头针结合“经颅重复针刺法”治疗慢性疲劳综合征临床研究

目的:比较头针结合“经颅重复针刺法”与口服谷维素及维生素B1治疗慢性疲劳综合征(CFS)的临床疗效差异。方法:收集66例符合CFS诊断及纳入标准的患者,脱落6例,用随机数字表法将患者分为治疗组(头针疗法组)30例和对照组(西药疗法组)30例。治疗组采用头针施以经颅重复刺激手法,对照组采用西药谷维素及维生素B1口服治疗,治疗频率均为每周治疗6 d,1周为1个疗程,共治疗4个疗程。观察两组患者治疗前后FS-14量表、SAS和SDS评分及总体疗效进行疗效评价。结果:两组患者治疗结束后,除对照组躯体性疲劳较治疗前无明显改善,差异无统计学意义(P=0.083>0.05)外,余两组FS-14量表、SAS和SDS评分均较疗前降低,差异具有统计学意义(P<0.05),且治疗组降低幅度大于对照组(P<0.05)。治疗组总有效率86.67%(26/30),高于对照组的60.00%(18/30),两组差异具有统计学意义(P<0.05)。结论:头针疗法对于改善CFS患者的疲劳症状、焦虑和抑郁症状效果明显,且疗效优于西药组。

Clinical Study of Scalp Acupuncture Combined with‘Transcranial Repeated Acupuncture’in Treatment of CFS

Objective:To compare the clinical efficacy of scalp acupuncture combined with‘transcranial repeated acupuncture’and Oryzanol and Vitamin B₁ in the treatment of chronic fatigue syndrome(CFS).Methods:66 patients,who met the CFS diagnosis and inclusion criteria,were randomly divided into the treatment group(n=30)and the control group(n=30),with 6 cases in total falling off.The treatment group was treated with scalp acupuncture and transcranial repetitive stimulation,whereas the control group was treated with Oryzanol and Vitamin B1.There were no statistical differences in gender and age between the two groups before the treatment(P>0.05).After four weeks of the treatment,the scores of FS-14 scale,SAS and SDS were observed before and after the treatment in the two groups,and the overall curative effect was compared between the two groups.Results:After the treatment,except the physical fatigue of the control group was not significantly improved compared to that before the treatment(P=0.083),the scores of FS-14 scale,SAS and SDS were all significantly decreased in the two groups(P<0.05),and the decreases in the treatment group were more significant(P<0.05).The total effective rate of the treatment group was 86.67%(26/30),which was significantly higher than 60.00%(18/30)of the control group(P<0.05).Conclusion:Scalp acupuncture has a significant effect on improving fatigue,anxiety and depression symptoms of CFS patients,and its effect is better than that of western medication.