Sun Xu, Ma Xin-Ping, Lv Lin-Ya, Yang Jie, Liu Hai-Fei, Meng Qing-Yang, Zheng Jun, Ma Xin-Ying
Department of TCM, 3Department of Air Duty, Air Force Speciality Medicine Center, Beijing 100142, China.
No. 925 Hospital of Joint Logistic Support Force.
Zhongguo Zhen Jiu. 2020 Nov 12;40(11):1180-4. doi: 10.13703/j.0255-2930.20191022-k0007.
To observe the clinical effect on spinal low back pain (SLBP) in Air Force crew treated with novel thumbtack needling therapy and to analyze the relevant factors of the therapeutic effect.
A total of 120 Air Force crew with SLBP were randomized into a thumbtack needling group (40 cases), an external treatment group (40 cases, 1 case dropped off ) and a combined treatment group (40 cases, 1 case dropped off ). In the thumbtack needling group, the thumbtack needling therapy was adopted. The novel thumbtack needles were inserted at the lower No.6 region of the wrist-ankle acupuncture, Yaotongdian (EX-UE 7), Yaoyangguan (GV 3), etc. Each point was pressed and kneaded for 1 min each time, 3 or 4 times a day. The treatment for 3 days was taken as one course. At the interval of 2 days, 3 courses were required totally. In the external treatment group, plaster was compressed on the center of the tender site in the lumbar region, once daily, consecutively for 6 days as one course. At an interval of 1 day, 2 courses were required totally. In the combined treatment group, the treatments in the thumbtack needling group and the external treatment group were used in combination. Before and after treatment, McGill score and the score of Oswestry dysfunction index (ODI) were compared in the patients among the three groups. The average EMG (AEMG) and the mean power frequency (MPF) were analyzed by using JE-TB0810 electromyography (EMG) acquisition system to evaluate the erector spinae tension in the patients before and after treatment. The clinical effect was observed in the patient of each group and the safety was evaluated. Logistic analysis was performed on the relevant factors of therapeutic effect in the patients.
Compared with the values before treatment, McGill scores and ODI scores were reduced (<0.05), and AEMG and MPF increased in the patients of each group after treatment (<0.05). After treatment, McGill scores and ODI scores in the thumbtack needling group and the combined treatment group were lower than those in the external treatment group (<0.05), and AEMG and MPF were higher than the external treatment group (<0.05). The total effective rates were 87.5% (35/40) and 87.2% (34/39) in the thumbtack needling group and the combined treatment group respectively and were higher than 64.1% (25/39) in the external treatment group (<0.05). The incidence of the adverse reaction in the combined treatment group was higher than the other two groups (<0.05). The weekly exercise frequency was the independent factor of the therapeutic effect (=12.166, <0.001).
The thumbtack needling therapy is significantly effective on spinal low back pain in Air Force crew and is of the safety. Hence, this therapy is applicable to be promoted in the primary care army hospital.
观察新型揿针疗法治疗空军官兵脊柱源性腰痛（SLBP）的临床疗效，并分析其疗效的相关影响因素。
将120例SLBP空军官兵随机分为揿针组（40例）、外治法组（40例，脱落1例）和综合治疗组（40例，脱落1例）。揿针组采用揿针疗法，选用新型揿针针刺腕踝针下6区、腰痛点（EX-UE 7）、腰阳关（GV 3）等，每次每穴按压揉捻1分钟，每日3或4次，3天为1个疗程，间隔2天，共治疗3个疗程。外治法组在腰部压痛点中央贴敷膏药，每日1次，连续6天为1个疗程，间隔1天，共治疗2个疗程。综合治疗组联合应用揿针组与外治法组的治疗方法。比较三组患者治疗前后的McGill评分、Oswestry功能障碍指数（ODI）评分，采用JE-TB0810肌电图（EMG）采集系统分析治疗前后患者竖脊肌的平均肌电图（AEMG）和平均功率频率（MPF），以评估竖脊肌张力，观察各组患者临床疗效并评价安全性，对患者疗效的相关影响因素进行Logistic分析。
三组患者治疗后McGill评分、ODI评分均较治疗前降低（<0.05），AEMG、MPF均较治疗前升高（<0.05）。治疗后，揿针组和综合治疗组的McGill评分、ODI评分低于外治法组（<0.05），AEMG、MPF高于外治法组（<0.05）。揿针组和综合治疗组总有效率分别为87.5%（35 / 40）、87.2%（34 / 39），均高于外治法组的64.1%（25 / 39）（<0.05）。综合治疗组不良反应发生率高于其他两组（<0.05）。每周运动频率是疗效的独立影响因素（=12.166，<0.001）。
新型揿针疗法治疗空军官兵脊柱源性腰痛疗效显著，且安全性好，适用于基层部队医院推广应用。
