Park Hyun Suk, Jeong Hye In, Sung Soo-Hyun, Kim Kyeong Han
Department of Korean Medicine Rehabilitation, Bucheon Jaseng Hospital of Korean Medicine, Bucheon 14598, Republic of Korea.
Department of Preventive Medicine, College of Korean Medicine, Kyung Hee University, Seoul 02447, Republic of Korea.
Healthcare (Basel). 2023 Jun 1;11(11):1624. doi: 10.3390/healthcare11111624.
Acupuncture treatment (AT) is an effective treatment for pain relief; however, there are few systematic reviews that have reported on the effectiveness of AT for hip pain. This systematic review aimed to evaluate the efficacy and safety of AT of hip pain. We searched eight databases for randomised controlled trials (RCTs) evaluating the effect of AT on hip pain until August 2022. Twelve RCTs (806 patients) were included: two reported a significant effect of AT compared with that of conventional medicine (CM) alone for hip pain; two reported significant effects of AT + CM compared with that of CM alone in terms of Visual Analogue Scale (VAS); two reported a significant effect of AT + CM compared with that of Sham AT + CM in terms of anaesthetic dosage; two reported a significant effect of AT + CM compared with that of Sham AT + CM in terms of the side effects associated with analgesic use; one study reported a significant effect of AT compared to that of no-treatment. No serious adverse events were reported. Our findings demonstrate the potential of AT in managing hip pain. Given the low quality and small sample sizes of the studies, the evidence supporting AT for hip pain management was weak. Further clinical trials and systematic reviews are required. The protocol of the current study was registered in the PROSPERO International prospective register of systematic reviews (CRD42017079586).
针灸治疗（AT）是缓解疼痛的一种有效疗法；然而，很少有系统评价报告过AT对髋部疼痛的疗效。本系统评价旨在评估AT治疗髋部疼痛的有效性和安全性。我们检索了八个数据库，以查找截至2022年8月评估AT对髋部疼痛影响的随机对照试验（RCT）。纳入了12项RCT（806例患者）：两项研究报告称，与单纯使用传统药物（CM）相比，AT对髋部疼痛有显著疗效；两项研究报告称，在视觉模拟量表（VAS）方面，AT+CM组与单纯CM组相比有显著效果；两项研究报告称，在麻醉剂量方面，AT+CM组与假针灸+CM组相比有显著效果；两项研究报告称，在与镇痛药物使用相关的副作用方面，AT+CM组与假针灸+CM组相比有显著效果；一项研究报告称，与不治疗相比，AT有显著效果。未报告严重不良事件。我们的研究结果表明了AT在治疗髋部疼痛方面的潜力。鉴于这些研究质量较低且样本量较小，支持AT用于髋部疼痛管理的证据薄弱。需要进一步的临床试验和系统评价。本研究方案已在国际前瞻性系统评价注册库PROSPERO（注册号：CRD42017079586）中注册。
