Lin Yu-Fang, Zhu Jian-Fang, Chen Yi-Dan, Sheng Ji-Li, He Jiao-Jun, Zhang Shao-Ying, Jin Xiao-Qing
Department of Acupuncture and Moxibustion, Zhejiang Hospital, Hangzhou 310013, China.
Zhongguo Zhen Jiu. 2020 Aug 12;40(8):816-20. doi: 10.13703/j.0255-2930.20190722-k0001.
To observe the effect of ginger-separated moxibustion on fatigue, sleep quality and depression in the patients with chronic fatigue syndrome.
A total of 62 patients with chronic fatigue syndrome were randomized into an observation group (31 cases, 3 cases dropped off) and a control group (31 cases, 2 cases dropped off). In the control group, the patients had normal diet and proper physical exercise. In the observation group, on the basis of the control group, the ginger-separated moxibustion was added at Zhongwan (CV 12), Shenque (CV 8) and Guanyuan (CV 4), 30 min each time, once every two days, 3 times weekly. Separately, before treatment and after 4 weeks of treatment, the MOS item short form health survey (SF-36), the Pittsburgh sleep quality index (PSQI) scale and the self-rating depression scale (SDS) were adopted to evaluate the degrees of fatigue, sleep quality and depression in the patients of the two groups.
In the observation group, the score of each item of SF-36, the score of each item of PSQI and SDS score after treatment were all improved significantly as compared with those before treatment respectively (<0.05, <0.01). In the control group, the scores of overall health, vitality and mental health in SF-36 and the score of sleep time of PSQI after treatment were improved as compared with those before treatment respectively (<0.05). After treatment, the score of each item of SF-36, the scores of sleep quality, sleep time, sleep efficiency and sleep disorders of PSQI, as well as SDS score in the observation group were all better than those in the control group respectively (<0.01, <0.05). The score of SF-36 was relevant to the scores of PSQI and SDS in the patients of chronic fatigue syndrome ( =0.331, <0.05; =-0.706, <0.01). The improvement value of SF-36 score was closely related to the improvement value of SDS score in the observation group ( =-0.657, <0.01).
The ginger-separated moxibustion effectively relieves fatigue and depression condition and improves sleep quality in the patients with chronic fatigue syndrome. The fatigue condition is relevant with sleep quality and depression condition to a certain extent in the patients.
观察隔姜灸对慢性疲劳综合征患者疲劳、睡眠质量及抑郁状态的影响。
将62例慢性疲劳综合征患者随机分为观察组(31例,脱落3例)和对照组(31例,脱落2例)。对照组患者进行正常饮食及适当体育锻炼。观察组在对照组基础上,加用隔姜灸中脘(CV12)、神阙(CV8)、关元(CV4),每次30分钟,每两天1次,每周3次。分别于治疗前及治疗4周后,采用医学结局研究简明健康调查量表(SF-36)、匹兹堡睡眠质量指数(PSQI)量表及自评抑郁量表(SDS)评估两组患者的疲劳、睡眠质量及抑郁程度。
观察组治疗后SF-36各条目得分、PSQI各条目得分及SDS得分均较治疗前显著改善(均P<0.05,P<0.01)。对照组治疗后SF-36中的总体健康、活力及心理健康得分及PSQI中的睡眠时间得分较治疗前有所改善(均P<0.05)。治疗后,观察组SF-36各条目得分、PSQI中的睡眠质量、睡眠时间、睡眠效率及睡眠障碍得分以及SDS得分均分别优于对照组(均P<0.01,P<0.05)。慢性疲劳综合征患者SF-36得分与PSQI及SDS得分相关(r=0.331,P<0.05;r=-0.706,P<0.01)。观察组SF-36得分改善值与SDS得分改善值密切相关(r=-0.657,P<0.01)。
隔姜灸能有效缓解慢性疲劳综合征患者的疲劳及抑郁状态,改善睡眠质量。患者的疲劳状态与睡眠质量及抑郁状态在一定程度上相关。