推拿干预慢性疲劳综合征患者骨骼肌中位频率的临床研究  

A study of median frequencies of skeletal muscle undergoing Tuina intervention in patients with chronic fatigue syndrome

作　　者：刘鲲鹏[1] 房敏[1] 戴德纯[1] 姜淑云[1] 左亚忠[1] 

机构地区：[1]上海中医药大学岳阳中西医结合医院推拿科,上海200437

出　　处：《中西医结合学报》2011年第10期1083-1087,共5页Journal of Chinese Integrative Medicine

基　　金：国家自然科学基金资助项目(No.30973805)

摘　　要：目的：观察推拿干预慢性疲劳综合征（chronic fatigue syndrome,CFS）患者四肢及腰背骨骼肌后,其表面肌电中位频率（median frequency,MF）及疲劳量表评分的变化。方法：采用临床对照试验,2010年3月~2011年2月选取上海中医药大学附属岳阳中西医结合医院慢性疲劳综合征专科门诊就诊的CFS患者（32人）,并选择30名正常人做对照。对CFS患者推拿治疗20d。推拿前后检测CFS患者四肢及腰背骨骼肌表面肌电MF,并采用慢性病功能评价量表进行疲劳评价。结果：CFS患者四肢骨骼肌MF值与正常人比较差异无统计学意义,腰背肌MF值高于正常人（P〈0.05）;CFS患者推拿后的疲劳量表评分明显低于治疗前。结论：CFS患者腰背肌肌纤维MF高于正常人,推拿能改善CFS患者的疲劳症状。Objective：To study the changes in median frequency（MF）from a surface electromyogram of skeletal muscles and functional assessment of chronic illness therapy（FACIT）figure scale scores for patients with chronic fatigue syndrome（CFS）before and after Tuina treatment.Methods：A controlled clinical trial was adopted.Thirty-two patients suffering from CFS were enrolled according to the inclusion criteria from outpatient department of Shanghai Yueyang Hospital of Integrated Chinese and Western Medicine in China;thirty normal people whose gender,age,height and body mass were concordant with the CFS patients were selected as the normal group.Surface electromyography was used to detect the median frequency（MF）of biceps,quadriceps,and waist and back muscle before and after a 20-day course of treatment.CFS patients also were asked to fill out the figure scale of FACIT to evaluate the degree of fatigue.Results：There was no significant difference in surface electromyography MF of myoelectric signal of biceps and quadriceps between CFS and normal person;however,the waist and back muscle MF of the normal person was significantly lower than that of the CFS patients.Before and after treatment,there were no obvious changes in the MF of myoelectric signals of all muscles.Tuina significantly decreased the scale score of FACIT.Conclusion：Tuina can improve the symptom of patients with CFS.

关 键 词：疲劳综合征 慢性 肌电描记术 肌 骨骼 中位频率 推拿 临床试验 

分 类 号：R244.1[医药卫生—针灸推拿学]