腰痛真假针刺设计循证医学研究与动态腧穴定位分析  

Evidence-based medicine research on low-back pain with sham-acupuncture controlled design and the analysis on dynamic acupoint positioning

作　　者：赖红 冷三华 杨观虎 蒋松鹤[4,7] 林丹红 李晓东[5,9] LAI Hong;LENG San-hua;YANG Guan-hu;JIANG Song-he;LIN Dan-hong;LI Xiao-dong(College of Rehabilitation Medicine,Fujian University of TCM,Fuzhou 350122,China;LAI Acupuncture,New York 11001,U.S.A.;Talented Hands Physical Therapy & Acupuncture,New York 11554;Department of Physical Medicine and Rehabilitation,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325027,Zhejiang Province;Hubei Provincial Hospital of TCM,Wuhan 430061;Acupuncture Wellness Center of Cincinnati;Yuying Children's Hospital,the Second Affiliated Hospital of Wenzhou Medical University;Hubei Provincial Academy of TCM;Hubei Provincial Academy of TCM)

机构地区：[1]福建中医药大学康复医学院,福州350122 [2]赖医生针灸,纽约11001 [3]妙手针灸理疗中心,纽约11554 [4]温州医科大学附属第二医院康复医学中心,浙江温州325027 [5]湖北省中医院,武汉430061 [6]辛辛那提市针灸保健中心 [7]温州医科大学附属第二医院育英儿童医院 [8]福建中医药大学研究生院 [9]湖北省中医药研究院

出　　处：《中国针灸》2019年第5期545-548,共4页Chinese Acupuncture & Moxibustion

摘　　要：为探讨腧穴定位问题,检索PubMed 2010年1月1日至2017年10月27日采用真、假针刺对照治疗腰痛的综述和临床研究,得到6篇综述和12篇采用假针刺对照的随机对照试验。在8篇采用进皮假针刺设计的随机对照试验中,有6篇采用标准腧穴方案,真、假针刺疗效差异无统计学意义;有2篇采用个体化治疗,针刺捻转得气或采用触诊定位阿是穴,则真假针刺的疗效差异有统计学意义,说明进皮假针刺不是安慰治疗;动态腧穴定位和标准腧穴定位针刺对腰痛都有镇痛作用,动态腧穴定位可能效果更好。To explore the positioning of acupoints,a research was done with PubMed for system reviews and clinical trials on treatment of low-back pain with sham-acupuncture controlled design from January 1,2010 to October 27,2017.Six system reviews and 12 sham-controlled acupuncture random trials were found.The statistical difference was not found in all the 6 trials with standard acupoint compared with the sham-acupuncture among the 8 penetrating skin sham-control trials.The statistical difference was found in the two trials with penetrating skin sham control,who was used individualized treatment,twirling for qi arrival or palpation for ashi point.It is considered that sham-acupuncture penetrating skin is not a placebo,and needling with standard or dynamic acupoint may reduce low-back pain,and dynamic acupoint positioning may be better than standard acupoint positioning.

关 键 词：针刺 腰痛 激痛点 压痛点 腧穴 标准腧穴 动态腧穴 

分 类 号：R245.9[医药卫生—针灸推拿学]