中医干预项背疼痛亚健康状态的多中心随机对照研究  

A Multicenter Randomized Controlled Trial on Intervention Methods of TCM for Sub-health Status of Neck and Back Pain

作　　者：王诗忠[1,2] 宋红梅[1] 陈少清[2] 陈水金[1] 蔡树河[1] 王心城[1] 仲卫红[1] 林汉凌[1] 

机构地区：[1]福建中医药大学附属第二人民医院,福建福州350003 [2]福建中医药大学,福建福州350108

出　　处：《福建中医药大学学报》2010年第6期3-6,共4页Journal of Fujian College of Traditional Chinese Medicine

基　　金：十一五国家科技支撑计划项目(2006BAI13B07)

摘　　要：目的通过RCT研究比较导引、手法等对项背疼痛亚健康状态的影响,确立对项背疼痛亚健康状态有效的中医干预方法。方法将195例研究对象采用电脑随机数字表法进行随机分为导引组、手法组、空白对照组。通过简式疼痛问卷表、血浆疼痛指标、颈椎多功能测试及训练系统(MCU)检测系统、世界卫生组织生存质量量表简表(WHOQOL-BREF)观察各组疗效。结果①导引组、手法组对疼痛积分均有改善,2组改善无差异,空白对照组疼痛积分无改善;②导引组、手法组、对照组治疗前后血浆β-EP、5-HT含量均无明显变化;③导引组、手法组治疗前后MCU指标均改善,其中导引组MCU肌力指标优于手法组,手法组MCU活动度指标优于导引组,空白对照组MCU指标无改善;④导引组、手法组WHOQOL-BREF表评分均有提高,2组比较无差异,空白对照组WHOQOL-BREF表评分无变化。结论导引、手法等中医干预手段能有效改善项背疼痛亚健康状态,降低疼痛积分,增强颈部肌力,增加颈椎活动度,提高生存质量。其中导引组在增强肌力方面较为突出,手法组在增加颈椎活动度方面较好。Objective To compare the effect of different TCM methods on sub-health status of neck and back pain by the study of RCT,and establish an effective intervention method of TCM.Methods 195 patients were randomly assigned to daoyin group,manipulation group and blank control group.The curative effect of each group was observed with short-form McGill Pain Questionnaire,indexes of pain,MCU detection system and the World Health Organization Quality of Life BREF（WHOQOL-BREF）.Results The pain scores were decreased in daoyin group and manipulation group,but there was no significant difference between them;the content of plasma β-EP and 5-HT did not change significantly before and after the treatment in three groups;the MCU index improved significantly after the treatment in daoyin group and manipulation group,the improvement of MCU muscle strength index in daoyin group was better than that of manipulation group,and the improvement of MCU activity index in manipulation group was better than that of daoyin group;the WHOQOL-BREF table scores were increased in daoyin group and manipulation group,but there was no significant difference between them.Conclusion Intervention methods of TCM such as daoyin and manipulation,can effectively improve the sub-health status of neck and back pain,decrease the pain scores,increase cervical muscle strength and activity of cervical vertebra,improve life quality,and daoyin has advantages in increasing muscle strength and manipulation has advantages in increasing the activity of cervical vertebra.

关 键 词：项背痛 亚健康 推拿 导引 RCT 

分 类 号：R274.9[医药卫生—中西医结合]