【摘要】：目的:本研究通過采取隨機對照的方法觀察通元法治療慢性疲勞綜合征的臨床療效,客觀評價通元法治療慢性疲勞綜合征的臨床療效并為其在臨床治療中的應(yīng)用及推廣提供參考依據(jù)。方法:本課題選取廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院針灸科以及廣州市蘿崗區(qū)黃陂醫(yī)院中醫(yī)科門診并符合研究納入標(biāo)準(zhǔn)且自愿參加本研究的患者70例。隨機分為常規(guī)針刺組(以下稱為對照組)(35例)、通元治療組(以下稱為治療組)(35例)。對照組采用常規(guī)針刺選穴:百會、關(guān)元、雙脾俞、雙肝俞、雙腎俞、雙足三里、雙三陰交。通元組采用常規(guī)針刺選穴:印堂、水溝、百會、關(guān)元、氣海、大椎、雙肝俞、雙腎俞。每周針刺5次,10次為一療程,連續(xù)治療2療程。分別于首次治療以及末次治療,治療結(jié)束后1月,應(yīng)用疲勞評定量表(FAI)、疲勞量表(FS-14)、抑郁自評量表(SDS)、生活質(zhì)量評價量表(SF-36)進行療效評價,并根據(jù)慢性疲勞綜合征各項評分進行整體療效評估;收集并整理數(shù)據(jù)后。最后使用SPSS19.0軟件進行數(shù)據(jù)統(tǒng)計分析。結(jié)果:本研究所納入的70例患者,按隨機分組方法,分為治療組及對照組各35例。其中,剔除0人,對照組脫落2人,最終68例患者完成臨床觀察。共進行了 3次量表數(shù)據(jù)采集。治療結(jié)束、隨訪提示:兩組方法均能有效的改善FAI、FS-14、軀體疲勞,腦力疲勞、SDS、PF、RP、BP、GH、VT、SF、RE、MH評分。通元組改善軀體疲勞、PF、RP、BP、SF評分上與對照組相近,但通元組在改善FAI、FS-14、腦力疲勞、SDS、GH、MH、RE、VT評分上優(yōu)于對照組。初步證實,通元組選擇通督入絡(luò)腦,能更好的改善腦力相關(guān)性疲勞情況,以及具有更好的一個中期治療維持效應(yīng),為臨床上治療慢性疲勞綜合征提供依據(jù)。結(jié)論:通元法在治療慢性疲勞綜合征的療效優(yōu)于普通針刺組,其具有多通路影響、多機制并行、整體調(diào)節(jié)、無明顯不良反應(yīng)的優(yōu)點。因此運用通元針法治療CFS在無不良反應(yīng)的基礎(chǔ)上,不需要使用更多的特需裝備,能取得較其余療法更優(yōu)的效果,值得在臨床上推廣和應(yīng)用。
[Abstract]:Objective: to observe the clinical effect of Tongyuan method in the treatment of chronic fatigue syndrome. Objective to evaluate the clinical efficacy of Tongyuan method in the treatment of chronic fatigue syndrome and to provide reference for its application and popularization in clinical treatment. Methods: 70 patients from the Department of Acupuncture and moxibustion of the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine and the Department of traditional Chinese Medicine of Huangpi Hospital of Luogang District of Guangzhou were selected. They were randomly divided into routine acupuncture group (control group) (35 cases) and Tongyuan treatment group (35 cases). The control group was treated with routine acupuncture: Baihui, Guan Yuan, Shuangpi Yu, Shuangganshu, Shuangshenshu, ShuangZusanli and ShuangSanyinjiao. Tongyuan group was treated with conventional acupuncture: Yantang, Shuigou, Baihui, Guanyuan, Qihai, Dazhui, Shuangganshu, Shuangshenshu. Acupuncture 5 times a week, 10 times as a course of treatment, continuous treatment for 2 courses. One month after the first treatment and the last treatment, the efficacy was evaluated with (FAI), fatigue scale (FS-14) and self-rating depression scale (SDS), quality of life (SF-36). And according to the chronic fatigue syndrome scores to evaluate the overall efficacy; collect and collate the data. Finally, SPSS19.0 software is used for statistical analysis. Results: 70 patients were randomly divided into treatment group (n = 35) and control group (n = 35). Among them, 0 cases were eliminated, 2 cases were lost in the control group, and 68 cases completed the clinical observation. A total of 3 times of scale data collection. At the end of the treatment, follow-up showed that both groups could effectively improve FAI,FS-14, physical fatigue, mental fatigue and SDS,PF,RP,BP,GH,VT,SF,RE,MH score. The PF,RP,BP,SF score of Tongyuan group was similar to that of control group, but the SDS,GH,MH,RE,VT score of Tongyuan group was superior to that of control group in improving FAI,FS-14, mental fatigue. It was preliminarily confirmed that the selection of Tongyuan group into the collaterals can improve the mental fatigue and maintain the treatment in the medium term, and provide the basis for the clinical treatment of chronic fatigue syndrome. Conclusion: Tongyuan method is superior to common acupuncture group in the treatment of chronic fatigue syndrome. It has the advantages of multi-pathway effect, multi-mechanism parallel, global regulation and no obvious adverse reactions. Therefore, the use of Tongyuan acupuncture in the treatment of CFS on the basis of no adverse reactions, do not need to use more special equipment, can achieve better results than the other treatments, it is worth in clinical promotion and application.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.9
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本文編號：2272846