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AIM：脊椎按摩和颈部锻炼要比药物更好地减轻颈部疼痛

2012-01-20 MedSci MedSci原创

按摩疼痛脊椎
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2012年1月3日发表在《The Annals of Internal Medicine》期刊上的一篇研究论文表明对颈部疼痛(neck pain)而言，访问脊椎按摩师(chiropractor)或者进行定期颈部锻炼要比服用止痛药更能减少颈部疼痛。 颈部疼痛影响美国3/4人的一生。该研究是比较不同治疗方案的为数不多的几项研究之一，是由美国西北健康科学大学Gert Bronfort博士领导的。他研究

2012年1月3日发表在《The Annals of Internal Medicine》期刊上的一篇研究论文表明对颈部疼痛(neck pain)而言，访问脊椎按摩师(chiropractor)或者进行定期颈部锻炼要比服用止痛药更能减少颈部疼痛。

颈部疼痛影响美国3/4人的一生。该研究是比较不同治疗方案的为数不多的几项研究之一，是由美国西北健康科学大学Gert Bronfort博士领导的。他研究了272名遭受颈部疼痛但是又不知确切病因的成年人。这些研究参与者被分成3组，参与为期总共3个月的研究。

第一组在这整个3月时间内参加15次为时20分钟的脊椎按摩治疗。第二组服用诸如醋氨酚(acetaminophen)之类的不需处方就可以出售的止痛药或者他们的医师开出的麻醉药(narcotics)或肌肉松弛剂。第三组参加理疗师开设的两个不同治疗课程，理疗师教导他们进行颈部锻炼，这样他们自己就可以全天在家里进行这些锻炼。

结果表明相对于接受药物治疗的小组，那些没有接受同样治疗的小组颈部疼痛得到显著性下降。接受脊椎按摩治疗的小组当中将近57%的人颈部疼痛至少下降了75%，而进行颈部锻炼的小组当中则是48%的人是这样的。而接受药物治疗的小组只有33%的人颈部疼痛至少下降了75%。

一年之后，研究人员再次询问这些参与者的疼痛缓解情况。接受脊椎按摩治疗和接受颈部锻炼的参与者至少有53%的人颈部疼痛仍然保持下降，而接受药物治疗的参与者只有38%的人是如此。

参加这一研究的接受药物治疗的病人需要增加药物剂量和服用次数才能有效地缓解疼痛。长期服用药物能够导致胃肠道并发症。

Bronfort博士对接受颈部锻炼小组和接受脊椎按摩治小组疼痛缓解情况如此类似感到吃惊，不过他认为这对病人是好消息。积极参与自己的健康护理和而不只是单纯依赖药物治疗实际上可以更好地缓解疼痛，同时减少药物治疗带来的其他并发症的风险。

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    2012-08-28 snf701217

    #颈部疼痛#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1700917, encodeId=e4a91e0091770, content=<a href='/topic/show?id=7bf710065e82' target=_blank style='color:#2F92EE;'>#颈部疼痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100657, encryptionId=7bf710065e82, topicName=颈部疼痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65e530292081, createdName=snf701217, createdTime=Tue Aug 28 13:14:00 CST 2012, time=2012-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=4017, encodeId=341e401e74, content=This is an artlice that makes you think "never thought of that!", beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=kalie, createdTime=Wed Feb 15 14:40:00 CST 2012, time=2012-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=3990, encodeId=f3113990d9, content=This "free shinarg" of information seems too good to be true. Like communism., beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=niklas, createdTime=Sun Feb 12 17:59:00 CST 2012, time=2012-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1589664, encodeId=659d1589664b4, content=<a href='/topic/show?id=124d10065220' target=_blank style='color:#2F92EE;'>#颈部#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100652, encryptionId=124d10065220, topicName=颈部)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c46a17776631, createdName=木头人519, createdTime=Sat Jan 21 15:14:00 CST 2012, time=2012-01-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1630479, encodeId=9d5916304e95b, content=<a href='/topic/show?id=dd238456e9f' target=_blank style='color:#2F92EE;'>#脊椎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84567, encryptionId=dd238456e9f, topicName=脊椎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f80c21536506, createdName=neizongke, createdTime=Sat Jan 21 15:14:00 CST 2012, time=2012-01-21, status=1, ipAttribution=)]
    2012-02-15 kalie

    This is an artlice that makes you think "never thought of that!"

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1700917, encodeId=e4a91e0091770, content=<a href='/topic/show?id=7bf710065e82' target=_blank style='color:#2F92EE;'>#颈部疼痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100657, encryptionId=7bf710065e82, topicName=颈部疼痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65e530292081, createdName=snf701217, createdTime=Tue Aug 28 13:14:00 CST 2012, time=2012-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=4017, encodeId=341e401e74, content=This is an artlice that makes you think "never thought of that!", beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=kalie, createdTime=Wed Feb 15 14:40:00 CST 2012, time=2012-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=3990, encodeId=f3113990d9, content=This "free shinarg" of information seems too good to be true. Like communism., beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=niklas, createdTime=Sun Feb 12 17:59:00 CST 2012, time=2012-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1589664, encodeId=659d1589664b4, content=<a href='/topic/show?id=124d10065220' target=_blank style='color:#2F92EE;'>#颈部#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100652, encryptionId=124d10065220, topicName=颈部)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c46a17776631, createdName=木头人519, createdTime=Sat Jan 21 15:14:00 CST 2012, time=2012-01-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1630479, encodeId=9d5916304e95b, content=<a href='/topic/show?id=dd238456e9f' target=_blank style='color:#2F92EE;'>#脊椎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84567, encryptionId=dd238456e9f, topicName=脊椎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f80c21536506, createdName=neizongke, createdTime=Sat Jan 21 15:14:00 CST 2012, time=2012-01-21, status=1, ipAttribution=)]
    2012-02-12 niklas

    This "free shinarg" of information seems too good to be true. Like communism.

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1700917, encodeId=e4a91e0091770, content=<a href='/topic/show?id=7bf710065e82' target=_blank style='color:#2F92EE;'>#颈部疼痛#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100657, encryptionId=7bf710065e82, topicName=颈部疼痛)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65e530292081, createdName=snf701217, createdTime=Tue Aug 28 13:14:00 CST 2012, time=2012-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=4017, encodeId=341e401e74, content=This is an artlice that makes you think "never thought of that!", beContent=null, objectType=article, channel=null, level=null, likeNumber=165, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=kalie, createdTime=Wed Feb 15 14:40:00 CST 2012, time=2012-02-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=3990, encodeId=f3113990d9, content=This "free shinarg" of information seems too good to be true. Like communism., beContent=null, objectType=article, channel=null, level=null, likeNumber=141, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=niklas, createdTime=Sun Feb 12 17:59:00 CST 2012, time=2012-02-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1589664, encodeId=659d1589664b4, content=<a href='/topic/show?id=124d10065220' target=_blank style='color:#2F92EE;'>#颈部#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100652, encryptionId=124d10065220, topicName=颈部)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c46a17776631, createdName=木头人519, createdTime=Sat Jan 21 15:14:00 CST 2012, time=2012-01-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1630479, encodeId=9d5916304e95b, content=<a href='/topic/show?id=dd238456e9f' target=_blank style='color:#2F92EE;'>#脊椎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84567, encryptionId=dd238456e9f, topicName=脊椎)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f80c21536506, createdName=neizongke, createdTime=Sat Jan 21 15:14:00 CST 2012, time=2012-01-21, status=1, ipAttribution=)]
    2012-01-21 木头人519

    #颈部#

    0

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    2012-01-21 neizongke

    #脊椎#

    0