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针刺联合推拿、运动训练对慢性疲劳综合征患者生活质量的影响 被引量:8

Effect of acupuncture combined with massage and exercise training on quality of life of patients with chronic fatigue syndrome
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摘要 目的:研究针刺联合推拿、运动训练对慢性疲劳综合征患者生活质量的影响。方法:选取60例慢性疲劳综合征患者为研究对象,将纳入患者按就诊时间先后分为针刺组与对照组,每组30例。对照组采用推拿、运动训练,针刺组在对照组基础上加用针刺治疗。记录两组治疗2个月后氧自由基、免疫功能指标,记录中医证候积分,评估疲劳症状与生活质量。结果:针刺组治疗2个月后丙二醛(MDA)、血尿素氮(BUN)分别为(4.13±0.74)mmol/L、(4.95±0.70)mmol/L显著低于对照组的(4.70±0.79)mmol/L、(5.47±0.84)mmol/L(P<0.05),免疫球蛋白G(IgG)、免疫球蛋白A(IgA)、免疫球蛋白M(IgM)分别为(10.58±1.94)g/L、(1.66±0.33)g/L、(1.49±0.28)g/L显著高于对照组的(8.93±1.67)g/L、(1.48±0.30)g/L、(1.30±0.23)g/L(P<0.05)。针刺组治疗2个月后疲劳评分(FS-14)为(7.09±1.25)分显著低于对照组的(8.31±1.48)分(P<0.05),生活质量评分(WHOQOL-BREF)为(82.36±12.91)分显著高于对照组的(75.88±11.65)分(P<0.05)。结论:针刺联合推拿、运动训练可以增强机体氧自由基清除能力,调节免疫机能,缓解疲劳症状,提高慢性疲劳综合征患者生活质量。 Objective:To study the effect of acupuncture combined with massage and exercise training on quality of life of patients with chronic fatigue syndrome.Methods:60 patients with chronic fatigue syndrome were selected as the subjects.They were divided into the acupuncture group and the control group according to the treatment time with 30 patients in each group.The control group was treated with massage and exercise training.On the basis,acupuncture group was additionally treated with acupuncture.Oxygen free radicals,immune function indexes and TCM syndrome scores were recorded.Fatigue symptoms and quality of life were evaluated.Results:After 2 months of treatment,levels of malondialdehyde(MDA)and blood urea nitrogen(BUN)in acupuncture group[(4.13±0.74)mmol/L,(4.95±0.70)mmol/L]were significantly lower than those in control group[(4.70±0.79)mmol/L,(5.47±0.84)mmol/L](P<0.05).Levels of immunoglobulin G(IgG),immunoglobulin A(IgA)and immunoglobulin M(IgM)in acupuncture group[(10.58±1.94)g/L,(1.66±0.33)g/L,(1.49±0.28)g/L]were significantly higher than those in control group[(8.93±1.67)g/L,(1.48±0.30)g/L,(1.30±0.23)g/L](P<0.05).After 2 months of treatment,the fatigue score(FS-14)of acupuncture group(7.09±1.25)was significantly lower than that of the control group(8.31±1.48)(P<0.05),while the quality of life score(WHOQOL-BREF)(82.36±12.91)was significantly higher than that of the control group(75.88±11.65)(P<0.05).Conclusion:Acupuncture combined with massage and exercise training can enhance the ability of body to scavenge free radicals,regulate immune function,alleviate fatigue symptoms and improve the quality of life of patients with chronic fatigue syndrome.
作者 王会丽 袁倩 刘瑞芳 Wang Huili;Yuan Qian;Liu Ruifang(Department of Acupuncture and Massage,Zhumadian Hospital of TCM(Zhumadian 463000))
出处 《陕西中医》 2018年第5期664-668,共5页 Shaanxi Journal of Traditional Chinese Medicine
关键词 疲劳综合征 慢性/针灸疗法 推拿 肝俞 肾俞 Fatigue syndrome,chronic/acupuncture-moxibustion Tui Na Point BL18(Ganshu) Point BL23(Shenshu)
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