中医五音疗法干预气虚质人群临床观察  

Intervention effect of traditional Chinese medicine five-tone therapy on population of qi-asthenia constitution

作　　者：高昭 曾静 吕品[1] 黄梦文 王稼心 彭艳文 提桂香[1] GAO Zhao;ZENG Jing;LV Pin;HUANG Mengwen;WANG Jiaxin;PENG Yanwen;TI Guixiang(Center for Preventive Treatment of Diseases,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053;China Science and Technology Development Center for Chinese Medicine,National Administration of Traditional Chinese Medicine,Beijing 100191)

机构地区：[1]中国中医科学院广安门医院治未病中心,北京100053 [2]国家中医药管理局中国中医药科技发展中心,北京100191

出　　处：《河北中医》2024年第7期1065-1069,1073,共6页Hebei Journal of Traditional Chinese Medicine

基　　金：中国中医科学院科技创新工程—重大攻关项目(编号:CI2021A03009)。

摘　　要：目的观察中医五音疗法对未病状态的气虚质人群的干预效果及安全性,为中医五音疗法在体质偏颇人群的应用提供循证医学证据。方法将76例气虚质患者按照随机数字表法分为2组,对照组38例予统一生活方式干预,治疗组38例在对照组干预基础上加中医五音疗法干预,2组均干预6个月。记录2组治疗前后中医气虚质评分、五脏病位维度气虚量表评分、简明健康调查量表(SF-36)评分、疲劳评定量表(FAI)评分;对2组进行安全性评价。结果最终共75例受试者完成全程干预,其中治疗组完成干预37例,对照组完成干预38例。2组治疗后气虚质各症状评分均较本组治疗前降低(P<0.05),治疗后治疗组气虚质各症状评分均低于对照组(P<0.05)。2组治疗后五脏病位维度气虚量表评分均较本组治疗前降低(P<0.05);治疗后治疗组五脏病位维度气虚量表评分均低于对照组(P<0.05)。治疗组治疗后SF-36评分均较本组治疗前升高(P<0.05);对照组治疗后除情感职能评分外,其余评分均较本组治疗前升高(P<0.05);治疗后治疗组SF-36评分均高于对照组(P<0.05)。2组治疗后FAI评分均较本组治疗前降低(P<0.05),且治疗组降低更明显(P<0.05)。2组治疗前后血常规、肝肾功能、尿常规、心电图比较差异均无统计学意义(P>0.05),均未出现不良反应。结论生活方式结合中医五音疗法对气虚质人群干预效果明显,且安全性较高。Objective To observe the intervention effect and safety of traditional Chinese medicine(TCM)five-tone therapy forpopulation of qi-asthenia constitution in state of approaching illness,and to provide evidence-based medicine for the populations.Methods Totally 76 patients with qi-asthenia constitution were randomly assigned into observation group(n=38)and control group(n=38,1 case dropped off).All patients were managed bylifestyle intervention,and those in observation group were addi tionally given the intervention of TCM five-tone therapy.A 6-month intervention was performed to compare Qi deficiency syndrome scale scores,Qi deficiency of five zang organs scale scores,short-form 36 health survey scale(SF-36),fatigue assessment instrument(FAI),blood routine,urine routine,liver and kidney function,adverse reactions.The treatment efficacy and safety were assessed.Results After intervention,the dimension score of Qi deficiency syndrome scale in the both groups were significantly decreased,which were significantly lower in the observation group than in the control group(P<0.05).The dimension score of Qi deficiency of five zang organs scale in the both groups were significantly decreased,which decreased notably in the observation group compared with the control group(P<0.05).After intervention,the SF-36 scores in the observation group increased significantly(P<0.05),which were significantly higher than those in the control group(P<0.05).The SF-36 scores except for emotional function in the control group were significantly increased(P<0.05).After intervention,FAI scores in the both groups were significantly decreased than those before intervention(P<0.05),the decrease in the observation group was more common than the control group(P<0.05).The levels of blood routine,liver and kidney function,urine routine,electrocardiogram in the observation group was comparableto those of the control groupbefore and after intervention(P>0.05).No adverse reaction was found during intervention.Conclusion The combination of lifestyle interv

关 键 词：气虚质 五音疗法 治未病 

分 类 号：R363.26[医药卫生—病理学] R247[医药卫生—基础医学]