中医保健推拿调治躯体疼痛性亚健康的随机对照试验

Randomized controlled trial on effect of Tuina for treatment of sub-health people of somatic pain

目的:评价中医保健推拿治疗躯体疼痛性亚健康的有效性与安全性。方法:采用随机、双盲(评价者、统计者盲)、空白平行对照试验设计,将540例躯体疼痛性亚健康患者随机分为推拿组和休息组,每组270例。推拿组用中医保健推拿,休息组静卧休息,干预时间均为45 min/次,每周干预2次,疗程为3周。以麦吉疼痛问卷和WHO生存质量测定量表为指标评定两组的疗效。结果:中医保健推拿与休息比较更能改善躯体疼痛性亚健康人群疼痛指数中的感觉、情感、评估、其他、疼痛评估指数和现存疼痛强度等维度的评分;更能改善生存质量中的生存质量主观感觉、健康状况主观感觉、生理领域和心理领域几个维度的评分。结论:中医保健推拿调治躯体疼痛性亚健康疗效确切,没有不良反应,值得大力推广。

Objective To evaluate the clinical effect and safety of Tuina for treatment of somatic pain of sub health. Methods A randomized, double blind and blank parallel controlled trial was done. The experiment group was treated with Tuina and the control group lied down for rest, 45 minutes each time, twice each week for three weeks. Results Tuina treatment could improve more on sensory, affective, evaluation, pain rating index and extant pain intensity of the pain index, and score of subjective sensation of life quality and health status together with phys- iology and psychology field of life quality. Conclusion Massage is an effective therapy for treatment of somatic pain of sub health without adverse reactions and it should be generalized to application.