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投稿时间：2020-08-31 网络发布日期：2021-05-20
投稿时间：2020-08-31 网络发布日期：2021-05-20
中文摘要: 目的 对比评估精灸、传统温和灸五脏俞穴治疗气虚阳虚证慢性疲劳综合征的临床疗效。方法 采用随机对照研究的方法,选择2019年6月至2020年1月门诊符合CFS和阴虚气虚体质的患者60例,随机分为两组。试验组采用精灸五脏俞穴(心俞、肺俞、脾俞、肝俞、肾俞),对照组采用传统温和灸五脏俞穴,连续治疗3个疗程,最终试验组纳入29例,对照组纳入29例。观察治疗前后CFS患者临床症状量表、疲劳评定量表(FAI)、疲劳量表-14(FS-14)的评分变化。结果 试验组临床疗效优于对照组,差异有统计学意义(P<0.05)。治疗后两组FAI评分均显著下降(P<0.05),治疗后组间比较差异无统计学意义(P>0.05),但两组治疗前后FAI分值差值的比较差异有统计学意义(P<0.05)。治疗后试验组FS-14量表躯体、脑力及总分下降(P<0.05),对照组躯体和总分显著下降(P<0.05)。两组治疗后脑力评分比较差异无统计学意义(P>0.05),躯体、总分以及总分差值差异有统计学意义(P<0.05)。结论 传统温和灸和精灸五脏俞均可以改善气虚阳虚质慢性疲劳综合征患者的疲劳状态,包括躯体疲劳与脑力疲劳,且两者对躯体疲劳的改善效果更加明显,精灸效果优于传统温和灸。
Abstract:Objective To compare and evaluate the clinical efficacy of refined moxibustion and traditional mild moxibustion on five zang viscera Shu points in the treatment of chronic fatigue syndrome with Qi and Yang deficiency syndrome.Methods From June 2019 to January 2020,58 patients who met the diagnostic criteria of CFS and Qi and Yang deficiency constitution in the Department of Preventive Treatment of Nanhai District Fifth People′s Hospital of Foshan City were selected and divided into experimental group and control group randomly (n=29,each).The experimental group was treated with refined moxibustion at five zang viscera Shu points (Xinshu,Feishu,Pishu,Ganshu and Shenshu),while the control group was treated with traditional mild moxibustion at five zang viscera Shu points for three consecutive courses.The changes of clinical symptom scale,fatigue rating scale and fatigue Scale-14 were observed before and after treatment.Results The clinical effective rate of the experimental group was higher than that of the control group (P<0.05 ).After treatment,FAI scores of the two groups decreased significantly (P<0.05 ),and there was no significant difference between the two groups (P>0.05).But the difference of FAI score between the two groups before and after treatment was significant (P<0.05 ).After treatment,the scores of FS-14 in the experimental group decreased (P<0.05 ).In the control group,the scores of body and total value decreased significantly (P<0.05 ).After treatment,there was no significant difference in brain power score between the two groups (P>0.05),but there was significant difference in body,total value and difference between the two groups (P<0.05 ).Conclusion Both traditional mild moxibustion and refined moxibustion of five zang viscera Shu points could improve the fatigue state of patients with chronic fatigue syndrome of Qi and Yang deficiency,including physical fatigue and mental fatigue,and the improvement effect of both is more obvious,and the effect of refined moxibustion is better than that of traditional mild moxibustion.
keywords: Refined moxibustion Five zang viscera Shu points Qi deficiency Yang deficiency Chronic fatigue syndrome
文章编号： 中图分类号：R245 文献标志码：B
基金项目:佛山市科技攻关项目(0033524120715045);广东省名中医传承工作室建设项目(粤中医办函［2020］1号)
附件
| 作者 | 单位 |
| 李冠豪1 | 1.佛山市南海区第五人民医院治未病科,广东 佛山 528200； |
| 何思途1 | 1.佛山市南海区第五人民医院治未病科,广东 佛山 528200； |
| 黄学贵1 | 1.佛山市南海区第五人民医院治未病科,广东 佛山 528200； |
| 符文彬2 | 2.广东省中医院大针灸科,广东 广州 510120； |
| 王聪2 | 2.广东省中医院大针灸科,广东 广州 510120 |
| Author Name | Affiliation |
| LI Guan-hao*,HE Si-tu,HUANG Xue-gui,FU Wen-bin,WANG Cong | *Department of Preventive Treatment,Foshan Nanhai District Fifth People′s Hospital,Foshan,Guangdong 528200,China |
引用文本：
李冠豪,何思途,黄学贵,等.精灸五脏俞治疗气虚阳虚质慢性疲劳综合征的临床疗效[J].中国临床研究,2021,34(5):642-645.
李冠豪,何思途,黄学贵,等.精灸五脏俞治疗气虚阳虚质慢性疲劳综合征的临床疗效[J].中国临床研究,2021,34(5):642-645.