穴位按压对慢性非特异性腰痛患者腰痛强度和抑郁的影响

A. Ghanbari, Seyed Mohammad Mousavi Mirzaei, H. B. Bahrami Taghanaki, S. Vagharseyyedin
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摘要

背景:腰痛(LBP)是全球致残的主要原因。本研究旨在探讨穴位按压对慢性非特异性腰痛患者腰痛强度和抑郁的影响。方法:对84例慢性非特异性腰痛患者进行随机对照临床试验。采用人口统计信息问卷、视觉模拟量表(VAS)和贝克抑郁量表(BDI-II)收集数据。参与者被随机分为指压组(n = 42)和假手术组(n = 42)。穴位按压组学习如何按压阴堂、风池和枢复穴位;然而,假手术组接受了如何按压陈江、黄树和姬痛穴位的训练。两组均采用穴位按压,每天1次,连续4周。两组在干预后1天再次完成VAS和BDI-II。结果:干预前两组患者腰痛强度(P = 0.45)、抑郁程度(P = 0.26)差异均无统计学意义。通过控制腰痛和抑郁基线评分,协方差分析显示,穴位按压组干预后腰痛和抑郁较假手术组明显改善(P < 0.05)。结论:按压俞附穴、阴堂穴、风池穴对减轻慢性非特异性LBP患者的腰痛和抑郁有一定的疗效。本研究的结果可用于设计和评估更健壮的协议。
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Effect of Acupressure on Low Back Pain Intensity and Depression in Patients with Chronic Nonspecific Low Back Pain
Background: Low back pain (LBP) is the leading cause of disability in the world. This study aimed to evaluate the effect of acupressure on LBP intensity and depression among chronic nonspecific LBP patients. Methods: This sham-controlled randomized clinical trial was performed on 84 patients with chronic nonspecific LBP. The data were collected using a demographic information questionnaire, the Visual Analogue Scale (VAS), and the Beck Depression Inventory-II (BDI-II). The participants were randomly assigned to acupressure (n = 42) and sham (n = 42) groups. The acupressure group was trained on how to apply pressure on Yin tang, Feng Chi, and Shu Fu acupoints; nevertheless, the sham group was trained on how to apply pressure on Chen Jiang, Huang Shu, and Ji ache acupoints. The participants in both groups applied acupressure once a day for 4 weeks. Both groups completed the VAS and the BDI-II again one day after the intervention. Results: No significant differences in LBP intensity (P = 0.45) and depression (P = 0.26) were observed between the two groups before the intervention. By controlling the baseline scores of LBP and depression, analysis of covariance revealed that the LBP and depression of the acupressure group significantly improved after the intervention, compared to the sham group (P < 0.05). Conclusions: Applying pressure on Shu Fu, Yin Tang, and Feng Chi points is effective in reducing LBP and depression among chronic nonspecific LBP patients. The findings of this study can be used in designing and evaluating more robust protocols.
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