OBJECTIVE: To evaluate the effect of the traditional Chinese procedure abdominal Tuina(AT) on chronic fatigue syndrome(CFS).METHODS: This randomized, single assessor-blinded clinical trial was carried out from May 201...OBJECTIVE: To evaluate the effect of the traditional Chinese procedure abdominal Tuina(AT) on chronic fatigue syndrome(CFS).METHODS: This randomized, single assessor-blinded clinical trial was carried out from May 2014 to April 2015. Eighty participants in the trial were divided randomly into two groups: experimental group and control. The experimental group(40 cases) was treated by AT and the control group(40 cases) by acupuncture. Each treatment was conducted once a day, 5 d for one course, at an interval of 2 d between each course. The whole treatment course lasted for 4 weeks. To ascertain the effect of AT and acupuncture, Fatigue Scale-14(FS-14), Self-rating Anxiety Scale(SAS) and Hamilton Rating Scale for Depression(HAMD) scores were used before and after treatment. Patients were followed up for3 months after treatment.RESULTS: After treatment for 4 weeks, 77 patients(39 cases in the experimental group and 38 cases in the control group) completed the trial. The FS-14,SAS and HAMD scores decreased(P < 0.05) significantly compared with those before treatment in both groups. The FS-14 and HAMD(P < 0.05) scores in the experimental group were much lower than those in the control group. The difference in SAS scores between the two groups was not significant.In the final follow-up, CFS in two cases in the experimental group and three in the control group recurred, but the difference was not significant. The scores for the FS-14, SAS and HAMD in the experimental group were superior to those of the control group, and the difference was significant(P < 0.05).No serious adverse events and few adverse events were observed.CONCLUSION: AT elicited a more efficacious effect than acupuncture alone on CFS.展开更多
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,...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。展开更多
基金Supported by the National Natural Science Foundation:Use of the BDNF-CREB-Bcl-2 Protein Pathway to Investigate the Mechanism of Abdominal Tuina to Promote CFS Hippocampal Neuronal Remodeling(No.81360567)Based on the ENS-ICC-SMC Network to Investigate Abdominal Massage to Control the Intestinal Motility(No.81373762)
文摘OBJECTIVE: To evaluate the effect of the traditional Chinese procedure abdominal Tuina(AT) on chronic fatigue syndrome(CFS).METHODS: This randomized, single assessor-blinded clinical trial was carried out from May 2014 to April 2015. Eighty participants in the trial were divided randomly into two groups: experimental group and control. The experimental group(40 cases) was treated by AT and the control group(40 cases) by acupuncture. Each treatment was conducted once a day, 5 d for one course, at an interval of 2 d between each course. The whole treatment course lasted for 4 weeks. To ascertain the effect of AT and acupuncture, Fatigue Scale-14(FS-14), Self-rating Anxiety Scale(SAS) and Hamilton Rating Scale for Depression(HAMD) scores were used before and after treatment. Patients were followed up for3 months after treatment.RESULTS: After treatment for 4 weeks, 77 patients(39 cases in the experimental group and 38 cases in the control group) completed the trial. The FS-14,SAS and HAMD scores decreased(P < 0.05) significantly compared with those before treatment in both groups. The FS-14 and HAMD(P < 0.05) scores in the experimental group were much lower than those in the control group. The difference in SAS scores between the two groups was not significant.In the final follow-up, CFS in two cases in the experimental group and three in the control group recurred, but the difference was not significant. The scores for the FS-14, SAS and HAMD in the experimental group were superior to those of the control group, and the difference was significant(P < 0.05).No serious adverse events and few adverse events were observed.CONCLUSION: AT elicited a more efficacious effect than acupuncture alone on CFS.
文摘目的: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。
