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Abstract
力学性颈痛(mechanical neck pain)在基层医疗机构患者中约占70％,本研究旨在观察和比较脊椎手法治疗(spinal manipu-lation therapy,SMT)、药物治疗和指导下家庭锻炼(home exercise with advice,HEA)治疗急性和亚急性颈痛的近期和远期疗效.一、资料与方法1.干预措施:由美国明尼苏达州大学研究中心及其附属的疼痛控制诊所负责,采用随机对照临床试验设计,选取2001年至2007年符合入组条件的272例非特异性颈痛患者(18 ～65岁,初次发病,颈痛持续2 ～ 12周,疼痛评分≥3分,最近3个月内未曾接受颈痛治疗,并排除各种器质性颈痛及全身性疼痛),以盲法随机分为SMT组、药物组和HEA组,分别采用12周的SMT、药物和HEA治疗。
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