竹盐脐灸联合健康指导干预亚健康疲劳状态临床研究  

Clinical Study on Umbilical Moxibustion with Bamboo Salt Combined with Health Guidance for Fatigue in Sub-health State

作　　者：韦舒妍 黄静梅 吴樱英 原嘉民 林嬿钊 陈欣燕 邹涛 WEI Shuyan;HUANG Jingmei;WU Yingying;YUAN Jiamin;LIN Yanzhao;CHEN Xinyan;ZOU Tao(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510120,China)

机构地区：[1]广州中医药大学第二附属医院,广东广州510120

出　　处：《新中医》2023年第22期197-201,共5页New Chinese Medicine

基　　金：广东省中医院中医药科学技术研究专项课题(YN2016HL07);省部共建中医湿证国家重点实验室重点项目(SZ2021ZZ3201,SZ2021ZZ3202)。

摘　　要：目的:观察竹盐脐灸联合健康指导干预亚健康疲劳状态的有效性及安全性。方法:纳入134例亚健康疲劳状态患者,随机分为对照组和干预组。2组均采用健康指导干预,干预组加用竹盐脐灸干预。2组干预时间均为4周。干预前后评定疲劳量表-14 (FS-14)的躯体疲劳评分、脑力疲劳评分、总分及主观疲劳程度视觉模拟评分法(VAS)评分。评价干预组患者对竹盐脐灸的接受程度,观察竹盐脐灸过程中是否出现不适症状或不良反应。结果:干预后,干预组躯体疲劳评分、脑力疲劳评分均较治疗前下降(P<0.05);对照组干预前后的躯体疲劳评分、脑力疲劳评分比较,差异均无统计学意义(P>0.05);干预组躯体疲劳评分、脑力疲劳评分均低于对照组(P<0.05)。干预组FS-14总分较治疗前下降(P<0.05);对照组干预前后的FS-14总分比较,差异无统计学意义(P>0.05);干预组FS-14总分低于对照组(P<0.05)。2组主观疲劳程度VAS评分均较治疗前下降(P<0.05),干预组主观疲劳程度VAS评分低于对照组(P<0.05)。干预5次后,干预组怕冷、腰背疼痛、睡眠障碍、月经不调、脘腹胀满、食欲不佳、受寒腹泻、情绪忧虑、大便不畅评分均较治疗前下降,差异均有统计学意义(P<0.05)。未见患者反映竹盐脐灸过程中出现不适症状或不良反应。结论:在健康指导的基础上加用竹盐脐灸能有效改善亚健康疲劳状态人群的疲劳状态和相关临床症状,且竹盐脐灸具有操作简单、安全有效、患者易于接受等优点。Objective:To observe the effectiveness and safety of umbilical moxibustion with bamboo salt combined with health guidance for fatigue in sub-health state.Methods:A total of 134 patients with fatigue in sub-health state were included and randomly divided into the control group and the intervention group.Both groups received health guidance intervention,and the intervention group received umbilical moxibustion with bamboo salt.The intervention time was 4 weeks in the two groups.Before and after intervention,the trunk fatigue scores,mental fatigue scores,and total scores of Fatigue Scale-14(FS-14),and subjective fatigue degree in Visual Analogue Scale(VAS)were evaluated.The acceptance of umbilical moxibustion with bamboo salt among patients in the intervention group was evaluated,and the incidence of discomfort symptoms or adverse reactions was observed during the process of umbilical moxibustion with bamboo salt.Results:After intervention,the trunk fatigue score and mental fatigue score in the intervention group were decreased when compared with those before treatment(P<0.05);there was no significant difference being found in the comparison of trunk fatigue score and mental fatigue score before and after intervention in the control group(P>0.05);the trunk fatigue score and mental fatigue score in the intervention group were lower than those in the control group(P<0.05).The total score of FS-14 in the intervention group was decreased when compared with that before treatment(P<0.05);there was no significant difference being found in the comparison of the total score of FS-14 in control group before and after intervention(P>0.05);the total score of FS-14 in the intervention group was lower than that in the control group(P<0.05).The VAS scores of subjective fatigue degree in the two groups were decreased when compared with those before treatment(P<0.05),and the VAS score of subjective fatigue in the intervention group was lower than that in the control group(P<0.05).After 5 times of interventions,the scores of fear of

关 键 词：亚健康疲劳状态 竹盐脐灸 健康指导 

分 类 号：R259[医药卫生—中西医结合]