穴位按摩於下背痛之應用

下背痛是骨科、神經科及復健科臨床上常見的疾病，也是工作職場常見的職業疾病，尤其是護理人員更常身受其苦；其原因除肌肉骨骼系統、神經系統、內臟器官病變外，姿勢不當、情緒、壓力也是常見原因之一，可利用藥物、物理治療與運動治療改善之。遠在兩千多年前的醫書「黃帝內經」便有穴位按摩的記載，主要是根據中醫經絡學說及針灸之原理，運用手的動作刺激人體穴位，有減輕疼痛、促進放鬆、改善睡眠、恢復能量及增進免疫系統的功能；而且屬非侵入性、簡單、易行，又有正面之臨床效益;因此護理人員若能配合醫療處置正確適當執行，穴位按摩是相當值得推廣之護理措施，並能降低就醫成本。

關鍵字

穴位按摩；下背痛

並列摘要

The low back pain is a clinical common disease of orthopedics, neurology and rehabilitation, also the common professional disease in duty field, particularly suffered nursing staff very often; the common reasons are as follow: the pathological change of muscle-skeleton system, nervous system, organ system, abnormal posture, emotion, and pressure. All these problems may use drugs, physical therapy and exercise to improve them. Far more than 2000 year ago, the Chinese medical book ＂黃帝內經＂ has records which the acupuncture point massages is mainly according to the Chinese medicine channels and collaterals theory and the acupuncture principle , when we stimulate the human body through acupuncture point, we can reduces pain, promote relaxes, improve sleep, restore energy and promote the ability of the immunity system. Moreover it is non-invasion, simple, easy doing methods, also has the positive and clinical benefits, therefore if nursing staff can cooperate with the medical interventions correctly, the acupuncture point massage is valuable to become one of popular nursing interventions, and can decrease the cost for medication.