音乐浅刺疗法治疗慢性疲劳综合征的疗效观察  

Clinical observation on the therapy of cutaneous needling with music for chronic fatigue syndrome

作　　者：马永利[1] 付于[2] 

机构地区：[1]天津中医药大学研究生院,300193 [2]天津中医药大学第一附属医院针灸部,300193

出　　处：《中华针灸电子杂志》2016年第4期141-144,共4页Chinese Journal of Acupuncture and Moxibustion（Electronic Edition）

摘　　要：目的观察音乐浅刺疗法治疗慢性疲劳综合征(CFS)的临床疗效,并提出一种新的综合疗法—音乐浅刺疗法。方法选择2015年9月至10月天津中医药大学第一附属医院针灸部收治的20例CFS患者,均符合CFS的诊断标准及本研究的纳入标准,全部采用五行宫调音乐《高山流水》结合皮部浅刺的综合疗法进行治疗,1次/d,每次留针30 min,连续治疗2周,采用配对样本t检验分析治疗前后的疲劳视觉模拟评分量表(VAS)、FS-14疲劳量表、临床症状积分量表及生活质量评价量表(SF-36)的评分变化。结果治疗后疲劳视觉模拟评分量表(VAS)、FS-14疲劳量表、临床症状积分量表3个量表的评分结果明显低于治疗前,患者疲劳症状明显缓解,治疗前后比较差异均有统计学意义(t值分别为7.92、5.42、4.698,P均<0.05);治疗后生活质量评价量表(SF-36)的评分结果高于治疗前,患者生活质量明显提高,治疗前后比较差异均有统计学意义(t=-6.457,P<0.05)。治疗后中医临床症状疗效评定结果显示,20例患者中总有效率为75%(15/20),具有临床意义。结论音乐浅刺疗法能够改善CFS患者的疲劳症状,提高患者的生活质量。Objective To observe the curative effect of cutaneous needling with music on chronic fatigue syndrome （ CFS）, and to put forward a new comprehensive therapy of cutaneous needling with music. Methods A total of 20 cases with CFS were selected in department of acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine from September to October 2016, who met the diagnostic criteria and the inclusion criteria of this study. All the patients were treated by the comprehensive therapy of cutaneous needling with the five-elements music Gaoshan Liushui High Mountains and Flowing Water, and the treatment lasted half an hour each clay for two weeks as one treatment course. Scores of fatigue visual analogue scale （VAS）, fatigue scale （ FS-14）, clinical symptom scale and the MOS 36-item short-form health survey （SF-36） were used as observation indexes between pre and post treatment. Results After treatment, Values of fatigue VAS scores, FS-14 scores and clinical symptom scores were significantly lower compared with before treatment, and fatigue symptoms were significantly relieved in patients （ t = 7.92, 5.42, 4. 698, all P 〈 0. 05）. The values of SF-36 scores were significantly higher after treatment than before treatment, and the quality of life in patients was significantly improved （t = - 6. 457, P 〈 0.05）. After treatment, the total effective rate in the evaluation of clinical symptoms of TCM was 75% （15/20）, which was clinical significance. Conclusion The comprehensive therapy of cutaneous needling with music can improve the fatigue symptoms and improve the quality of life in patients with CFS.

关 键 词：音乐疗法 疲劳综合征 慢性 皮部浅刺 

分 类 号：R246.1[医药卫生—针灸推拿学]