摘要
【目的】观察针刺调神方治疗肝郁脾虚型疲劳性亚健康的临床疗效。【方法】将70例肝郁脾虚型疲劳性亚健康患者随机分为观察组和对照组,每组各35例,观察组给予针刺调神方加减,对照组给予逍遥丸口服治疗,治疗1个月为1个疗程,2组均连续治疗1个月。治疗4周后,评价2组临床疗效,观察2组患者治疗前后疲劳自评量表(FSAS)评分的变化情况,以及中医证候评分的情况。比较2组患者治疗前后汉密尔顿焦虑量表(HAMA)评分的变化情况。【结果】(1)研究过程中,观察组失访3例,对照组失访4例。最终观察组32例、对照组31例纳入疗效统计。(2)治疗后,2组患者的FASA评分明显改善(P<0.05),且观察组在改善FASA评分方面明显优于对照组,差异有统计学意义(P<0.05)。2组患者FASA评分治疗前后差值比较,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的中医证候评分明显改善(P<0.05),且观察组在改善中医证候评分方面明显优于对照组,差异有统计学意义(P<0.05)。2组患者中医证候评分治疗前后差值比较,差异有统计学意义(P<0.05)。(4)治疗后,2组患者的焦虑评分明显改善(P<0.05),且观察组在改善焦虑评分方面明显优于对照组,差异有统计学意义(P<0.05)。2组患者焦虑评分治疗前后差值比较,差异有统计学意义(P<0.05)。(5)观察组总有效率为93.75%(30/32),对照组为83.87%(26/31)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】针刺调神方治疗肝郁脾虚型疲劳性亚健康,能明显改善患者的临床症状,从而提高患者生活质量,疗效显著。
Objective To observe the clinical efficacy of mind-regulating acupuncture prescription in treating fatigue-performance sub-health with the syndrome of liver depression and spleen deficiency.Methods Seventy patients with liver depression and spleen deficiency type of fatigue-performance sub-health were randomly divided into the observation group and the control group,with 35 patients in each group.The observation group was given modified prescription of mind-regulating acupuncture prescription,while the control group was given oral use of Xiaoyao Pills.One month as a course of treatment and the treatment lasted for consecutive one month.After 4 weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the Fatigue Self-Assessment Scale(FSAS)scores and the traditional Chinese medicine(TCM)syndrome scores of the patients in the two groups were observed before and after treatment.The changes in the Hamilton Anxiety(HAMA)scores were compared between the two groups before and after treatment.Results(1)During the study,3 cases were lost from the observation group and 4 cases were lost from the control group.Finally,32 cases in the observation group and 31 cases in the control group were included in the efficacy statistics.(2)After treatment,the FASA scores of patients in the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the FASA scores,the difference being statistically significant(P<0.05).The difference in difference values of the FASA scores between the two groups was statistically significant before and after treatment(P<0.05).(3)After treatment,the TCM syndrome scores of the two groups were significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving the TCM syndrome scores,the difference being statistically significant(P<0.05).The difference in difference values of TCM syndrome scores between the two groups was statistically significant(P<0
作者
吴昊达
尹燊
袁玉梅
张宏
WU Hao-Da;YIN Shen;YUN Yu-Mei;ZHANG Hong(Clinical Medical Schol of Acupuncture,Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Shenzhen Bao'an District Hospital of Traditional Chinese Medicine,Shenzhen 518133 Guangdong,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 518180 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2023年第1期106-112,共7页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广东省中医药管理局科研资助项目(编号:20221070)。
关键词
针刺调神方
疲劳性亚健康
肝郁脾虚型
针刺疗法
逍遥丸
临床观察
mind-regulating acupuncture prescription
fatigue-performance sub-health
liver depression and spleen deficiency syndrome type
acupuncture therapy
Xiaoyao Pills
clinical observation
