长蛇灸治疗脾肾两虚型慢性疲劳综合征随机对照研究

目的 观察长蛇灸治疗脾肾两虚型慢性疲劳综合征的临床疗效。方法 将60例患者随机分为治疗组和对照组。治疗组采用长蛇灸配合俞募配穴针灸治疗,对照组采用俞募配穴针灸治疗,连续治疗4星期。对比两组患者临床疗效以及治疗前后疲劳量表、疼痛视觉模拟评分（VAS）、抑郁状态问卷（PSI）评分情况。结果 治疗组总有效率为63.3%,对照组总有效率为41.4%,两组比较差异有统计学意义（P＜0.05）。治疗组治疗后躯体疲劳积分、脑力疲劳积分、疲劳总分均显著降低（P＜0.05,P＜0.01）,对照组治疗后躯体疲劳积分、疲劳总分均有所降低（P＜0.05）,而脑力疲劳积分无明显变化（P＞0.05）;两组治疗后躯体疲劳积分、脑力疲劳积分、疲劳总分比较差异均有统计学意义（P＜0.05）。治疗组治疗后VAS评分显著降低（P＜0.01）,对照组治疗后VAS评分有所降低（P＜0.05）;两组治疗后VAS比较差异有统计学意义（P＜0.05）。治疗组治疗后DSI评分显著降低（P＜0.05）,对照组治疗后DSI评分无明显变化（P＞0.05）;两组治疗后DSI评分比较差异有统计学意义（P＜0.05）。结论 长蛇灸配合俞募配穴针灸可提高脾肾两虚型慢性疲劳综合征患者的疗效。

Randomized Controlled Study on Snake Moxibustion for Chronic Fatigue Syndrome Due to Spleen-kidney Deficiency

Objective To observe the clinical efficacy of snake moxibustion in treating chronic fatigue syndrome （CFS） due to spleen-kidney deficiency. Method Sixty patients were randomized into a treatment group and a control group. The treatment group was intervened by snake moxibustion plus acupuncture at Front-Mu and Back-Shu points, while the control group was intervened by acupuncture at Front-Mu and Back-Shu points alone, for consecutive 4 weeks. They were compared in terms of clinical efficacy, the Fatigue Scale-14 （FS-14）, Visual Analogue Scale （VAS）, and Depression Status Inventory （DSI） before and after treatment. Result The total effective rate was 63.3% in the treatment group versus 41.4% in the control group, and the difference was statistically significant （P〈0.05）. After treatment, the physical fatigue score, mental fatigue score, and total fatigue score dropped significantly in the treatment group （P〈 0.05,P〈 0.01）; the physical fatigue score and total fatigue score dropped markedly in the control group （P〈 0.05）, while the mental fatigue score didn＇t show significant change （P〉0.05）; the inter-group differences in the physical fatigue score, mental fatigue score, and total fatigue score were statistically significant （P〈0.05）. The VAS score decreased significantly in the treatment group after treatment （P〈0.01）, and the VAS score also dropped in the control group after treatment （P〈0.05）; the inter-group difference in VAS score after treatment was statistically significant （P〈0.05）. The DSI score declined markedly in the treatment group after treatment （P〈0.05）, while the DSI score didn＇t show obvious change in the control group after treatment （P〉 0.05）; the inter-group difference in the DSI score was statistically significant （P〈0.05）. Conclusion Snake moxibustion plus acupuncture at Front-Mu and Back-Shu points can enhance the therapeutic efficacy of CFS patients due to spleen-kidney deficiency.