【紐約中醫(yī)論壇首發(fā)】

據(jù)2017年4月24發(fā)表在美國內(nèi)科年鑒的綜述報(bào)告，經(jīng)分析包括864名患者的多個(gè)臨床試驗(yàn)表明，正念減壓療法（Mindfulness based stress reduction，冥想療法）可以短期輕度改善腰痛癥狀。同時(shí)發(fā)現(xiàn)，如果另加瑜伽運(yùn)動(dòng)，改善功能障礙的效果更好。作者因此認(rèn)為，心理因素和物理運(yùn)動(dòng)對(duì)腰痛康復(fù)很重要。
這個(gè)研究報(bào)告再次指出，復(fù)合療法對(duì)腰痛康復(fù)效果要好于單一療法。這也正符合很多針灸師治療腰痛的臨床經(jīng)驗(yàn)。針刺止痛有效，但如果加上讓患者入靜、放松、聽輕音樂等“軟針灸”療法，或再加上“帶針運(yùn)動(dòng)”等康復(fù)技巧，效果會(huì)更好。問題是，如何設(shè)計(jì)一個(gè)嚴(yán)格的臨床試驗(yàn)，來證明“復(fù)合針灸療法”要優(yōu)于單一療法，使之能夠被光明正大地推廣應(yīng)用，而不是隱蔽在各種針灸的“獨(dú)家秘訣”之中。 （李永明）

下面是報(bào)道原文

Mindfulness-Based Stress Reduction Programs Improve Low Back Pain Only Slightly, Temporarily, Research Suggests
Reuters (4/24, Boggs) reports a review of previous research, published online in Annals of Internal Medicine, found that “mindfulness-based stress reduction programs (MSBR) appear to improve low back pain only slightly, and only temporarily.” Dennis Anheyer of University of Duisburg-Essen, Germany, told Reuters Health by email, “Our review also showed that studies using MBSR programs that included yoga had better effects on disability and physical functioning than studies using MBSR programs without yoga.” He added that “physical activity might therefore be important for these factors.”