针刺背俞穴治疗慢性疲劳综合征临床研究

目的:研究针刺背腧穴治疗慢性疲劳综合征(CFS)的临床疗效及安全性。方法:120例CFS患者随机分为对照组60例和治疗组60例,对照组给予非穴点浅刺,治疗组给予针刺背俞穴(双侧心俞、脾俞、膏肓俞)治疗,两组均留针20min,1周治疗5次,治疗4周。应用Chadler疲劳量表、整体健康水平量表(SF-20)和患者满意度自评量表对疗效给予评价,并于治疗后3个月±7d内给予随访。结果:近期疗效:两组治疗后Chalder疲劳量表得分均较治疗前显著减少(P<0.01),治疗组疗效优于对照组(P<0.01);对照组SF-20得分仅在生理功能及总体健康得分上较疗前提高(P<0.05),治疗组治疗后6个维度得分较治疗前均提高(P<0.01);对照组满意率36.7%(22/60),治疗组66.4%(38/59),治疗组满意度明显高于对照组(P<0.05)。随访时两组Chalder疲劳量表得分较疗前均减少(P<0.01),说明治疗持续有效,且治疗组仍优于对照组(P<0.01);对照组满意率32.0%(16/50),治疗组62.3%(33/53),治疗组优于对照组(P<0.05)。治疗期间,两组均未出现不良反应。结论:针刺背俞穴治疗CFS近期疗效明显优于对照组并且有一定中期疗效。

Observation on Therapeutic Effect of Acupuncture of Back-shu Acupoints for Chronic Fatigue Syndrome Patients

Objective To observe the therapeutic effect and safety of acupuncture of Back-shu points Xinshu(BL 15),Pishu(BL 20),etc.]in the treatment of chronic fatigue syndrome(CFS).Methods A total of 120 CFS patients were equally randomized into acupuncture and control groups.Acupuncture needles were inserted into bilateral Xinshu(BL 15),Pishu(BL 20),and Gaohuang(BL 43) points,once daily for 4 weeks except weekends.For patients of the control group,acupuncture needles were inserted into the shallow layer of the non-acupoints(two mid-points of the horizon lines passing through the crossing-points of the 1st and 2nd branches of the Gallbladder Meridian and the crests of 4th,5th and 11th thoracic vertebrae).General health scale(SF-20) and Chalder fatigue scale were used to measure the CFS patients’ degree of general health.A follow-up survey was carried out 3 months after the last treatment.Results In comparison with pre-treatment,the scores of Chalder fatigue scale were decreased significantly in both treatment and control groups(P<0.01),while the scores of physiological function(PF) and general health(GH) of SF-20 in both acupuncture groups and those of the role function(RF),social function(SF),mental health(MH) and pain sensation(PS) in the treatment group were increased apparently after the treatment(P<0.05,P<0.01).The scores of Chalder Scale and PF,RF,SF,GH,MH,PS and the CFS patients’ satisfication degrees 4 weeks(64.4% and 36.7%) and 3 months(62.3%and 32%)after the treatment in the treatment group were significantly superior to those of the control group(P<0.05).Conclusion Acupuncture at Back-shu point has a good therapeutic effect(including immediate and mid-term effect) in the treatment of chronic fatigue syndrome patients.