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Chronic fatigue syndrome treated by the traditional Chinese proce-dure abdominal tuina:a randomized controlled clinical trial

查看全文 作　　者：Li [1]Huanan;Wang [1]Jingui;Zhang [1]Wei;Zhao [1]Na;Hai [1]Xinhua;Sun [3]Shiquan;Sun [2]Qing;Han [3]Yihao;Zhang [3]Runchen;Ma [4]Fei 高影响力作者 机构地区：[1]Department of Tuina,First Teaching Hospital of TianjinUniversity of Traditional Chinese Medicine,Tianjin 300193,China,Laboratory for Biological Effects of Tuina,State Administration of Traditional Chinese Medicine,Tianjin 300193,China;[2]Department of Tuina,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin300193,China;[3]University of Traditional Chinese Medicine,Tianjin 300193,China;[4]Department of Respiration,The Affiliated Hospitalof Tianjin Academy of Traditional Chinese Medicine,Tianjin 300120,China高影响力机构 出　　处：《Journal of Traditional Chinese Medicine》索引2017年第37卷第6期,共8页高影响力期刊 基　　金：Supported by the National Natural Science Foundation:Use of the BDNF-CREB-Bcl-2 Protein Pathway to Investigate the Mechanism of Abdominal Tuina to Promote CFS Hippocampal Neuronal Remodeling(No.81360567);Based on the ENS-ICC-SMC Network to Investigate Abdominal Massage to Control the Intestinal Motility(No.81373762) 摘　　要：OBJECTIVE: To evaluate the effect of the traditional Chinese procedure abdominal Tuina(AT) on chronic fatigue syndrome(CFS).METHODS: This 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 for3 months after treatment.RESULTS: After 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.CONCLUSION: AT elicited a more efficacious effect than acupuncture alone on CFS. 关 键 词：Tui Na Acupuncture Fatigue syndrome,chronic RANDOMIZED controlled trial Fatiguescale-14 SELF-RATING ANXIETY scale HAMILTON ratingscale for depression
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