Misdiagnosis Analysis of Massage Therapy on the Basis of Literature

WANG Xiao; YU Hai-long; WANG Hong; GUO Yi

doi:10.3969/j.issn.1002-3429.2017.02.015

Abstract：Objective To investigate commonly misdiagnosed diseases and misdiagnosed causes of massage therapy. Methods Literature about misdiagnosed cases by massage therapy was searched from CNKI Journals Full-text Database, VIP database and Wanfang database, and the deadline was 1st December 2015. Data extraction table was designed, and then gen-eral information such as the publication time of literature, misdiagnosed sites, final diagnosed diseases, misdiagnosed diseases and misdiagnosed causes was extracted and statistically analyzed. Results A total of 188 papers were included in the study, which included 91 kinds of final diagnosis diseases, 89 kinds of misdiagnosed diseases and 17 misdiagnosed causes. There were 56 papers about misdiagnosis in the neck, the final diagnosis diseases of the top 3 misdiagnosed diseases were tumor, cervical spondylosis and vertigo;94 papers were about misdiagnosis in the waist, and confirmed diagnosis of the top 4 misdiag-nosed diseases were tumor, tuberculosis, herpes zoster and multiple spinal cord disease in turn;35 papers were about misdi-agnosis in the back and shoulder, and confirmed diagnosis of the top 2 misdiagnosed diseases were tumor and thoracic verte-brae facet joint disorders;12 papers were misdiagnosed as warm and fragrant in limbs, and confirmed diagnosis of the top one misdiagnosed disease was gout. There were 11 kinds of misdiagnosis which causes were more than 17 times, and the top five were neglecting physical examination, non carefully asking medical history, localized thinking for diagnosis, imperfect in ima-ging examination and over reliance on imaging findings in turn. Conclusion In recent years, misdiagnosed cases by massage therapy increase significantly, and main causes are neglecting physical examination and non carefully asking medical history, and therefore massage doctors should continuously learn and do self reflection and establish interdisciplinary knowledge system in order to decrease misdiagnosed rate.