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慢性疲劳综合征的中西医治疗研究进展探析

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慢性疲劳综合征主要临床表现为疲劳、乏力,同时可能伴有睡眠障碍、躯体关节疼痛等症状,但在体格检查以及相关辅助检查时往往没有异常,严重影响患者正常的工作和生活.西医学对慢性疲劳综合征的发生机制尚没有准确定论,认为是精神压力大、不良生活习惯、脑力和体力过度劳累及病毒感染等多种因素导致患者神经、内分泌、免疫等多系统功能调节失常的综合征,治疗方法主要为药物治疗和非药物治疗.在中医学中,慢性疲劳综合征属于"虚劳""五劳"等范畴,其发病与外感病邪、劳损过度、情志不舒等因素密切相关,与肺、脾、肾等脏腑关系密切,治疗主要采用中药、针刺、艾灸、拔罐等中医特色疗法.我国人群慢性疲劳综合征发病率呈增长趋势,因此寻求一种绿色有效、不良反应小并适用于普遍人群的干预方法显得尤为重要.本研究阐述了慢性疲劳综合征的流行病学特征,介绍了中医和西医对慢性疲劳综合征发病机制的认识,引入慢性疲劳综合征的临床诊断金标准,对比中医和西医在临床治疗慢性疲劳综合征上的差异,重点论述国内有关专家和团队运用多种中医特色疗法治疗慢性疲劳综合征取得的显著效果,说明中医药在治疗慢性疲劳综合征、改善其临床症状方面具有广阔的发展空间.
Research progress in the treatment of chronic fatigue syndrome with integreted Chinese and Western medicine
The main clinical manifestations of chronic fatigue syndrome(CFS)are fatigue and weakness,which may be accompanied by sleep disorders,physical joint pain and other symptoms,but there is often no abnormality in physical examination and related auxiliary examination,which seriously affects patients'normal work and life.Western medicine has not reached an accurate conclusion on the pathogenesis of chronic fatigue syndrome.It is considered that the syndrome is caused by many factors such as mental pressure,bad living habits,mental and physical overwork and viral infection,which leads to the dysfunction of nerve,endocrine,immune and other multi-system functions.The treatment methods are mainly divided into drug therapy and non-drug therapy.In traditional Chinese medicine,chronic fatigue syndrome belongs to the categories of"deficiency fatigue"and"five fatigue",its incidence is closely related to external pathogenic factors,excessive strain,emotional discomfort and other factors,and is closely related to the lungs,spleen,kidney and other viscera.The treatment methods mainly adopt traditional Chinese medicine,acupuncture,moxibustion,cupping and other traditional Chinese medicine characteristics therapies.The incidence of chronic fatigue syndrome in Chinese population is increasing.Therefore,it is particularly important to seek a green and effective and suitable intervention method with few side effects for the general population.This paper expounds the epidemiological characteristics of chronic fatigue syndrome,introduces the understanding of TCM and Western medicine on the pathogenesis of chronic fatigue syndrome,introduces the gold standard of clinical diagnosis of chronic fatigue syndrome,and compares the differences between TCM and Western medicine in clinical treatment of chronic fatigue syndrome.This paper focuses on the remarkable results achieved by domestic experts and teams in the treatment of chronic fatigue syndrome with a variety of TCM characteristic therapies,indicating that TCM has broad development space in the treatment of chronic fatigue syndrome and relieving its clinical symptoms.

Chronic fatigue syndromeCFSTraditional Chinese and Western medicineTreatmentResearch progress

王丹、王娜娜

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北京中医药大学枣庄医院,山东 枣庄,277000

慢性疲劳综合征 中西医 治疗 研究进展

枣庄市科技发展计划项目2021枣庄市科技发展计划项目鲁南吕氏肝病学术流派传承工作室山东省名老中医药专家李润东传承工作室建设项目

2020NS422021NS64鲁卫函[2019]92号

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(21)