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中国中医科学院广安门医院针灸科
纸质出版日期:2011
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张维, 刘志顺, 徐海蓉, 等. 针刺背俞穴治疗慢性疲劳综合征临床研究[J]. 针刺研究, 2011,36(6):437-441.
ZHANG Wei, LIU Zhi-shun, XU Hai-rong, et al. Observation on Therapeutic Effect of Acupuncture of Back-shu Acupoints for Chronic Fatigue Syndrome Patients[J]. Acupuncture research, 2011, 36(6): 437-441.
张维, 刘志顺, 徐海蓉, 等. 针刺背俞穴治疗慢性疲劳综合征临床研究[J]. 针刺研究, 2011,36(6):437-441. DOI: 10.13702/j.1000-0607.2011.06.011.
ZHANG Wei, LIU Zhi-shun, XU Hai-rong, et al. Observation on Therapeutic Effect of Acupuncture of Back-shu Acupoints for Chronic Fatigue Syndrome Patients[J]. Acupuncture research, 2011, 36(6): 437-441. DOI: 10.13702/j.1000-0607.2011.06.011.
目的:研究针刺背腧穴治疗慢性疲劳综合征(CFS)的临床疗效及安全性。方法:120例CFS患者随机分为对照组60例和治疗组60例
对照组给予非穴点浅刺
治疗组给予针刺背俞穴(双侧心俞、脾俞、膏肓俞)治疗
两组均留针20min
1周治疗5次
治疗4周。应用Chadler疲劳量表、整体健康水平量表(SF-20)和患者满意度自评量表对疗效给予评价
并于治疗后3个月±7d内给予随访。结果:近期疗效:两组治疗后Chalder疲劳量表得分均较治疗前显著减少(P<0.01)
治疗组疗效优于对照组(P<0.01);对照组SF-20得分仅在生理功能及总体健康得分上较疗前提高(P<0.05)
治疗组治疗后6个维度得分较治疗前均提高(P<0.01);对照组满意率36.7%(22/60)
治疗组66.4%(38/59)
治疗组满意度明显高于对照组(P<0.05)。随访时两组Chalder疲劳量表得分较疗前均减少(P<0.01)
说明治疗持续有效
且治疗组仍优于对照组(P<0.01);对照组满意率32.0%(16/50)
治疗组62.3%(33/53)
治疗组优于对照组(P<0.05)。治疗期间
两组均未出现不良反应。结论:针刺背俞穴治疗CFS近期疗效明显优于对照组并且有一定中期疗效。
Objective To observe the therapeutic effect and safety of acupuncture of Back-shu points [Xinshu(BL 15)
Pishu(BL 20)
etc.]in the treatment of chronic fatigue syndrome(CFS).Methods A total of 120 CFS patients were equally randomized into acupuncture and control groups.Acupuncture needles were inserted into bilateral Xinshu(BL 15)
Pishu(BL 20)
and Gaohuang(BL 43) points
once daily for 4 weeks except weekends.For patients of the control group
acupuncture needles were inserted into the shallow layer of the non-acupoints(two mid-points of the horizon lines passing through the crossing-points of the 1st and 2nd branches of the Gallbladder Meridian and the crests of 4th
5th and 11th thoracic vertebrae).General health scale(SF-20) and Chalder fatigue scale were used to measure the CFS patients' degree of general health.A follow-up survey was carried out 3 months after the last treatment.Results In comparison with pre-treatment
the scores of Chalder fatigue scale were decreased significantly in both treatment and control groups(P<0.01)
while the scores of physiological function(PF) and general health(GH) of SF-20 in both acupuncture groups and those of the role function(RF)
social function(SF)
mental health(MH) and pain sensation(PS) in the treatment group were increased apparently after the treatment(P<0.05
P<0.01).The scores of Chalder Scale and PF
RF
SF
GH
MH
PS and the CFS patients' satisfication degrees 4 weeks(64.4% and 36.7%) and 3 months(62.3%and 32%)after the treatment in the treatment group were significantly superior to those of the control group(P<0.05).Conclusion Acupuncture at Back-shu point has a good therapeutic effect(including immediate and mid-term effect) in the treatment of chronic fatigue syndrome patients.
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