Randomized trial comparing traditional Chinese medical acupuncture, therapeutic massage, and self-care education for chronic low back pain
Randomized trial comparing traditional Chinese medical acupuncture, therapeutic massage, and self-care education for chronic low back pain
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DOI：
10.1001/archinte.161.8.1081
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发表时间：
2001-04-23
影响因子：
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通讯作者：
Deyo, RA
中科院分区：
文献类型：
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作者：
Cherkin, DC;Eisenberg, D;Deyo, RA
背景资料：由于慢性背痛的替代护理的流行形式的价值仍然不确定，我们比较了针灸，治疗性按摩和自我推车教育对持续性背痛的有效性。方法：我们将262例年龄在20 ~ 70岁的持续性背痛患者随机分为两组，一组接受传统中医针灸治疗（n=94），另一组接受推拿治疗（n=78），或自我保健教育材料（n=90）。在10周内允许进行多达10次按摩或针灸治疗。通过对治疗组不知情的电话访问者评估症状（0-10量表）和功能障碍（0-23量表）。随访可用于95%的患者后4，10，和52周，没有退出的不良反应。结果：治疗组进行比较后，调整预随机协变量使用意向治疗分析。第10周时，按摩上级症状量表（分别为3.41 vs 4.71; P= 0.01）和残疾量表（分别为5.88 vs 8.92; P
Background: Because the value of popular forms of alternative care for chronic back pain remains uncertain, we compared the effectiveness of acupuncture, therapeutic massage, and self-cart education for persistent back pain.Methods: We randomized 262 patients aged 20 to 70 years who had persistent back pain to receive Traditional Chinese Medical acupuncture (n=94), therapeutic massage (n=78), or self-care educational materials (n=90). Up to 10 massage or acupuncture visits were permitted over 10 weeks. Symptoms (0-10 scale) and dysfunction (0-23 scale) were assessed by telephone interviewers masked to treatment group. Follow-up was available for 95% of patients after 4, 10, and 52 weeks, and none withdrew for adverse effects.Results: Treatment groups were compared after adjustment for prerandomization covariates using an intent-to-treat analysis. At 10 weeks, massage was superior to self-care on the symptom scale (3.41 vs 4.71, respectively; P=.01) and the disability scale (5.88 vs 8.92, respectively; P