推拿结合易筋消疲功治疗气虚质慢性疲劳综合征的临床研究  

Clinical study on Tuina combined with Yijin Xiaopi Gong in the treatment of chronic fatigue syndrome of qi deficiency

作　　者：罗永宝[1] 刘伙生 赵海龙 宣守松 杨一帆 孙吉雅 陈丽艳 孙武权[3] 张静[4] LUO Yongbao;LIU Huosheng;ZHAO Hailong;XUAN Shousong;YANG Yifan;SUN Jiya;CHEN Liyan;SUN Wuquan;ZHANG Jing(Tuina Department,Jiading District Hospital of TCM,Shanghai 201800,China;Department of Traditional Chinese Medicine,Jiading District Yingyuan Hospital,Shanghai 201822,China;Tuina Department,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of TCM,Shanghai 200437,China;Tuina Therapy Teaching and Research Office,Shanghai University of TCM,Shanghai 201203,China)

机构地区：[1]上海市嘉定区中医医院推拿科,上海201800 [2]上海市嘉定区迎园医院中医科,上海201822 [3]上海中医药大学附属岳阳中西医结合医院推拿科,上海200437 [4]上海中医药大学推拿治疗教研室,上海201203

出　　处：《天津中医药》2023年第10期1237-1242,共6页Tianjin Journal of Traditional Chinese Medicine

基　　金：上海市嘉定区科委自然科学课题项目(JDKW-2020-0028);上海市三年行动计划“推拿专科联盟建设项目”(ZY2018-2020-FWTX-4013)。

摘　　要：[目的]观察推拿结合易筋消疲功治疗气虚质慢性疲劳综合征(CFS)的临床疗效。[方法]采用简单随机方法将2021年1月—2022年9月在上海市嘉定区中医医院就诊的80例气虚质CFS患者分为观察组和对照组各40例,观察组采用推拿结合易筋消疲功治疗,对照组采用认知行为疗法治疗。治疗8周后,采用中医体质量表(CCMQ)、疲劳问卷-14(SF-14)、健康调查量表(SF-36)评定其临床效果,比较两组临床疗效。[结果]治疗后,观察组气虚质转化分、疲劳总分低于对照组,SF-36各维度评分高于对照组,差异有统计学意义(P<0.05)。观察组总有效率为94.59%,对照组总有效率为55.26%,综合疗效比较观察组优于对照组,差异具有统计学意义(P<0.05)。[结论]推拿结合易筋消疲功治疗能有效地缓解气虚质慢性疲劳综合征患者的疲劳症状,并能有效地改善气虚质慢性疲劳综合征患者的体质状况和生活质量,临床疗效优于认知行为疗法。[Objective]To observe the clinical efficacy of Tuina combined with Yijin Xiaopi Gong in the treatment of chronic fatigue syndrome(CFS)of qi deficiency.[Method]Using a simple random method,80 patients with qi deficiency CFS who visited our hospital from January 2021 to September 2022 were divided into an observation group and a control group,with 40 patients in each group.The observation group was treated with Tuina combined with Yijin Xiaopi Gong,while the control group was treated with cognitive-behavioral therapy.After 8 weeks of treatment,the clinical efficacy was evaluated using Constitution in Chinese Medicine Questionnaire(CCMQ),Fatigue Scale-14(SF-14),and 36-item Short Form Health Survey(SF-36),and the clinical efficacy was compared between the two groups.[Result]After treatment,the observation group had lower scores of qi deficiency transformation and total fatigue compared to the control group,while the SF-36 scores in all dimensions were higher than the control group,with statistically significant differences(P<0.05).The total effective rate of the observation group was 94.59%,while the total effective rate of the control group was 55.26%.The comprehensive therapeutic effect of the observation group was better than that of the control group(P<0.05).[Conclusion]The combination of Tuina and Yijin Xiaopi Gong effectively alleviates the fatigue symptoms of patients with chronic fatigue syndrome of qi deficiency,and can effectively improve the physical condition and quality of life of patients with chronic fatigue syndrome of qi deficiency.The clinical efficacy is superior to cognitive behavioral therapy.

关 键 词：推拿 易筋消疲功 气虚质 慢性疲劳综合征 临床研究 

分 类 号：R244.1[医药卫生—针灸推拿学]