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膏肓灸法治疗慢性疲劳综合征:随机对照研究 被引量:34

Moxibustion at Gaohuang(BL 43)for chronic fatigue syndrome:a randomized controlled trial
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摘要 目的:观察膏肓灸法治疗慢性疲劳综合征的临床疗效。方法:采用分层区组随机方法将符合纳入标准的72例慢性疲劳综合征患者随机分为膏肓灸法组和针刺组,每组36例。膏肓灸法组以膏肓穴为主穴,配穴气海、足三里,膏肓穴以大艾炷灸,每次10壮,气海、足三里大艾炷各灸7壮;针刺组取穴同膏肓灸法组,针刺得气后用捻转补法,频率60次/min,幅度360°。两组均每日治疗1次,10天为一疗程,疗程间隔2天,共治疗3个疗程。采用疲劳评定量表(FAI)评价治疗前后两组患者FAI积分变化,观察临床疗效。结果:膏肓灸法组临床总有效率为88.9%(32/36),明显优于针刺组的72.2%(26/36),差异有统计学意义(P<0.05);两组患者治疗后FAI积分比治疗前明显下降,差异有统计学意义(均P<0.01),且治疗后膏肓灸法组FAI积分明显低于针刺组,差异有统计学意义(P<0.05)。结论:膏肓灸法能明显改善慢性疲劳综合征患者的FAI积分,临床疗效肯定。 Objective To observe the clinical effect of chronic fatigue syndrome(CFS)treated with moxibustion at Gaohuang(BL 43).Methods With stratified block randomization,72 patients accorded with inclusive criteria were divided into a moxibustion at Gaohuang(BL 43)group(moxibustion group)and an acupuncture group,36 cases in each one.In the moxibustion group,Gaohuang(BL 43)was treated with big moxa cones as the main acupoint,10 cones a time;Qihai(CV 6)and Zusanli(ST 36)were added with big moxa cones,7cones a time.In the acupuncture group,acupoints were the same as those in the moxibustion group,and twirling reinforcing method was used after qi arriving,60 times one minute and 360°with range.In the two groups,10-day treatment was made into one course and there were two days between courses.The treatment was given once a day for3 courses.Changes of fatigue assessment index(FAI)before and after treatment and clinical effects were observed.Results The total effective rate was 88.9%(32/36)in the moxibustion group,which was better than72.2%(26/36)in the acupuncture group apparently(P0.05).After treatment in the two groups,FAI scores were obviously declined compared with those before treatment(both P0.01),and FAI score in the moxibustion group was apparently lower than that in the acupuncture group(P0.05).Conclusion Moxibustion at Gaohuang(BL 43)can improve the FAI score of patients with CFS and the clinical efficacy is definite.
出处 《中国针灸》 CAS CSCD 北大核心 2015年第11期1127-1130,共4页 Chinese Acupuncture & Moxibustion
关键词 慢性疲劳综合征 灸法 针刺 膏肓 随机对照试验 chronic fatigue syndrome(CFS) moxibustion acupuncture Point BL 43(Gaohuang) rando mized controlled trial(RCT)
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