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| Abdominal massage for the treatment of chronic low back pain with depression based on “four seas theory”: a randomized controlled trial |
| Hits 1201 Download times 864 Received:June 25, 2020 |
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| DOI
10.11656/j.issn.1672-1519.2020.10.14 |
| Key Words
chronic low back pain;depressive state;abdominal massage;fluoxetine |
| Author Name | Affiliation | E-mail | | SU Zhichao | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
National Laboratory of Tuina Biological Effects, State Administration of Traditional Chinese Medicin, Tianjin 300193, China | | | DU Xin | Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China | | | YAN Huaqiong | Tianjin Hospital, Tianjin 300211, China | | | LU Yi | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
National Laboratory of Tuina Biological Effects, State Administration of Traditional Chinese Medicin, Tianjin 300193, China | | | ZHAO Na | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
National Laboratory of Tuina Biological Effects, State Administration of Traditional Chinese Medicin, Tianjin 300193, China | | | LI Huanan | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
National Laboratory of Tuina Biological Effects, State Administration of Traditional Chinese Medicin, Tianjin 300193, China | lihuanan1984@126.com。 |
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| Abstract
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| [Objective] To compare the clinical efficacy and safety of abdominal massage and fluoxetine in the treatment of chronic low back pain with depression.[Methods] Eighty patients with chronic low back pain and depression were randomly divided into a treatment group and a control group,40 cases in each group. The two groups were based on the basic treatment of western medicine. On the basis of conventional treatment,the treatment group was treated with abdominal massage and the control group was treated with oral fluoxetine. The visual analog scale (VAS) was used to assess the pain level of the two groups,the Japanese Orthopaedic Association low back pain rating scale (JOA) score was used to evaluate the motor function and daily activity of the two groups. The self-depression scale (SDS) was used to evaluate the depression status of the two groups and the adverse reactions of the two groups were observed.[Results] After 14 days,28 days,and 6 months of follow-up,the VAS and JOA scores of the two groups were significantly better than those before treatment (P<0.01). The VAS and JOA scores of the treatment group were significantly better than those of the control group (P<0.01 or P<0.05). Compared with before treatment,the SDS scores showed a significant downward trend after 14 days,28 days,and 6 months of follow-up (P<0.01). There was no significant difference in SDS scores between the treatment group and the control group after 14 days and 28 days of treatment (P>0.05),and the SDS scores of the two groups during the 6 months follow-up,the treatment group was lower than the control group (P<0.05);the adverse reaction rate in the treatment group was 5.88%,which was significantly lower than the control group's 36.4% (P<0.01).[Conclusion] Compared with the fluoxetine group,the abdominal massage group can better relieve the pain of patients with chronic low back pain,improve their motor function and daily activities,improve their quality of life,and have fewer adverse reactions. The short-term treatment effect on improving patients' depression status. The two treatments are equally effective,and the long-term effect of the abdominal massage group is better and worth promoting. |
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