中医推拿临床疗效相关影响因素探究  

Discussion on the factors influencing the curative effect of Tuina(Chinese massage)

作　　者：唐鹤靖 李多多[2] 臧福科 周彦吉 郭俊明[2] 马敬祎 张洋[2] 杨晓明[2] 于长禾[2] Tang Hejing;Li Duoduo;Zang Fuke;Zhou Yanji;Guo Junming;Ma Jingyi;Zhang Yang;Yang Xiaoming;Yu Changhe(First Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Department of Tuina Pain,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学第一临床医学院,北京100700 [2]北京中医药大学东直门医院推拿疼痛科,北京100700

出　　处：《国际中医中药杂志》2023年第9期1065-1069,共5页International Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81803956);北京市首发青年优才项目(首发2020-4-4195);首都临床特色应用研究(Z181100001718165)。

摘　　要：推拿是传统中医学的重要组成部分,具有简便廉验的特点,临床上在治疗肌肉筋骨病变、内脏病、妇科病、小儿常见病等方面显示出良好效果。本文对推拿疗效的影响因素进行分析,从诊断因素、治疗因素、预后因素、患者因素和医患沟通等方面进行了探讨,认为医者必须进行良好的医患沟通,恰当评估患者基础病及身体素质,在明确诊断的基础上,针对患者体质、基础疾病与生理状态等,采取适宜的按摩手法与预后措施,才能达到良好的治疗效果,提高临床疗效。Tuina(Chinese massage)is an important part of Traditional Chinese Medicine.It is a simple and inexpensive technique,and has shown effectiveness for muscle and bone diseases,visceral diseases,gynecological diseases,and common diseases in children.This paper aims to analyze the factors influencing the effects of Tuina.The factors included the aspects of diagnosis,treatment,prognosis,patient factors and doctor-patient communication.During the treatment of Tuina,doctors should carry out good doctor-patient communication,properly evaluate and exam patients,and clarify diagnosis,take appropriate Tuina techniques according to the patients'constitution,health condition,and comorbidity.Only in such way,could Tuina achieve effectiveness and safety.

关 键 词：推拿疗法 疗效 影响因素 手法 复杂性 

分 类 号：R244.1[医药卫生—针灸推拿学]