Chronic fatigue syndrome treated by the traditional Chinese procedure abdominal tuina: a randomized controlled clinical trial.
Chronic fatigue syndrome treated by the traditional Chinese procedure abdominal tuina: a randomized controlled clinical trial.
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DOI：
10.1016/s0254-6272(18)30046-3
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发表时间：
2017-12
影响因子：
2.6
通讯作者：
Liu Huanan;Wang Jingui;Zhang Wei;Zhao Na;Hai Xinhua;Sun Shiquan;Sun Qing;Han Yihao;Zhang Runch
中科院分区：
文献类型：
--
作者：
Liu Huanan;Wang Jingui;Zhang Wei;Zhao Na;Hai Xinhua;Sun Shiquan;Sun Qing;Han Yihao;Zhang Runch
目的评价中医推拿治疗慢性疲劳综合征(CFS)的疗效。将80名受试者随机分为两组：试验组和对照组。治疗组40例采用针刺治疗，对照组40例采用针刺治疗。治疗1次/d，5d为1个疗程，疗程间隔2d。整个疗程为4周。治疗前后采用疲劳量表(FS-14)、焦虑自评量表(SAS)、汉密尔顿抑郁量表(HAMD)评定疗效。结果治疗4周后，77例患者(试验组39例，对照组38例)完成试验。两组患者的FS-14、SAS、HAMD评分均较治疗前显著降低(P<；0.05)。观察组的FS-14和HAMD评分明显低于对照组(P<0.05)。两组间焦虑自评量表评分差异无统计学意义。在最后的随访中，试验组有2例和对照组有3例复发，但差异无统计学意义。观察组FS-14、SAS、HAMD评分均优于对照组，差异有统计学意义(P<；0.05)。未观察到严重不良反应，不良反应较少。结论针刺治疗慢性疲劳综合征疗效优于单纯针刺治疗。
ObjectiveTo evaluate the effect of the traditional Chinese procedure abdominal Tuina (AT) on chronic fatigue syndrome (CFS).MethodsThis randomized, single assessor-blinded clinical trial was carried out from May 2014 to April 2015. Eighty participants in the trial were divided randomly into two groups: experimental group and control. The experimental group (40 cases) was treated by AT and the control group (40 cases) by acupuncture. Each treatment was conducted once a day, 5 d for one course, at an interval of 2 d between each course. The whole treatment course lasted for 4 weeks. To ascertain the effect of AT and acupuncture, Fatigue Scale-14 (FS-14), Self-rating Anxiety Scale (SAS) and Hamilton Rating Scale for Depression (HAMD) scores were used before and after treatment. Patients were followed up for 3 months after treatment.ResultsAfter treatment for 4 weeks, 77 patients (39 cases in the experimental group and 38 cases in the control group) completed the trial. The FS-14, SAS and HAMD scores decreased (P< 0.05) significantly compared with those before treatment in both groups. The FS-14 and HAMD (P < 0.05) scores in the experimental group were much lower than those in the control group. The difference in SAS scores between the two groups was not significant. In the final follow-up, CFS in two cases in the experimental group and three in the control group recurred, but the difference was not significant. The scores for the FS-14, SAS and HAMD in the experimental group were superior to those of the control group, and the difference was significant (P < 0.05). No serious adverse events and few adverse events were observed.ConclusionAT elicited a more efficacious effect than acupuncture alone on CFS.