物理疗法治疗慢性疲劳综合征的临床观察

目的:观察与评价两种物理疗法对慢性疲劳综合征的临床疗效。方法:应用随机数字表,随机分为治疗组和对照组。治疗组36例,男12例,女24例;年龄27~65岁,平均50.80岁。对照组36例,男19例,女17例;年龄23~60岁,平均41.37岁。治疗组采用温热理疗床治疗6周。对照组采用腹部推拿手法治疗6周。观察并对比两组治疗前后记忆力或注意力下降,咽痛,颈部僵直或腋下淋巴结肿大、触痛,肌肉疼痛,多发性关节疼痛,反复头痛,睡眠紊乱,劳累后肌痛等症状体征的变化。结果:两组治疗后症状体征积分变化均有统计学意义(P<0.05);两组间疗效变化有统计学意义(P<0.05),对照组优于治疗组。结论:物理疗法对慢性疲劳综合征引起的一系列临床症状及体征具有一定程度的改善效果。

Clinical observations on 72 patients with chronic fatigue syndrome treated by physiotherapy

Objective: To observe and evaluate the therapeutic effect of chronic fatigue syndrome treated by two kinds of physiotherapy. Methods: Patients were divided into treatment group and control group according to the random digits table. 36 patients were involved in treatment group, 12 male, 24 female; the average age was 50.80 years (range, 27-65 years). 36 patients were involved in control group, 19 male, 17 female; the average age was 41.37 years (range, 23-60 years). Patients in both groups were separately treated for 6 weeks, with lukewarm physiotherapy couch in treatment group, with abdominal manipulations in control group. Before and after therapy, the changes of symptoms and signs in both groups were observed and compared respectively,a series of symptoms and signs were noted in chronic fatigue syndrome including the problems of memory,attention and sleep;headache,pharyngalgia,myalgia,multiple arthralgiai;stiffness of neck,swellen and tenderness of lympy nodes in armpit,etc.. Results:The score of symptoms and signs before and after therapy in both two groups was significant difference statistically (P<0.05); the therapeutic effect between two groups was also significant difference statistically (P<0.05). The effect of control group was better than that of treatment group. Conclusion: Physiotherapy can partially improve the clinical symptoms and signs of chronic fatigue syndrome.