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基于慢性疲劳综合征的背部推拿法对免疫功能调节的研究 被引量:16

Regulation of Immune Function by Tuina on the Back in the Treatment of Chronic Fatigue Syndrome
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摘要 目的观察背部推拿法调治慢性疲劳综合征的临床疗效。方法将符合慢性疲劳综合征诊断标准的患者70例按就诊顺序随机分为治疗组与对照组,各35例,推拿治疗组采用背部推拿法治疗,药物治疗组采用口服补中益气丸治疗。治疗2个疗程后比较2组患者的临床疗效、血清免疫球蛋白Ig A、Ig M、Ig G含量及疲劳评定量表(FAI)积分变化情况。结果2组总有效率分别为88.57%和74.28%,推拿治疗组总有效率优于药物治疗组(P<0.05);推拿治疗组治疗后三种免疫球蛋白水平均高于药物治疗组,差异存在统计学意义(P<0.05);推拿治疗组患者治疗后疲劳评定量表积分低于药物治疗组,差异存在统计学意义(P<0.05)。结论背部推拿法能有效缓解慢性疲劳综合征患者的脑力及体力疲劳,进一步调治全身性症候群,临床疗效显著,无不良反应,患者感觉舒适易于接受,值得临床推广普及。 Objective To observe the clinical effect of back massage in treating chronic fatigue syndrome. Methods Seventy patients with CFS who met the standards were randomly divided into the Tuina treatment group(35 cases) and the drug treatment group(35 cases) according to the treatment order. The Tuina treatment group was treated with Tuina on the back, while the drug treatment group was treated with Buzhong yiqi Pill orally. After two courses of treatment, the clinical efficacy, serum immunoglobulin IgA, IgM, IgG content and fatigue assessment scale(FAI) score changes of the two groups of patients were compared. Results The total effective rates of two groups were 88.57% and 74.28%, the total effective rate of the Tuina treatment group was better than that of the drug treatment group(P < 0.05). After treatment, the levels of three immunoglobulins in the Tuina treatment group were higher than those in the drug treatment group, and the difference was statistically significant(P < 0.05). The scores of fatigue evaluation scale after treatment inTuina treatment group were lower than those in drug treatment group, with statistical significance(P < 0.05). Conclusion The therapy of Tuina on the back can effectively relieve mental and physical fatigue of patients with chronic fatigue syndrome and further regulate systemic syndrome. It has obvious clinical curative effect, no toxic and side effects, and the patients feel comfortable and easy to accept. It is worthy of clinical popularization.
作者 尚坤 付玉娜 刘陨君 张玉国 姚栾 张欣 SHANG Kun;FU Yuna;LIU Yunjun;ZHANG Yuguo;YAO Luan;ZHANG Xin(College of Basic Medicine, Changchun University of Chinese Medicine, Changchun 130117, China;College of Acupuncture and Massage, Changchun University of Chinese Medicine, Changchun 130117, China)
出处 《长春中医药大学学报》 2019年第5期909-911,共3页 Journal of Changchun University of Chinese Medicine
基金 吉林省卫生计生委卫生技术创新项目(2017J102) 吉林省教育厅基金项目(JJkH20181242kJ) 吉林省中医药管理局基金项目(2019061) 长春中医药大学与吉林省教育厅联合立项项目(JJkH20181402ZC)
关键词 慢性疲劳综合征 免疫调节 背部推拿法 chronic fatigue syndrome immune adjuse therapy of massage on the back
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