经筋推拿配合易筋经功法锻炼在慢性疲劳综合征睡眠障碍中的研究

目的 睡眠障碍是慢性疲劳综合征(chronic fatigue syndrome,CFS)患者相对严重的伴随症状之一，通过使用经筋推拿配合易筋经功法锻炼这一绿色、无创、无依赖性的疗法，观察其在治疗慢性疲劳综合征睡眠障碍患者中的临床疗效。 方法 选择60例在嘉兴市中医医院门诊或住院治疗的慢性疲劳综合征睡眠障碍患者，按随机数字表法分为治疗组30例和对照组30例。其中对照组采用认知行为疗法(cognitive behavioral therapy,CBT)干预，2次/周，40～60 min/次，8周为1个治疗疗程；治疗组在此基础上采用经筋推拿配合易筋经功法锻炼的方法干预，经筋推拿3次/周，每天下午治疗45 min左右，易筋经功法锻炼1次/d，1 h/次，8周为1个疗程。2组患者均于治疗前和治疗8周后采用多维疲劳量表(MFI-20)和匹兹堡睡眠(PSQI)质量评分评定。 结果 2组患者一般资料及治疗前各项评定结果差异无统计学意义(P＞0.05)；治疗8周后，治疗组在多维疲劳量表(MFI-20)中总体疲劳、生理疲劳、活动减少、兴趣降低、精神疲劳5个维度评分与对照组比较差异有统计学意义(P＜0.05)；治疗组匹兹堡睡眠(PSQI)质量评分与对照组比较差异有统计学意义(P＜0.05)。 结论 经筋推拿配合易筋经功法锻炼能有效改善慢性疲劳综合征患者的疲劳状态和睡眠质量，该疗法廉价、简单、有效，值得在临床中大力运用及在基层医疗机构中作为适宜技术推广。 

Effect of channel points massage combined with Yijinjing exercising on chronic fatigue syndrome with sleep disorder

Objective The sleep disorder is one of a relative severe symptoms associated with the patients with chronic fatigue syndrome,by using the green,noninvasive,no dependence therapy of Channel Points Massage combined with Yijinjing exercising,we investigated the clinical effect of channel points massage combined with Yijinjing exercising on Chronic fatigue syndrome with sleep disorder. Methods Total 60 cases patients of chronic fatigue syndrome with sleep disorder in our clinic or hospital were recruited and randomly divided into treatment group(30 cases)and control groups(30 cases).The control group received cognitive behavioral therapy,twice a week,40-60 minutes each time,eight weeks were for a course;while the treatment group received channel points massage combined with Yijinjing exercising,three times a week for channel points massage,treatment for every day in the afternoon about 45 minutes,one time a day for Yijinjing exercising,one hour each time,eight weeks were for a course.Both groups were assessed with multidimensional fatigue inventory(MFI-20)and pittsburgh sleep quality index(PSQI)before and after 8 weeks of treatment. Results Before the treatment,there was no significant different in the observed items between the two groups(P>0.05).After 8 weeks of treatment,the treatment group was significant in the scores of general fatigue,physical fatigue,reduced activity,reduced motivation and mental fatigue in multidimensional fatigue inventory(MFI-20)than the control group(P<0.05);the treatment group was significant in pittsburgh sleep quality index(PSQI)than that in the control group(P<0.05). Conclusion Channel points massage combined with Yijinjing exercising can effectively improve the states of fatigue and sleep quality of chronic fatigue syndrome with sleep disorder,the treatment is cheap,simple and effective,it is worthy for the clinical application and popularization of appropriate technology in primary medical institutions.