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强直性脊柱炎中不当使用推拿疗法的危害。

Danger of injudicious use of tui-na therapy in ankylosing spondylitis.

作者信息

Zou Gen, Wang Guyi, Li Jinxiu, Wu Guobao, Huang Jia, Huang Siyang

机构信息

Department of Gynaecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, People's Republic of China.

Department of Intensive Care Unit, The Second Xiangya Hospital, Central South University, Renmin Road 139, Changsha, Hunan Province, People's Republic of China.

出版信息

Eur Spine J. 2017 May;26(Suppl 1):178-180. doi: 10.1007/s00586-017-5002-1. Epub 2017 Feb 17.

DOI:10.1007/s00586-017-5002-1
PMID:28213697
Abstract

Tui-na is a very important component of Chinese medicine. It is a well-respected treatment modality known to be helpful and safe for a wide range of conditions. It can be considered as a certain kind of massage which is performed at acupoints, meridians, and collaterals by pushing, finger twisting, grasping thumb waving pressing, patting, palm twisting, and other manipulation techniques. At present, it is extensively used for relieving pain and stiffness associated with ankylosing spondylitis in China, even though there is a lack of evidence to support its validation and feasibility. The patient in this case was treated by tui-na massage at acute flare-up of ankylosing spondylitis and ended up with catastrophic results.

摘要

推拿是中医的一个非常重要的组成部分。它是一种备受推崇的治疗方式,已知对多种病症有帮助且安全。它可被视为一种在穴位、经络上通过推、捻指、抓、拇指摆动按压、拍打、掌捻等手法进行的按摩。目前,在中国,它被广泛用于缓解强直性脊柱炎相关的疼痛和僵硬,尽管缺乏支持其有效性和可行性的证据。该病例中的患者在强直性脊柱炎急性发作时接受了推拿按摩治疗,最终却导致了灾难性的后果。

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本文引用的文献

1
Effectiveness of Chinese massage therapy (Tui Na) for chronic low back pain: study protocol for a randomized controlled trial.中医推拿疗法治疗慢性下腰痛的有效性:一项随机对照试验的研究方案
Trials. 2014 Oct 29;15:418. doi: 10.1186/1745-6215-15-418.
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Health psychology as a context for massage therapy: a conceptual model with CAM as mediator.健康心理学作为按摩疗法的背景:以补充替代医学为中介的概念模型。
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Two-level pedicle subtraction osteotomy for severe thoracolumbar kyphotic deformity in ankylosing spondylitis.
一项关于阿仑膦酸钠治疗强直性脊柱炎的回顾性研究。
Medicine (Baltimore). 2018 May;97(20):e10738. doi: 10.1097/MD.0000000000010738.
两阶段椎弓根截骨术治疗强直性脊柱炎严重胸腰椎后凸畸形
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Ankylosing spondylitis.强直性脊柱炎
Lancet. 2007 Apr 21;369(9570):1379-1390. doi: 10.1016/S0140-6736(07)60635-7.