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| 1 | 中医治疗腰椎间盘突出症的研究进展显示文摘中医治疗腰椎间盘突出症的方法主要包括针灸、推拿、拔罐、刮痧、热疗等,且都具有通经活络、疏通腠理、去除瘀滞、行气活血等作用。近年的研究表明,单独或联合应用以上方法对治疗腰椎间盘突出症具有一定疗效,尤其是两种以上中医治疗方法的联合应用,充分发挥了治疗特点的协同作用,提高了治疗效果。但目前研究以临床观察居多,缺少多中心大样本临床随机设计试验。未来的中医治疗研究应当立足于多中心RCT临床试验,对治疗方法的作用机制进行深入研究,探索中医治疗方法组合的最优化,并对治疗方法的影响因素进行规范化研究,为中医学的发展提供科学的理论依据。 | 罗莎 李军文 | 2017 | 江苏中医药2017，49，8： | 61 |
| 2 | Acupuncture-movement therapy for acute lumbar sprain: a randomized controlled clinical trial显示文摘OBJECTIVE: Several studies have reported that acupuncture is effective for treatment of acute lumbar sprain, but they neglected to consider that acupuncture cannot remarkably improve lumbar activity. We performed a randomized controlled trial to evaluate the effect of acupuncture-movement therapy versus conventional acupuncture in the treatment of acute lumbar sprain.METHODS: Sixty patients were randomized into four groups: the acupuncture-movement(AM)group, sham acupuncture-movement(SAM) group,conventional acupuncture(CA) group, and physical therapy(PT) group. Patients in the AM group were treated with acupuncture at Yintang(EX-HN 3) and exercise of the lumbar region during acupuncture.Patients in the SAM group were treated with sham acupuncture at Yintang(EX-HN 3) and exercise of the lumbar region during sham acupuncture. Conventional acupuncture was performed in the CA group, and physical therapy was applied in the PT group. Each treatment lasted for 20 min. Patients were assessed before and after treatment using a visual analogue scale(VAS) and the Roland Morris Questionnaire(RMQ).RESULTS: The VAS and RMQ scores in the AM group were significantly lower after than before treatment(P < 0.01). The AM group reported lower RMQ scores in after-treatment and 24 h after treatment and lower VAS score in 24 h after treatment in comparison with those of the CA, SAM, and PT groups(P < 0.05).CONCULSION: Acupuncture-movement therapy is effective for treating acute lumbar sprain with a persistent pain-relief and remarkable improvement of lumbar activity. Movement, that is, lumbar exercise during acupuncture, enhances the effect of acupuncture. | Lin Ruizhu Zhu Ning Liu Jian Li Xinjian Wang Yue Zhang Jie Xi Chaolei | 2016 | Journal of Traditional Chinese Medicine2016，36，1： | 14 |
| 3 | Effect of stimulating acupoint Guanyuan(CV 4) on lower back pain by burning moxa heat for different time lengths: a randomized controlled clinical trial显示文摘OBJECTIVE: To investigate the effect of different heat-stimulating time lengths on lower back pain.METHODS: Forty participants were randomly assigned to four groups of various heating time lengths. The short heating time length group(SL),moderate heating time length group(ML), and long heating time length group(LL) respectively received 15, 30, and 60 min of moxibustion therapy stimulating the acupoint Guanyuan(CV 4). The conventional acupuncture group(CA) received needle acupuncture treatment as a control group. The participants were treated continuously over a 2-week treatment period for a total of 10 sessions, with five sessions given per week. Participants were assessed weekly by blinded assessors, using the visual analogue scale(VAS) and Roland Morris Questionnaire(RMQ).RESULTS: The VAS and RMQ scores reduced in all four groups during treatment. There were significant differences in VAS scores(P < 0.01) and RMQ scores(P < 0.01) between before treatment and after 2 weeks of treatment in the LL group. After treatment, the LL group reported significantly lower VAS scores compared with the CA group, ML group,and SL group(P < 0.05).CONCLUSION: The long and moderate lengths of heat-stimulating time of 30 and 60 min may be more effective for relieving lower back pain than that of short stimulating time lengths. | Xu Jianfeng Lin Ruizhu Wu Yongli Wang Yingxu Liu Jian Zhang Yanling Zhang Yuequan Xi Chaolei Wu Qiang Li Xinjian | 2015 | Journal of Traditional Chinese Medicine2015，35，1： | 13 |
| 4 | Therapeutic effect of electroacupuncture,massage,and blocking therapy on external humeral epicondylitis显示文摘OBJECTIVE:To compare two therapeutic methods:electroacupuncture + massage + blocking therapy,and blocking therapy alone in the treatment of external humeral epicondylitis.METHODS:Eighty-six patients were randomized into two groups with 43 in each. The treatment group received electroacupuncture + massage +blocking therapy, while the control group received blocking therapy only. A course of electroacupuncture treatment included therapy once a day for 10days. There were 10 treatments in a massage course and massage was given once a day, with a1-week interval given before the next course. A course of blocking treatment included therapy once a week, for twototaltreatments,andgenerallyno more than three times. The therapeutic effects were evaluated with the visual analog scale(VAS),grip strength index(GSI) score, and Mayo elbow performance score(MEPS) before treatment and at0, 6, 12, and 24 months after treatment to observe thetotaleffectiverate.RESULTS: In the treatment and control groups before treatment and at 0, 6, 12, and 24 months after treatment, the VAS scores were: 6.5±1.9 and 6.4±1.6; 4.6±1.3 and 4.6±1.7; 4.8±1.3 and 4.8±1.2; 4.6±1.2 and 6.6±1.6; and 6.5±1.6 and 6.5±1.3, respectively. The GSI scores were 63±8 and 63±8; 84±6and82±7;82±7and82±6;84±6and62±8;and64±6 and 64±7, respectively.The MEPS of both groups were65±7and66±8;85±6and84±7;84±5and84±7;80±7and66±6;and65±6and65±7,respectively.The total effective rates of the treatment and control groups at 0, 6, 12, and 24 months after treatment were 87.5% and 85.0%; 85.0% and 82.5%;80.0% and 12.5%; and 2.5% and 5.0%, respectively.Compared with the treatment group, the control group had greater joint function, better the rapeutic effect, and lower pain intensity(P<0.01), indicating a high recurrence rate in the 12th month after treatment.There were no differences inVAS, GSI, or MEPS at 0, 6, and 24 months after treatment(P>0.05)betweenthetwogroups.CONCLUSION: We found that both methods were effective for external humeral epicondylitis. After 6months of treatment,the effects were good in both groups. However, in the 12th month, the control group had a relatively severe relapse. After 24months, both groups relapsed. The effect of electroacupuncture, massage, and blocking therapy used in combination lasted longer, delaying the recurrence of the disease. | Xinjian Li Kun Zhou Enming Zhang Zhen xiQi Weiqing Sun Liangfu Xu Jianfeng Xu Youzhi Cai Ronghui Wang | 2014 | Journal of Traditional Chinese Medicine2014，34，3： | 6 |
| 5 | 急性腰扭伤推拿治疗近况显示文摘急性腰扭伤是推拿临床的常见病,占临床所有腰痛病证的12%以上,其临床表现为腰骶部肌肉筋膜、棘上棘间韧带、腰椎后关节、骶髂关节等部位的急性损伤。该病的临床治疗多采取保守治疗,中医治疗特别是推拿、针灸的疗效较好。笔者以PubMed,万方网,中国知网为检索工具,通过查阅近10年中外推拿治疗急性腰扭伤的文献,对单纯推拿治疗、针灸结合推拿综合疗法治疗该病的文献进行了分类分析,对推拿治疗急性腰扭伤的前景及不足进行了展望。 | 张赫 刘俊昌 | 2018 | 新疆中医药2018，36，2： | 5 |
| 6 | Effect of hand-ear acupuncture on chronic low-back pain: a randomized controlled trial显示文摘OBJECTIVE: To evaluate the effect of hand-ear acupuncture on chronic low-back pain(cLBP).METHODS: This was an open, randomized and controlled trial in The General Hospital of Western Theater Command, Sichuan Province. The trial was registered with ClinicalTrials.gov, NCT02260284. All the 152 participates with cLBP were randomly assigned to hand-ear acupuncture(n = 54), standard acupuncture(n = 50), or usual care groups(n = 48).Eighteen treatments were provided over 7 weeks.Back-related dysfunction and symptom severity were assessed by the Roland-Morris Disability Questionnaire(RMDQ) and the Visual Analogue Scale(VAS), which were collected at baseline, 2 months and 6 months post to the treatment.RESULTS: At 6 months, the RMDQ scores improved by 7.74 points of hand-ear acupuncture group. Significant improvement of VAS and RMDQ was observed in hand-ear acupuncture group(P < 0.001),but no significant changes of RMDQ were observed in both standard acupuncture group and usual care group. We also observed an overall efficacy rate of 88.89% in hand-ear acupuncture group, as evaluated by Diagnosis and Curative Effect Standard for Symptom pattern of Traditional Chinese Medicine, which was much higher than 45.84% in the usual care group(H = 16.000, P < 0.001).CONCLUSION: Both of the hand-ear acupuncture and standard acupuncture modes have beneficial and persistent effectiveness against cLBP compared with the usual care. Furthermore, hand-ear acupuncture is significantly more effective than the standardized acupuncture, especially in the long term. | Luo Yong Yang Min Liu Tao Zhong Xiaolong Tang Wen Guo Mingyang Hu Yonghe | 2019 | Journal of Traditional Chinese Medicine2019，39，4： | 2 |
| 7 | 推拿结合金匮肾气汤治疗腰椎椎管狭窄症疗效分析(英文)显示文摘目的:探讨推拿结合金匮肾气汤治疗腰椎管狭窄症的疗效。方法:将70例腰椎管狭窄症门诊患者随机分为两组,治疗组36人,对照组34人。治疗组采用推拿结合内服金匮肾气汤治疗,对照组仅采用推拿治疗。根据日本骨科协会(Japanese Orthopaedic Association,JOA)腰痛评分评价疗效。结果:治疗前两组J OA评分无明显差异((P>0.05);治疗后与最后随访两组评分均有明显改善(P<0.05),而且治疗组评分明显高于对照组(P<0.05);治疗后与最后随访,治疗组疗效均优于对照组(P<0.05)。结论:推拿结合金匮肾气汤治疗腰椎管狭窄症疗效优于单纯推拿治疗。 | 尚永 陈广敏 唐树杰 | 2015 | Journal of Acupuncture and Tuina Science2015，13，2： | 2 |
| 8 | 基于文献研究的穴位按压疗法力度相关参数聚类分析显示文摘目的研究分析穴位按压疗法力度相关参数的临床应用规律。方法以'acupressure'作为标题检索词,检索PubMed数据库2014年1月1日~2018年1月31日收录的公开发表的SCI文献。按照力的大小、力的方向、力的作用点、受力面积、时间/频次5类穴位按压力度的相关参数信息,将文献分为'有描述'和'无描述'两类,并对'有描述'的文献进行描述方式分类及聚类分析。结果得到可用数据元素55条,按照穴位按压力度相关参数分类,其中5项参数均有描述的数据元素12条,占21.8%;无描述的0条。结论近5年来SCI收录的穴位按压文献中,力度相关参数的应用不统一,存在参数缺失、错误和模糊,穴位按压力度相关参数标准化程度较低。 | 张晋 沈卫东 许晓跃 葛童娜 郭旭 王帅 屠晶晶 虎力 | 2019 | 中国医药导报2019，16，19： | 1 |
| 9 | 基于骨正筋柔理论应用棍点理筋正骨手法治疗急性腰扭伤的临床效果显示文摘目的探讨棍点理筋正骨手法在急性腰扭伤疾患中的临床效果。方法将广西中医药大学附属贺州市中医医院骨科及推拿科2020年7月至2022年12月收治的60例急性腰扭伤患者随机分为观察组和对照组,每组各30例。观察组采用棍点理筋正骨手法治疗,对照组患者采用常规推拿手法治疗。比较两组治疗后的总有效率、显效率;比较两组治疗前后疼痛视觉模拟评分法(VAS)评分和腰椎功能障碍指数(ODI)评分情况。结果观察组总有效率为93.33%,高于对照的76.67%,但差异无统计学意义(P>0.05);观察组显效率为73.33%,高于对照组的46.67%,差异有统计学意义(P<0.05)。治疗前两组VAS、ODI评分比较,差异无统计学意义(P>0.05)。治疗1周后,观察组的VAS、ODI评分均低于对照组,差异有统计学意义(P<0.05)。结论在急性腰扭伤疾病的治疗中,对患者的疼痛缓解以及腰椎功能的改善方面棍点理筋正骨手法要优于传统推拿手法,且疗效更佳,是一种安全可行的治疗方法,值得推广。 | 蒋海军 钟远鸣 黄剑峰 尹保和 岑定善 眭金辉 何水文 | 2024 | 中国医药科学2024，14，5： | 0 |
| 10 | 浅析老年病患者康复医疗风险及对策显示文摘背景:如何掌握老年病的特点,提高老年人口的生活健康质量问题成为当前针对老年人口的主要研究目标。目的:浅析老年病患者康复医疗风险及对策。方法:康复医学的发展为提高老年人的生活质量提供了有效的措施,文章主要针对老年病患者康复医疗风险进行了简要的描述,并提出了相应的防范措施,以供参考。结果与结论:文章分析了康复医疗的工作者掌握老年病的特点,并研究康复医疗在治疗工作中所发生风险的规律,从而对可能发生的医疗风险制定相应的防范措施,以确保康复医疗的有效性和安全性。 | 陈杰 杨娜 潘美妍 孟庆芳 | 2015 | 中国组织工程研究2015，19，B12： | 0 |
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