目的:观察比较热敏灸与常规温和灸治疗脾气虚弱型慢性疲劳综合征的疗效。方法:选取2023年5-12月广州中医药大学附属广东中西医结合医院收治的70例脾气虚弱型慢性疲劳综合征患者，按随机数字表法分为治疗组(35例，脱落4例)和对照组(35例，脱落4例)。2组均给予健康宣教，治疗组在健康宣教基础上给予热敏灸治疗，对照组在健康宣教基础上给予常规温和灸治疗。2组均为2 d 1次，治疗12次(共24 d)。评价2组临床疗效，比较2组治疗前后的疲劳量表FS-14评分、慢性疲劳综合征临床症状积分总分以及各子项目评分、中医证候积分。结果:治疗组总有效率为93。55%(29/31)，高于对照组74。19%(23/31)(P＜0。05)。治疗后，2组疲劳量表FS-14评分、中医证候积分较治疗前降低(P＜0。05)，且治疗组疲劳量表FS-14评分、中医证候积分低于对照组(P＜0。05)。治疗后，2组慢性疲劳综合征临床症状积分总分以及各子项目评分较治疗前降低(P＜0。05)，且治疗组慢性疲劳综合征临床症状积分总分及肌肉疼痛、关节疼痛、头痛、睡眠障碍、劳累后疲劳不适持续时间、疲劳评分低于对照组(P＜0。05)。结论:热敏灸和常规温和灸均可以改善脾气虚弱型慢性疲劳综合征患者的临床症状，缓解脾虚情况，热敏灸疗效优于常规温和灸。
Clinical Study on Heat-Sensitive Moxibustion for Chronic Fatigue Syndrome of Spleen Qi Deficiency Type
Objective:To observe and compare the curative effect of heat-sensitive moxibustion on chronic fatigue syndrome of spleen qi deficiency type.Methods:A total of 70 cases of patients with chronic fatigue syndrome of spleen qi deficiency type admitted to Affiliated Guangdong Hospital of Integrated Traditional Chinese and Western Medicine of Guangzhou University of Chinese Medicine from May to December 2023 were divided into the treatment group(35 cases,4 dropouts)and the control group(35 cases,4 dropouts)using a random number table method.Both groups received health education,with the treatment group receiving heat-sensitive moxibustion treatment on the basis of health education,and the control group receiving conventional mild moxibustion treatment on the basis of health education.Both groups were treated once every two days for 12 sessions(a total of 24 days).Evaluated the clinical efficacy in the two groups.Compared the Fatigue Scale FS-14 scores,the total scores and subitem scores of Chronic fatigue syndrome,and traditional Chinese medicine syndrome scores before and after treatment.Results:The total effective rate was 93.55%(29/31)in the treatment group,which was higher than that of 74.19%(23/31)in the control group(P＜0.05).After treatment,the FS-14 scores and traditional Chinese medicine syndrome scores in both groups were decreased when compared with those before treatment(P＜0.05),and the FS-14 scores and traditional Chinese medicine syndrome scores in the treatment group were lower than those in the control group(P＜0.05).After treatment,the total scores and subitem scores of chronic fatigue syndrome in both groups were decreased when compared with those before treatment(P＜0.05),and the total score and scores of muscle pain,joint pain,headache,sleep disorders,duration of fatigue discomfort after fatigue,and fatigue in the treatment group were lower than those in the control group(P＜0.05).Conclusion:Both heat-sensitive moxibustion and conventional mild moxibustion can improve the clinical symptoms of chronic fatigue syndrome patients of spleen qi deficiency type,and alleviate spleen deficiency.Heat-sensitive moxibustion has better therapeutic effects than conventional mild moxibustion.
Chronic fatigue syndromeSpleen qi deficiency syndromeHeat-sensitive moxibustionMild moxibustionFatigue Scale FS-14 scoresChronic fatigue syndrome scoresTraditional Chinese medicine syndrome scores
万方数据
维普
