Liu Chang-Zheng, Lei Bo
College of Aesthetic Medicine, Yichun University, Jiangxi Province, China.
Zhongguo Zhen Jiu. 2010 Nov;30(11):946-8.
To explore the mechanism of Tuina for treatment of chronic fatigue syndrome.
A total of 90 patients were randomly divided into a Tuina group, a Taijiquan (take exercise) group and a Fluoxetine group, 30 cases in each group. They were treated with Tuina, Taijiquan and Fluoxetine, respectively. After a month, the therapeutic effects and the changes of malondialdehyde (MDA) content and the activity of serum superoxide dismutases (SOD) and serum glutathione peroxidase (GSH-Px) were ohserved.
The total effective rate of 93.3% (28/30) in the Tuina group was better than 80.0% (24/30) in the Taijiquan group and 73.3% (22/30) in the Fluoxetine group (both P < 0.05). After treatment, MDA contents in the three groups were all decreased (P < 0.01, P < 0.05), and the activity of SOD. GSH-Px in both the Tuina group and the Fluoxetine group were increased (P < 0.01, P < 0.05), and especially in the Tuina group with a significant difference as compared with the other two groups (P < 0.05, P < 0.01).
The therapeutic effect of the Tuina group is superior to that of the Taijiquan group and the Fluoxetine group. Tuina can regulate oxygen free radicals metabolism and clean superfluous oxygen free radicals to alleviate fatigue, which may be one of the mechanisms of Tuina in treating chronic fatigue syndrome.
探讨推拿治疗慢性疲劳综合征的机制。
将90例患者随机分为推拿组、太极拳(锻炼)组和氟西汀组,每组30例。分别给予推拿、太极拳和氟西汀治疗。1个月后,观察疗效及丙二醛(MDA)含量、血清超氧化物歧化酶(SOD)和血清谷胱甘肽过氧化物酶(GSH-Px)活性的变化。
推拿组总有效率为93.3%(28/30),优于太极拳组的80.0%(24/30)和氟西汀组的73.3%(22/30)(P均<0.05)。治疗后,三组MDA含量均降低(P<0.01,P<0.05),推拿组和氟西汀组SOD、GSH-Px活性均升高(P<0.01,P<0.05),且推拿组与其他两组相比差异有统计学意义(P<0.05,P<0.01)。
推拿组的治疗效果优于太极拳组和氟西汀组。推拿可调节氧自由基代谢,清除多余氧自由基以缓解疲劳,这可能是推拿治疗慢性疲劳综合征的机制之一。