Jin Xiaofei, Li Ru, Chen Lifang, Wang Chao, Chen Xiaojun
the Third Affiliated Hospital to Zhejiang Chinese Medical University, Hangzhou 310005, China.
Department of Acupuncture and Moxibustion, the Third Affiliated Hospital to Zhejiang Chinese Medical University, Hangzhou 310005.
Zhongguo Zhen Jiu. 2018 Oct 12;38(10):1058-62. doi: 10.13703/j.0255-2930.2018.10.007.
To compare the differences in the clinical therapeutic effects on chronic non-specific low back pain (CNLBP) between the combined treatment of the superficial needling technique and mild moxibustion and the traditional warm acupuncture.
A total of 60 patients were randomized into a combined treatment group and a warm acupuncture group, 30 cases in each one. In the combined treatment group, the superficial needling technique was used in combination with the mild moxibustion with moxa box at the muscle region of the bladder meridian on the back. In the warm acupuncture group, the traditional warm acupuncture was adopted on the lumbar region and the upper back. Each treatment lasted 30 min, 3 times a week. The treatment was provided continuously for 3 weeks. The follow-up visit lasted 3 months. Separately, before, 3 times after treatment and at the end of treatment, as well as after the follow-up visit, the visual analogue scale (VAS), the range of motion of the lumbar region (ROM) and the Oswestry disability index (ODI) were observed in the patients of the two groups.
During and at the end of treatment, as well as at the follow-up visit, VAS score, ROM and ODI were all improved as compared with those before treatment in the two groups (all <0.05). The results in the combined treatment group were better than those in the warm acupuncture (all <0.05). At the end of treatment and the follow-up stage, VAS score, ROM and ODI were better than those during treatment in the two groups (all <0.05). At the follow-up stage, VAS score, ROM of the backward extension and rotation of spine, as well as ODI were better than those at the end of treatment in the two groups (all <0.05).
The combined treatment of the superficial needling technique and mild moxibustion relieves pain, improves the ROM of the lumbar region and reduces the functional disability in CNLBP. This combined therapy achieves the better effects as compared with the traditional warm acupuncture and is high in the patient's compliance.
比较浅刺术联合温和灸与传统温针灸治疗慢性非特异性下腰痛(CNLBP)的临床疗效差异。
将60例患者随机分为联合治疗组和温针灸组,每组30例。联合治疗组采用浅刺术结合在背部膀胱经肌肉区域使用艾灸盒进行温和灸。温针灸组在腰部和上背部采用传统温针灸。每次治疗持续30分钟,每周3次。连续治疗3周。随访3个月。分别在治疗前、治疗后3次、治疗结束时以及随访后,观察两组患者的视觉模拟评分(VAS)、腰部活动度(ROM)和Oswestry功能障碍指数(ODI)。
在治疗期间、治疗结束时以及随访时,两组患者的VAS评分、ROM和ODI均较治疗前有所改善(均P<0.05)。联合治疗组的结果优于温针灸组(均P<0.05)。在治疗结束时和随访阶段,两组患者的VAS评分、ROM和ODI均优于治疗期间(均P<0.05)。在随访阶段,两组患者的VAS评分、脊柱后伸和旋转的ROM以及ODI均优于治疗结束时(均P<0.05)。
浅刺术联合温和灸可缓解慢性非特异性下腰痛患者的疼痛,改善腰部活动度,减少功能障碍。与传统温针灸相比,这种联合疗法效果更好,患者依从性高。