世界中医药2018，Vol.13Issue(2)：449-452,4.DOI:10.3969/j.issn.1673-7202.2018.02.050
穴位按压治疗血管性痴呆患者躯体疼痛的临床疗效
Acupressure for Relieving Body Pain in Patients with Vascular Dementia
摘要
Abstract
Objective:To assess the effectiveness of acupressure for treating body pain in patients suffering from vascular dementi -a.Methods:In this randomized controlled study,60 patients with vascular dementia also suffered from musculoskeletal pain in any part of the body were recruited from the Department of Acupuncture and Moxibustion of Beijing Traditional Chinese Medicine Hos -pital from 2011 to 2015.Participants were randomly allocated to the acupressure alone or medication group to receive daily local AShi point acupressure for 30 minutes or to receive p.r.n Ibuprofen sustained release capsule,respectively.Either treatment was provided daily for 12 weeks.The primary outcome measures included the changes of the scores of Faces Pain Scale -Revised(FPS-R)and Chinese Pain Assessment in Advanced Dementia Scale(C-PAINAD).The secondary outcome measures were Barthel In-dex and adverse effects.Results:The two groups were comparable at baseline in their demographic data as well as their severity of pain and dementia.Compared with pre-treatment,the scores of FPS-R and C-PAINAD in two groups were significantly decreased after the treatment.The two groups differed in their pain reduction with pain scores in the acupressure group being significantly higher than those in the medication group in the 1st and 2nd treatment week(P<0.01),then significantly lower than those in the medication group in the 4th,6th,8th,10th and 12th treatment week(P<0.01).Similarity, the Barthel Index increased in both groups over time with the scores in the acupressure group being statistically significantly higher than that in the medication group in the 1st,6th,8th,10th and 12th treatment week(P<0.01).Two patients with gastrointestinal symptoms were observed in the medi-cation group.No adverse event was reported in the acupressure group.Conclusion:Ibuprofen sustained release capsule relieved pain more quickly in the first two weeks.The analgesia of acupressure is more effective within the following 10 weeks,and acupre-ssure is safe and can be easily accepted by family carers.Quality of life in those patients improves in both groups as pain reduced.关键词
血管性痴呆/疼痛评估/疼痛管理/穴位按压Key words
Vascular dementia/Pain assessment/Pain management/Acupressure分类
医药卫生引用本文复制引用
游伟,董雨,郑真..穴位按压治疗血管性痴呆患者躯体疼痛的临床疗效[J].世界中医药,2018,13(2):449-452,4.基金项目
国家重点基础研究发展计划(973计划)项目(2014CB543203) （973计划）
