Lin Mu-Lien, Wu Jih-Huah, Lin Chi-Wan, Su Chuan-Tsung, Wu Hung-Chien, Shih Yong-Sheng, Chiu I-Ting, Chen Chao-Yi, Chang Wen-Dien
Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan.
Department of Pain Management, Taipei City Hospital Zhongxing Branch, Taipei, Taiwan.
Evid Based Complement Alternat Med. 2017;2017:3140403. doi: 10.1155/2017/3140403. Epub 2017 Aug 7.
Chronic nonspecific lower back pain (LBP) is a common disease. Insufficient data is currently available to conclusively confirm the analgesic effects of laser acupuncture on LBP. This study evaluated the effectiveness of laser acupuncture plus Chinese cupping in LBP treatment.
Patients with chronic nonspecific LBP were enrolled for a randomized controlled trial and assigned to the laser acupuncture group (laser acupuncture plus Chinese cupping) and control group (sham laser plus Chinese cupping). Laser acupuncture (808 nm; 40 mW; 20 Hz; 15 J/cm) and Chinese cupping were applied on the Weizhong (BL40) and Ashi acupoints for 5 consecutive days. Plasma cortisol levels were assessed before and after the 5-day treatment session. The visual analog scale (VAS) scores were recorded at baseline and throughout the 5-day treatment session.
After the treatment session, the plasma cortisol levels and VAS scores decreased significantly in both groups. In the laser acupuncture group, the VAS scores decreased significantly on days 4 and 5, and an enhanced reduction in VAS scores was observed.
Laser acupuncture plus Chinese cupping at the Weizhong (BL40) and Ashi acupoints effectively reduced pain and inflammation in chronic nonspecific LBP. This therapy could be a suitable option for LBP treatment in clinical settings.
慢性非特异性下腰痛（LBP）是一种常见疾病。目前尚无足够数据能确凿证实激光针刺对LBP的镇痛效果。本研究评估了激光针刺联合中医拔罐治疗LBP的有效性。
招募慢性非特异性LBP患者进行一项随机对照试验，将其分为激光针刺组（激光针刺联合中医拔罐）和对照组（假激光联合中医拔罐）。在委中穴（BL40）和阿是穴应用激光针刺（808nm；40mW；20Hz；15J/cm）和中医拔罐，连续治疗5天。在为期5天的治疗疗程前后评估血浆皮质醇水平。在基线及整个5天治疗疗程中记录视觉模拟量表（VAS）评分。
治疗疗程结束后，两组的血浆皮质醇水平和VAS评分均显著降低。在激光针刺组，VAS评分在第4天和第5天显著降低，且观察到VAS评分的降幅有所加大。
在委中穴（BL40）和阿是穴进行激光针刺联合中医拔罐可有效减轻慢性非特异性LBP的疼痛和炎症。该疗法可能是临床环境中LBP治疗的合适选择。
