治颈痛 针灸比按摩好
路透社纽约健康消息 治疗慢性颈痛，西方国家习惯用按摩疗法，根据德国和瑞士的一项合作研究，从减轻疼痛和提高颈椎灵活性的角度来衡量，针灸更有效。
研究人员临床追踪了近200位有慢性颈痛的病人，比较针灸、按摩或激光针灸(一个为了进行比较的模似过程)对于慢性颈痛的的效果。每一位病人一次接受30分钟的治疗，每星期五次，共三个星期。结果显示，在第一次和最后一次治疗后，或在最后一次治疗后一星期，针灸对减轻疼痛的效果比按摩要好。在最后一次治疗一周后，有超过一半接受针灸治疗的病人说运动性疼痛减轻了50%，而只有大约32%接受按摩治疗的病人和不到25%的对照组病人在疼痛减轻方面有相似的效果。这些差异在有超过五年的慢性颈痛和有肌筋膜疼痛综合征的病人中最明显的。肌筋膜疼痛综合征是在颈部特殊地方的肌肉痛，它可以由物理的或情绪的紧张导致。在随后的三个月，这三组间的差别并不明显。
研究人员指出，针灸治疗慢性颈痛是有效的，但必须由富有经验的执业针灸医师进行。不过，从长期效果来看，针灸并不会创造奇迹。大多数严重的慢性病需要一个多模式的(生物-心理-社会)的治疗方法，针灸只能在其中扮演一个角色。
, http://www.100md.com
来源：《英国医学杂志》2001;322:1574-1578
Acupuncture Better Than Massage for Neck Pain
NEW YORK (Reuters Health) - What could be better than a massage to treat chronic neck pain? Acupuncture, according to a team of German and Swiss researchers. They report that although the Western massage may be the customary short-term treatment, acupuncture may be more effective.
``Our study shows that acupuncture can be an effective treatment for chronic neck pain, if the objective is to relieve pain and to improve mobility of the cervical spine,‘‘ Dr. Dominik Irnich of Ludwig-Maximilians University in Germany told Reuters Health.
, 百拇医药
In the study, which involved almost 200 patients with complaints of chronic neck pain, Irnich and his colleagues evaluated the efficacy of acupuncture versus massage or ``sham‘‘ laser acupuncture--a dummy procedure used for comparison. Each individual received a 30-minute treatment, five times a week for three weeks.
Individuals treated with acupuncture reported greater reductions in pain both immediately after the first and last treatments and one week after the last treatment than those treated with massage, the authors report in the June 30th issue of the British Medical Journal.
, http://www.100md.com
The differences were most distinct, however, among those subjects who reported pain lasting more than five years and those with myofascial pain syndrome, the authors note. Myofascial pain syndrome is muscle pain in specific areas of the neck that may be caused by physical or emotional tension, Irnich explained.
For example, in assessments one week after the last treatment, over half of those treated with acupuncture reported a more than 50% improvement in pain related to motion, the authors report. Only about 32% of those treated with massage and slightly less than 25% of the comparison group reported similar reductions in motion-related pain, the report indicates.
, 百拇医药
At follow-up three months later, however, differences between the three groups were no longer statistically significant, the authors note.
``Acupuncture may be helpful if provided by an experienced and licensed acupuncturist,‘‘ according to Irnich. ``However, in chronic conditions acupuncture does not work wonders.
``In most severe chronic conditions, a multimodal (bio-psycho-social) approach is necessary, but acupuncture should play a role,‘‘ he said.
SOURCE: British Medical Journal 2001;322:1574-1578., 百拇医药
研究人员临床追踪了近200位有慢性颈痛的病人，比较针灸、按摩或激光针灸(一个为了进行比较的模似过程)对于慢性颈痛的的效果。每一位病人一次接受30分钟的治疗，每星期五次，共三个星期。结果显示，在第一次和最后一次治疗后，或在最后一次治疗后一星期，针灸对减轻疼痛的效果比按摩要好。在最后一次治疗一周后，有超过一半接受针灸治疗的病人说运动性疼痛减轻了50%，而只有大约32%接受按摩治疗的病人和不到25%的对照组病人在疼痛减轻方面有相似的效果。这些差异在有超过五年的慢性颈痛和有肌筋膜疼痛综合征的病人中最明显的。肌筋膜疼痛综合征是在颈部特殊地方的肌肉痛，它可以由物理的或情绪的紧张导致。在随后的三个月，这三组间的差别并不明显。
研究人员指出，针灸治疗慢性颈痛是有效的，但必须由富有经验的执业针灸医师进行。不过，从长期效果来看，针灸并不会创造奇迹。大多数严重的慢性病需要一个多模式的(生物-心理-社会)的治疗方法，针灸只能在其中扮演一个角色。
, http://www.100md.com
来源：《英国医学杂志》2001;322:1574-1578
Acupuncture Better Than Massage for Neck Pain
NEW YORK (Reuters Health) - What could be better than a massage to treat chronic neck pain? Acupuncture, according to a team of German and Swiss researchers. They report that although the Western massage may be the customary short-term treatment, acupuncture may be more effective.
``Our study shows that acupuncture can be an effective treatment for chronic neck pain, if the objective is to relieve pain and to improve mobility of the cervical spine,‘‘ Dr. Dominik Irnich of Ludwig-Maximilians University in Germany told Reuters Health.
, 百拇医药
In the study, which involved almost 200 patients with complaints of chronic neck pain, Irnich and his colleagues evaluated the efficacy of acupuncture versus massage or ``sham‘‘ laser acupuncture--a dummy procedure used for comparison. Each individual received a 30-minute treatment, five times a week for three weeks.
Individuals treated with acupuncture reported greater reductions in pain both immediately after the first and last treatments and one week after the last treatment than those treated with massage, the authors report in the June 30th issue of the British Medical Journal.
, http://www.100md.com
The differences were most distinct, however, among those subjects who reported pain lasting more than five years and those with myofascial pain syndrome, the authors note. Myofascial pain syndrome is muscle pain in specific areas of the neck that may be caused by physical or emotional tension, Irnich explained.
For example, in assessments one week after the last treatment, over half of those treated with acupuncture reported a more than 50% improvement in pain related to motion, the authors report. Only about 32% of those treated with massage and slightly less than 25% of the comparison group reported similar reductions in motion-related pain, the report indicates.
, 百拇医药
At follow-up three months later, however, differences between the three groups were no longer statistically significant, the authors note.
``Acupuncture may be helpful if provided by an experienced and licensed acupuncturist,‘‘ according to Irnich. ``However, in chronic conditions acupuncture does not work wonders.
``In most severe chronic conditions, a multimodal (bio-psycho-social) approach is necessary, but acupuncture should play a role,‘‘ he said.
SOURCE: British Medical Journal 2001;322:1574-1578., 百拇医药