù)。方法:將符合診斷標(biāo)準(zhǔn)的60例慢性疲勞綜合征患者按簡(jiǎn)單隨機(jī)分組,分成對(duì)照組和治療組,每組30例。對(duì)照組予常規(guī)針刺穴組:百會(huì)、關(guān)元、足三里、三陰交、太沖,予常規(guī)針刺手法,治療30分鐘。治療組予針刺四神針、定神針(印堂、陽(yáng)白)、手智針(神門、勞宮、內(nèi)關(guān))、合谷、太沖,快速破皮,緩慢進(jìn)針,飛法行針。每次治療留針30分鐘,頭部穴位留針,手足穴位每10分鐘行手法1次,運(yùn)用導(dǎo)氣同精法行針。兩組均一周治療3次,隔日一次,治療3周。治療前后用疲勞量表(FS-14)進(jìn)行評(píng)分,治療后按照總體療效判定標(biāo)準(zhǔn)進(jìn)行評(píng)分,對(duì)兩組患者治療前后各項(xiàng)臨床數(shù)據(jù)進(jìn)行對(duì)比,進(jìn)行數(shù)據(jù)整理與統(tǒng)計(jì)學(xué)分析。結(jié)果:1.治療前,兩組患者一般資料(性別、年齡、病程)的比較,差別無統(tǒng)計(jì)學(xué)意義(P0.05);兩組的疲勞量表總評(píng)分、軀體疲勞評(píng)分、腦力疲勞評(píng)分比較,差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。故可認(rèn)為兩組治療前的基線資料無明顯差異,具有可比性。2.兩組治療后疲勞量表總評(píng)分、軀體疲勞評(píng)分、腦力疲勞評(píng)分與治療前比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),說明兩組均能有效改善患者疲勞量表總評(píng)分、軀體疲勞評(píng)分、腦力疲勞評(píng)分;兩組治療后疲勞量表總評(píng)分、腦力疲勞評(píng)分和治療前后差值比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),說明治療組改善疲勞量表總評(píng)分、腦力疲勞評(píng)分優(yōu)于對(duì)照組。兩組治療后軀體疲勞評(píng)分和治療前后差值比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05),說明兩組改善軀體疲勞評(píng)分無顯著性差異。臨床療效方面,治療組治愈6例,顯效8例,有效9例,無效7例,總有效率76.7%;對(duì)照組治愈3例,顯效6例,有效10例,無效11例,總有效率63.3%,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),說明治療組優(yōu)于對(duì)照組。結(jié)論:"靳三針"調(diào)神針法對(duì)改善慢性疲勞綜合征有明顯療效,在疲勞量表總評(píng)分與腦力疲勞評(píng)分改善方面優(yōu)于常規(guī)針刺;軀體疲勞評(píng)分改善方面與常規(guī)針刺無顯著性差異。
[Abstract]:Objective: chronic fatigue syndrome is a group of unknown causes, persistent repeated attacks of fatigue state, often accompanied by fever, limb joint pain, attention loss, anxiety and depression and other symptoms. As an effective method to treat chronic fatigue syndrome, acupuncture and moxibustion has a good effect in adjusting the fatigue state and accompanying symptoms of chronic fatigue syndrome. "Jin three needles" is a representative of Lingnan acupuncture and moxibustion school, which is often used to treat all kinds of diseases, especially good at emotion. The method of regulating the mind and acupuncture is one of the main methods of treating emotion. This study is often used to treat anxiety, depression, attention loss and so on. In this study, we observed the clinical effect of Jin three Needles in treating patients with chronic fatigue syndrome, and discussed the therapeutic effect of Jin three Needles on patients with chronic fatigue syndrome. Methods: 60 patients with chronic fatigue syndrome who met the diagnostic criteria were randomly divided into two groups: control group and treatment group. There were 30 cases in each group. The control group was treated with routine acupuncture points: Baihui, Guan Yuan, Zusanli, Sanyinjiao, Taichong, treated with routine acupuncture manipulation for 30 minutes. Hand wisdom acupuncture (Shenmen, Laogong, Neiguan, Hegu, Taichung, fast skin break, slow needle, flying method needle. 30 minutes of treatment, head acupoint, hand foot acupoints every 10 minutes of manipulation. The two groups were treated 3 times a week, once every other day for 3 weeks. Before and after treatment, FS-14 was used to score the patients. The two groups of patients before and after treatment of clinical data were compared, data collation and statistical analysis. Results: 1. Before treatment, the two groups of patients general data (sex, age, course of disease) comparison. The difference was not statistically significant (P 0.05). There was no significant difference in total score, physical fatigue score and mental fatigue score between the two groups (P 0.05). Therefore, there was no significant difference in baseline data before treatment between the two groups. The total score, physical fatigue score and mental fatigue score of the two groups after treatment were significantly different from those before treatment (P 0.05). The results showed that both groups could effectively improve the total score, physical fatigue score and mental fatigue score of patients with fatigue scale. The total score of fatigue scale, mental fatigue score and difference before and after treatment were significantly different between the two groups (P 0.05), indicating that the treatment group improved the total score of fatigue scale. The scores of mental fatigue were better than those of the control group. There was no significant difference between the two groups in the scores of body fatigue after treatment and the difference before and after treatment (P 0.05). There was no significant difference between the two groups in improving somatic fatigue score. In the treatment group, 6 cases were cured, 8 cases were markedly effective, 9 cases were effective, 7 cases were ineffective, and the total effective rate was 76. 7%. In the control group, 3 cases were cured, 6 cases were markedly effective, 10 cases were effective, 11 cases were ineffective, and the total effective rate was 63.3% (P 0.05). Conclusion: "Jin San Jing" method of regulating the mind has obvious effect on improving chronic fatigue syndrome, and it is superior to the routine acupuncture in improving the total score of fatigue scale and the score of mental fatigue. There was no significant difference between the improvement of body fatigue score and that of routine acupuncture.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.9
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本文編號(hào)：1425415