摘要
目的:观察火龙罐疗法对脾肾阳虚型慢性疲劳综合征的临床疗效、心理状态及生活质量的影响。方法:将2022年6月—2023年1月在佛山市中医院三水医院治未病科门诊就诊的70例慢性疲劳综合征(脾肾阳虚型)患者按随机数字表法分为对照组和观察组,各35例。对照组单纯给予生活方式指导,观察组在对照组的基础上再给予火龙罐疗法治疗,每周2次,4周为1个疗程。治疗前后进行疲劳量表(FS-14)、躯体及心理健康报告(SPHERE)、抑郁自评量表(SDS)、中医症状分级量化表评判,治疗后进行临床效果评估。结果:治疗后,观察组FS-14、SPHERE及SDS评分分别为(4.85±0.55)、(11.60±2.95)、(50.40±3.08)分,均明显低于治疗前[(10.18±1.44)、(25.99±4.28)、(57.38±3.64)分]及对照组[(6.42±1.02)、(18.73±3.57)、(54.86±2.44)分](P<0.05)。治疗后,观察组畏寒肢冷、倦怠乏力、少气懒言、食少纳呆、腰酸膝软、脘腹胀满评分分别为(1.25±0.42)、(1.43±0.43)、(1.32±0.36)、(1.18±0.43)、(0.63±0.30)、(0.71±0.34)分,均明显低于治疗前[(4.28±0.54)、(4.25±0.61)、(4.20±0.54)、(4.24±0.57)、(2.18±0.53)、(2.18±0.38)分]及对照组[(2.15±0.40)、(2.16±0.45)、(1.90±0.33)、(1.88±0.40)、(1.14±0.38)、(1.15±0.36)分],差异均有统计学意义(P<0.05);治疗后,两组腰部冷痛、大便不实评分均明显低于治疗前,差异均有统计学意义(P<0.05),观察组上述评分与对照组相比,差异均无统计学意义(P>0.05)。观察组临床总有效率为97.14%(34/35),明显高于对照组的74.29%(26/35),差异有统计意义(P<0.05)。结论:火龙罐疗法治疗脾肾阳虚型慢性疲劳综合征能有效改善躯体疲劳、脑力疲劳,且同时能改善患者心理状态,提升患者生活质量,提高临床治疗效果。
Objective:To observe the clinical effect,psychological state and quality of life fire dragon pot therapy on chronic fatigue syndrome with spleen-kidney Yang deficiency type.Method:From June 2022 to January 2023,70 patients with chronic fatigue syndrome with spleen-kidney Yang deficiency type who were treated in the Outpatient Preventive Medicine Department of Sanshui Hospital of Foshan Hospital of Traditional Chinese Medicine were divided into the control group and the observation group according by random number table method,with 35 cases of each group.The control group was simply given lifestyle guidance,the observation group was treated with fire dragon pot therapy on the basis of the control group,twice a week,4 weeks for 1 course.Before and after treatment were evaluated by fatigue scale-14(FS-14),somatic and psychological health report(SPHERE),selfrating depression scale(SDS),and Chinese medicine symptom grading scale,and clinical efficacy was evaluated after treatment.Result:After treatment,the scores of FS-14,SPHERE and SDS of the observation group were(4.85±0.55),(11.60±2.95)and(50.40±3.08)points,which were significantly lower than[(10.18±1.44),(25.99±4.28),(57.38±3.64)points]of before treatment and[(6.42±1.02),(18.73±3.57),(54.86±2.44)points]in the control group(P<0.05).After treatment,the scores of cold fear of cold limbs,fatigue and weakness,less qi and lazy talk,less food and dormancy,sore waist and soft knees,abdominal distension full score of the observation group were(1.25±0.42),(1.43±0.43),(1.32±0.36),(1.18±0.43),(0.63±0.30),(0.71±0.34)points,which were significantly lower than[(4.28±0.54),(4.25±0.61),(4.20±0.54),(4.24±0.57),(2.18±0.53),(2.18±0.38)points]before treatment and[(2.15±0.40),(2.16±0.45),(1.90±0.33),(1.88±0.40),(1.14±0.38),(1.15±0.36)points]in the control group,the differences were statistically significant(P<0.05),after treatment,the scores of lumbar cold pain and fecal insufficiency in both groups were significantly lower than those before treatment,the differences were statistically significant(P<0.05),compared with the control group,the differences were not statistically significant(P>0.05).The total clinical effective rate of the observation group was 97.14%(34/35),which was significantly higher than 74.29%(26/35)of the control group(P<0.05).Conclusion:Fire dragon pot therapy on treatment of chronic fatigue syndrome with spleen-kidney Yang deficiency by can effectively improve physical and mental fatigue,as well as improve the psychological state of patients,enhance their quality of life,and enhance clinical treatment effectiveness.
作者
郑衍庆
徐凤宜
叶焕卿
ZHENG Yanqing;XU Fengyi;YE Huanqing(Preventive Medicine Department,Sanshui Hospital of Foshan Hospital of Traditional Chinese Medicine,Foshan 528100,China;不详)
出处
《中国医学创新》
CAS
2024年第8期126-130,共5页
Medical Innovation of China
基金
佛山市卫生健康局医学科研课题(20230377)
佛山市“十四五”医学高水平重点专科建设项目(FSGSP145111)
关键词
慢性疲劳综合征
火龙罐疗法
脾肾阳虚形
Chronic fatigue syndrome
Fire dragon pot therapy
Spleen-kidney Yang deficiecy type
