Moura Caroline de Castro, Chaves Erika de Cássia Lopes, Nogueira Denismar Alves, Iunes Denise Hollanda, Corrêa Hérica Pinheiro, Pereira Gabriela Aparecida, Silvano Higor Magalhães, Azevedo Cissa, Macieira Tamara Goncalves Rezende, Chianca Tânia Couto Machado
School of Nursing, Federal University of Minas Gerais, Professor Alfredo Balena Ave., 190, Belo Horizonte, Minas Gerais, 30130-100, Brazil.
School of Nursing, Federal University of Alfenas, Gabriel Monteiro da Silva St., 700, Alfenas, Minas Gerais, 37130-001, Brazil.
J Tradit Complement Med. 2021 Jul 27;12(2):152-161. doi: 10.1016/j.jtcme.2021.07.008. eCollection 2022 Mar.
Chronic back pain causes physical, functional, and emotional disabilities. Traditional Chinese Medicine therapies have been shown as interventions to treat chronic back pain. The present study aimed to clinically evaluate the effects of ear acupuncture combined with cupping therapy on people with chronic back pain.
We conducted an open-label, randomized, parallel-group controlled clinical trial. Following the CONSORT statement recommendations, 198 participants were randomized into 'ear acupuncture' and 'ear acupuncture and cupping therapy' groups. Data were collected in three different points; before the first session (initial) with the patient, after the last session (final), and seven days after the end of the treatment (follow-up). The Brief Pain Inventory, a digital algometer, and the Rolland Morris Disability Questionnaire were used for data collection. Generalized Estimation Equation model was used to examine the association between the interventions and the primary outcome pain severity.
Pain severity, pressure pain threshold, and physical disability improved over time in both groups. However, for the patients being treated with both ear acupuncture and cupping therapy, significant changes were seen in pain severity, pain relief, and physical disabilities between the initial and final sessions. For the 'ear acupuncture and cupping therapy' group, significant changes were also seen for pain relief and physical disability in the follow-up session.
Ear acupuncture combined with cupping therapy was shown to be more effective in the treatment of chronic back pain when compared to treatment using only ear acupuncture.
慢性背痛会导致身体、功能和情感方面的残疾。中医治疗方法已被证明是治疗慢性背痛的干预措施。本研究旨在临床评估耳针结合拔罐疗法对慢性背痛患者的疗效。
我们进行了一项开放标签、随机、平行组对照临床试验。按照CONSORT声明的建议，198名参与者被随机分为“耳针组”和“耳针加拔罐疗法组”。在三个不同时间点收集数据：与患者首次治疗前（初始）、最后一次治疗后（最终）以及治疗结束后七天（随访）。使用简明疼痛量表、数字痛觉计和罗兰·莫里斯残疾问卷收集数据。采用广义估计方程模型来检验干预措施与主要结局疼痛严重程度之间的关联。
两组患者的疼痛严重程度、压痛阈值和身体残疾程度均随时间改善。然而，对于接受耳针加拔罐疗法治疗的患者，初始和最终治疗之间在疼痛严重程度、疼痛缓解和身体残疾方面出现了显著变化。对于“耳针加拔罐疗法”组，随访时在疼痛缓解和身体残疾方面也出现了显著变化。
与仅使用耳针治疗相比，耳针结合拔罐疗法在治疗慢性背痛方面显示出更有效。
