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腰椎运动式针刺疗法治疗急性腰痛住院患者的疗效:一项实用随机对照试验

Effectiveness of lumbar motion style acupuncture treatment on inpatients with acute low back pain: A pragmatic, randomized controlled trial.

作者信息

Kwon Oh-Bin, Hwang Dong Wook, Kang Dong-Hyeob, Yoo Sang-Joon, Lee Do-Hoon, Kwon Minjin, Jang Seon-Woo, Cho Hyun-Woo, Kim Sang Don, Park Kyong Sun, Kim Eun-San, Lee Yoon Jae, Kim Doori, Ha In-Hyuk

机构信息

Department of Acupuncture & Moxibustion, Haeundae Jaseng Hospital of Korean Medicine, Busan 48102, Republic of Korea.

Department of Korean Medicine Rehabilitation, Haeundae Jaseng Hospital of Korean Medicine, Busan 48102, Republic of Korea.

出版信息

Complement Ther Med. 2024 Jun;82:103035. doi: 10.1016/j.ctim.2024.103035. Epub 2024 Mar 20.

DOI:10.1016/j.ctim.2024.103035
PMID:38513746
Abstract

BACKGROUND AND PURPOSE

This parallel, single-center, pragmatic, randomized controlled study aimed to investigate the effectiveness and safety of motion style acupuncture treatment (MSAT; a combination of acupuncture and Doin therapy) to reduce pain and improve the functional disability of patients with acute low back pain (aLBP) due to road traffic accidents.

MATERIALS AND METHODS

Ninety-six patients with aLBP admitted to the Haeundae Jaseng Hospital of Korean Medicine in South Korea due to traffic accidents were treated with integrative Korean medicine (IKM) with additional 3-day MSAT sessions during hospitalization (MSAT group, 48 patients) or without (control group, 48 patients), and followed up for 90 days.

RESULTS

The mean numeric rating scale (NRS) scores of low back pain (LBP) of the MSAT and control groups were both 6.7 (95% confidence interval [CI]: 6.3, 7.1) at baseline. After completing the third round of all applicable treatment sessions (the primary endpoint in this study), the mean NRS scores of the MSAT and control groups were 3.76 (95% CI: 3.54, 3.99) and 5.32 (95% CI: 5.09, 5.55), respectively. The difference in the mean NRS score between the two groups was 1.56 (95% CI: 1.25, 1.87).

CONCLUSION

IKM treatment combined with MSAT can reduce pain and improve the range of motion of patients with aLBP.

TRIAL REGISTRATION

This trial is registered at ClinicalTrial.gov (NCT04956458).

摘要

背景与目的

本平行、单中心、实用、随机对照研究旨在探讨运动式针刺疗法(MSAT;针刺与督引疗法相结合)对因道路交通事故导致的急性下腰痛(aLBP)患者减轻疼痛及改善功能障碍的有效性和安全性。

材料与方法

韩国釜山海云台韩医加生医院收治的96例因交通事故导致aLBP的患者,在住院期间接受韩医综合治疗(IKM),其中48例患者额外接受为期3天的MSAT治疗(MSAT组),另外48例患者不接受(对照组),并随访90天。

结果

MSAT组和对照组的下腰痛(LBP)平均数字评分量表(NRS)得分在基线时均为6.7(95%置信区间[CI]:6.3,7.1)。完成所有适用治疗疗程的第三轮(本研究的主要终点)后,MSAT组和对照组的平均NRS得分分别为3.76(95%CI:3.54,3.99)和5.32(95%CI:5.09,5.55)。两组平均NRS得分的差异为1.56(95%CI:1.25,1.87)。

结论

IKM治疗联合MSAT可减轻aLBP患者的疼痛并改善其活动范围。

试验注册

本试验已在ClinicalTrial.gov注册(NCT04956458)。

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