八段锦联合五音疗法对肝郁脾虚型慢性疲劳综合征的护理研究

Nursing Study of Eight-Section Brocade Combined with Five-Note Therapy on Chronic Fatigue Syndrome of Liver Stagnation and Spleen Deficiency Type

摘要:

目的：观察八段锦联合五音疗法治疗肝郁脾虚型慢性疲劳综合征（CFS） 的临床疗效。方法：选取2024 年7 月—2025 年6 月昆明市中医医院收治的108 例CFS 患者的临床资料，按不同干预方法分为对照组1组、对照2组、观察组各36例。对照1组以予功法八段锦干预，对照2组予以五音疗法干预，观察组予以八段锦联合五音疗法干预，3组均干预2周。比较3组临床疗效，以及治疗前后疲劳量表-14（FS-14）、中医证候评分。结果： 干预后， 观察组总有效率为88.9% （32/36）， 对照1 组为77.8% （28/36）， 对照2 组为75.0%（27/36）；3组比较，差异有统计学意义（P＜0.05）。干预后，3组躯体疲劳、脑力疲劳评分均较干预前降低（P＜0.05），且3组躯体疲劳、脑力疲劳评分比较，差异有统计学意义（P＜0.05）；观察组躯体疲劳、脑力疲劳评分均低于对照1组和对照2组，差异有统计学意义（P＜0.05）；对照1组与对照2组比较，差异无统计学意义（P＞0.05）。干预后，3组中医证候评分均较干预前降低（P＜0.05），且3组中医证候评分比较，差异有统计学意义（P＜0.05）；观察组中医证候评分均低于对照1组、对照2组，差异有统计学意义（P＜0.05）；对照1组与对照2组比较，差异无统计学意义（P＞0.05）。结论：八段锦联合五音疗法干预肝郁脾虚型CFS疗效较好，可有效缓解患者的疲劳症状及肝郁脾虚相关临床证候，效果优于单纯应用八段锦或五音疗法进行干预。

Abstract:

Abstract：Objective：To observe the clinical efficacy of eight-section brocade combined with five-note therapy in the treatment of chronic fatigue syndrome （CFS） of liver stagnation and spleen deficiency type. Methods：A total of 108 CFS patients admitted to Kunming Municipal Hospital of Traditional Chinese Medicine from July 2024 to June 2025 were selected and divided into the control group A，the control group B，and the observation group with 36 cases in each group according to intervention methods. Control group A received eight-section brocade intervention，control group B received five-note therapy，and the observation group received eight-section brocade combined with five-note therapy. All three groups were intervened for two weeks. The clinical efficacy，Fatigue Scale-14 （FS-14） scores，and traditional Chinese medicine syndrome scores before and after treatment were compared among the three groups. Results：After intervention，the total effective rate was 88.9% （32/36） in the observation group，77.8% （28/36） in the control group A，and 75.0% （27/36） in the control group B. The difference among the three groups was statistically significant （P＜0.05）. After intervention， the scores of both physical fatigue and mental fatigue in the three groups decreased compared with those before intervention， and the differences in physical fatigue and mental fatigue scores among the three groups were statistically significant （P＜0.05）. The physical fatigue and mental fatigue scores in the observation group were lower than those in the control group A and the control group B， with statistically significant differences （P＜0.05）. There was no statistically significant difference in physical fatigue and mental fatigue scores between the control group A and the control group B （P＞0.05）. After intervention， the traditional Chinese medicine syndrome scores in the three groups decreased compared with those before intervention，and the difference among the three groups was statistically significant （P＜0.05）. The traditional Chinese medicine syndrome score in the observation group was lower than that in the control group A and the control group B，with statistically significant differences （P＜ 0.05）. There was no statistically significant difference in traditional Chinese medicine syndrome scores between the control group A and the control group B （P＞0.05）. Conclusion： Eight-section brocade combined with five-note therapy has a good clinical effect on CFS of liver stagnation and spleen deficiency type. It can effectively relieve fatigue and related clinical manifestations of liver stagnation and spleen deficiency type，and its effect is superior to using eightsection brocade or five-note therapy alone.