Sun Ming-Mei, Mao Xiang, Liu Jin-Tao, Lv Tong, Zhu Peng-Yu
Heilongjiang University of CM, Harbin 150040, China.
Department of Acupuncture and Moxibustion, Chongqing TCM Hospital.
Zhongguo Zhen Jiu. 2022 May 12;42(5):511-4. doi: 10.13703/j.0255-2930.20210613-k0002.
To compare the clinical effect between head acupuncture combined with exercise therapy and conventional acupuncture for nonspecific low back pain.
A total of 64 patients with nonspecific low back pain were randomized into an observation group (32 cases, 2 cases dropped off) and a control group (32 cases, 2 cases dropped off). In the control group, conventional acupuncture was applied at Jiaji (EX-B 2) of L to L, point, Shenshu (BL 23), Dachangshu (BL 25), Yaoyangguan (GV 3) and Weizhong (BL 40). The observation group was treated with head acupuncture combined with exercise therapy, head acupuncture was applied at foot-motor-sensory area on the healthy side and Cuanzhu (BL 2), Tongziliao (GB 1) on the affected side, and McKenzie therapy was performed during retention. The needles were retained for 40 min, once a day, continuous treatment for 6 days with the interval of 1 day, 14 days were required in the two groups. Before and after treatment, the pain visual analogue scale (VAS) score, Oswestry disability index (ODI) score and infrared thermography temperature of pain area in the low back were compared in the two groups.
Compared before treatment, the VAS and ODI scores after treatment were decreased in the two groups (<0.01), and those in the observation group were lower than the control group (<0.01). Compared before treatment, the infrared thermography temperature of pain area in the low back after treatment was increased in the two groups (<0.01), and that in the observation group was higher than the control group (<0.01).
Head acupuncture combined with exercise therapy could relieve pain, improve dysfunction and increase the local temperature of pain area in patients with nonspecific low back pain, and its curative effect is better than conventional acupuncture.
比较头针结合运动疗法与传统针刺治疗非特异性下腰痛的临床疗效。
将64例非特异性下腰痛患者随机分为观察组（32例，脱落2例）和对照组（32例，脱落2例）。对照组采用针刺腰1至腰5夹脊穴（EX - B 2）、肾俞（BL 23）、大肠俞（BL 25）、腰阳关（GV 3）和委中（BL 40）。观察组采用头针结合运动疗法，头针取健侧足运感区及患侧攒竹（BL 2）、瞳子髎（GB 1），留针期间进行麦肯基疗法。留针40分钟，每日1次，连续治疗6天，间隔1天，两组均需治疗14天。比较两组治疗前后疼痛视觉模拟评分（VAS）、Oswestry功能障碍指数（ODI）评分及下腰部疼痛区域红外热成像温度。
与治疗前比较，两组治疗后VAS和ODI评分均降低（<0.01），且观察组低于对照组（<0.01）。与治疗前比较，两组治疗后下腰部疼痛区域红外热成像温度均升高（<0.01），且观察组高于对照组（<0.01）。
头针结合运动疗法可缓解非特异性下腰痛患者的疼痛，改善功能障碍，提高疼痛区域局部温度，其疗效优于传统针刺。
