孙氏腹针不同针刺频次治疗肝郁脾虚型慢性疲劳综合征疗效观察OA

Objective It is to observe the differences in clinical efficacy of Sun's abdominal acupuncture at different frequencies in the treatment of chronic fatigue syndrome(CFS)with liver Qi stagnation and spleen deficiency syndrome,and to identify the optimal frequency for this disease.Methods Sixty CFS patients with liver Qi stagnation and spleen defi-ciency syndrome treated at the Tuina and Rehabilitation Departments(both outpatient and inpatient)of the Third Affiliated Hospital of Heilongjiang University of Chinese Medicine from January 2024 to January 2025 were randomly divided into a high-frequency acupuncture group and a low-frequency acupuncture group,with 30 patients in each group.The patients in both groups were treated with Sun's abdominal acupuncture for 4 weeks.The high-frequency acupuncture group was treated once daily,continuously treated for 5 days per week,the low-frequency acupuncture group was treated every other day,for a total of 3 times per week.The Fatigue Scale(FS-14)scores,fatigue symptom scores,traditional Chinese medicine(TCM)syndrome scores,and serum immune markers(IgG,IgA,IgM)before and after treatment,as well as clinical effi-cacy and health economic indicators 4 weeks after treatment were observed and compared between the two groups.Results After 4 weeks of treatment,the FS-14 scores,fatigue symptom scores,and TCM syndrome scores of patients in both groups were significantly lower(all P<0.05),while the serum levels of IgG,IgA and IgM were significantly higher than those before treatment(all P<0.05);however,there were no statistically significant differences in these indicators between the two groups after treatment(all P>0.05).After4 weeks of treatment,the overall response rate in the high-frequency acu-puncture group was83.3%(25/30),while that in the low-frequency acupuncture group was80.0%(24/30),the differ-ence in overall response rate between the two groups was not statistically significant(P>0.05).The total treatment time and total cost in the low-frequency acupuncture group were both 40%less than those in the high-frequency acupuncture group.Conclusion Both the Sun's abdominal acupuncture at the frequency of 5 times per week and 3 times per week can effectively alleviate fatigue symptoms and enhance immune function of CFS patients with liver Qi stagnation and spleen defi-ciency syndrome,they are similarly effective in improving patients'clinical symptoms,however,the 3-times per week treatment frequency can reduce the economic burden of the patients and improve their treatment satisfaction,which is con-tributes to the rational allocation and conservation of medical resources.