摘要
目的:观察降浊升清颗粒和降浊升清针法治疗术后疲劳综合征的临床疗效。方法:选取2020年4月—2020年12月在广东省中医院外科住院择期行三级以上手术治疗并发生术后疲劳综合征的患者75例,随机分为三组,分别为中药组、针刺组和对照组,每组25例,从术后第3~7天,共干预治疗5 d,其中中药组在术后第3天开始服用中药降浊升清颗粒和常规处理,针刺组术后第3天开始针刺治疗和常规处理,对照组仅常规处理。在术前、术后3 d和术后7 d分别根据血清学指标和心理学量表进行疲劳程度的评估,以此评价降浊升清颗粒和针刺疗法在术后疲劳综合征中的疗效。结果:术后7 d,中药组和针刺组的视觉模拟量表(VAS量表)评分、围手术期疲劳测评量表(ICFS量表)评分均低于对照组(P<0.05);中药组和针刺组术后7 d的前白蛋白(PA)、转铁蛋白(Tf)和超氧化物歧化酶(SOD)值高于对照组(P<0.05),中药组和针刺组术后7 d的C反应蛋白(CRP)值低于对照组(P<0.05);而中药组和针刺组之间均未发现上述差异。结论:基于降浊升清理论的降浊升清颗粒和针法均可以有效缓解术后疲劳综合征。
Objective To observe the clinical efficacy of Jiangzhuoshengqing particles and acupuncture in the treatment of postoperative fatigue syndrome.Methods 75 patients with postoperative fatigue syndrome were randomly divided into three groups:Traditional Chinese medicine group,acupuncture group and control group.From the 3rd day after operation to the 7th day after operation,the intervention treatment lasted for 5 days.The traditional Chinese medicine group began to take Jiangzhuoshengqing particles and routine treatment on the 3rd day after operation,the acupuncture group began acupuncture treatment and routine treatment on the 3rd day after operation,and the control group only routine treatment.The degree of fatigue was evaluated according to serological indexes and psychological scales before operation,3 days and 7 days after operation so as to evaluate the efficacy of Jiangzhuoshengqing particles and acupuncture in postoperative fatigue syndrome.Results The scores of VAS scale and ICFS scale in the traditional Chinese medicine group and acupuncture group were lower than those in the control group(P<0.05).The values of PA,Tf,CRP and SOD in the traditional Chinese medicine group and acupuncture group were higher than those in the control group(P<0.05)and the values of CRP in the traditional Chinese medicine group and acupuncture group were lower than those in the control group(P<0.05).The above differences were not found between the traditional Chinese medicine group and the acupuncture group.Conclusion The method of Jiangzhuoshengqing can effectively alleviate postoperative fatigue syndrome.
作者
宋亚民
陈振欣
曹莹
杨丽明
庞凤舜
陈经宝
张晓波
秦有
SONG Ya-min;CHEN Zhen-xin;Cao Ying(The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou(510000),China)
出处
《中国中西医结合外科杂志》
CAS
2022年第5期608-611,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
基金
广东省科技厅项目(2013B032500010)。
关键词
中医
针刺
降浊升清法
术后疲劳综合征
Traditional Chinese medicine
acupuncture
method of Jiangzhuoshengqing
postoperative fatigue syndrome
