推拿罐疗法治疗慢性疲劳综合征单盲单中心临床随机对照试验

A single-blind, single-center, randomized controlled clinical trial of cupping massage therapy for chronic fatigue syndrome

关键词:  慢性疲劳综合征  推拿罐疗法  调和阴阳  行气活血  临床疗效

Key words:  chronic fatigue syndrome  Tuina pot therapy  harmonizing Yin and Yang  Activating qi and activating blood  clinical effect

摘要:

[目的] 探讨及比较推拿罐疗法与普通留罐法治疗慢性疲劳综合征的临床疗效。[方法] 研究共纳入60例慢性疲劳综合征患者，采用随机数字表法按1∶1比例分配至治疗组（30例）与对照组（30例）。治疗组采用推拿罐治疗督脉、腰背部足太阳膀胱经第1侧线部分穴位肩腰“）（”形方案、肩脊“个”字方案、腰骶“八”形方案、足底“新月”形，对照组采用普通留罐法，留罐部位同推拿罐组。[结果] 两组各完成30例，与治疗前比较两组患者治疗后FSAS、FAS积分明显降低（P＜0.01），SF-36（VT、MH）积分明显上升（P＜0.05）；治疗后与普通留罐法组FSAS评分[（61.87±5.67）]、FAS评分[（106.87±7.70）]、SF-36（MH）评分[（30.1，36.1）]比较，推拿罐组患者FSAS评分[（47.87±9.12）]、FAS评分[（83.97±7.75）]更低（P＜0.01），SF-36（MH）评分[（36.8，44.5）]更高（P＜0.01）。推拿罐组总有效率（86.67%，26/30），高于普通留罐组（50%，15/30）（P＜0.01）。[结论] 推拿罐疗法与普通留罐法皆能改善慢性疲劳综合征患者临床症状，而推拿罐疗法较普通留罐法疗效更佳。

Abstract:

[Objective] To explore and compare the clinical efficacy of Tuina cupping therapy and ordinary cupping therapy in the treatment of chronic fatigue syndrome. [Methods] This study enrolled a total of 60 patients with chronic fatigue syndrome（CFS），who were randomly allocated to the treatment group（n=30） and the control group（n=30） using a random number table method with a 1∶1 allocation ratio. The experimental group was treated with tuina jar for the treatment of the Dao pulse，the waist and back foot sun bladder through the 1st lateral line of the acupoint shoulder-waist）（“shape scheme，shoulder ridge” one “word scheme，lumbosacral” eight “shape scheme，and the sole” crescent shape，while the control group was treated with the ordinary pot method，and the pot site was the same as the tuina jar group. [Results] There were 30 patients in each group. Compared with before treatment，the scores of FSAS and FAS decreased significantly（P<0.01），while the scores of SF-36（VT，MH） increased significantly（P<0.05）. After treatment，FSAS score [（61.87±5.67）]，FAS score [（106.87±7.70）]，SF-36（MH） score [（30.1，36.1）] were compared with that of the ordinary tank retention group. The FSAS score [（47.87±9.12）] and FAS score [（83.97±7.75）] in the tuina tank group were lower（P<0.01），and the SF-36（MH） score [（36.8，44.5）] was higher（P<0.01）. The total effective rate of tuina tank group（86.67%，26/30） was higher than that of ordinary tank group（50%，15/30）（P<0.01）. [Conclusion] Both tuina therapy and ordinary cupping therapy can improve the clinical symptoms of patients with chronic fatigue syndrome，and tuina therapy is more effective than ordinary cupping therapy.