浮针治疗非特异性下腰痛的多中心、随机对照研究  

A multi-center,randomized controlled study on the treatment of nonspecific low back pain with floating acupuncture

作　　者：杨青宇 廖羽明 谈秀芝 欧麟飞 YANG Qingyu;LIAO Yuming;TAN Xiuzhi;OU Linfei(Department of Acupuncture and Moxibustion,Massage and Rehabilitation,Yunfu Hospital of Traditional Chinese Medicine,Guangdong,Yunfu 527300,China;Department of Acupuncture and Moxibustion,Luoding Hospital of Traditional Chinese Medicine,Guangdong,Luoding527300,China;Department of Acupuncture and Moxibustion,Yunan Hospital of Traditional Chinese Medicine,Guangdong,Yunfu 527300,China;Department of Acupuncture and Moxibustion and Rehabilitation,Xinxing County Hospital of Traditional Chinese Medicine,Guangdong,Yunfu 527300,China)

机构地区：[1]广东省云浮市中医院针灸推拿康复科,广东云浮527300 [2]广东省罗定市中医院针灸科,广东罗定527200 [3]广东省郁南县中医院针灸科,广东郁南527199 [4]广东省新兴县中医院针灸康复科,广东新兴527400

出　　处：《中国医药科学》2020年第20期15-19,共5页China Medicine And Pharmacy

基　　金：广东省云浮市医药卫生科研项目(2018B32)。

摘　　要：目的观察浮针疗法对非特异性下腰痛临床疗效的影响。方法采用前瞻性、随机对照、单盲、多中心研究,选取2017年6月~2019年5月云浮市中医院针灸推拿康复科、罗定市中医院针灸科、新兴县中医院针灸康复科及郁南县中医院针灸科招募的198例非特异性下腰痛(NLBP)患者,按照随机数字表法分为治疗组及对照组,每组各99例,治疗组采用浮针治疗,对照组采用常规毫针针刺治疗。两组均每日治疗1次,治疗1个疗程(10d)。以日本骨科协会评分(JOA)下腰痛疾患评分为观察指标。结果共有178例患者完成试验观察,其中治疗组88例、对照组90例,治疗1个疗程后,治疗组临床治疗总有效率明显高于对照组,差异有统计学意义(P<0.05),两组间治愈率比较,差异无统计学意义(P>0.05),治疗组3、6个月复发率均显著低于对照组,差异有统计学意义(P<0.05);治疗组与对照组组内治疗前后JOA评分比较,差异有统计学意义(P<0.01),治疗组与对照组治疗后JOA评分比较,差异无统计学意义(P>0.05);治疗组与对照组均无严重不良反应发生,两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论浮针疗法可以有效改善NLBP的临床症状,降低NLBP复发率,并具有较高的安全性,值得进一步研究和推广。Objective To observe the effect of floating acupuncture therapy on the clinical efficacy of nonspecific low back pain(NLBP).Methods A prospective,randomized controlled,single-blind,multi-center study was conducted among 198 patients with NLBP recruited to Department of Acupuncture and Moxibustion,Massage and Rehabilitation of Yunfu Hospital of Traditional Chinese Medicine,Department of Acupuncture and Moxibustion of Luoding Hospital of Traditional Chinese Medicine,Department of Acupuncture and Moxibustion and Rehabilitation of Xinxing County Hospital of Traditional Chinese Medicine and Department of Acupuncture and Moxibustion of Yunan Hospital of Traditional Chinese Medicine from June 2017 to May 2019.The patients were randomly divided into groups through simple random number method,and the subjects of research were included into the centers through competitive entry method.Both with 99 patients,the treatment group was treated with floating acupuncture,while the control group was treated with conventional filiform needle acupuncture.Both groups were treated once a day for a course of treatment(10d).Japanese Orthopedic Association(JOA)lower back pain scores were taken as the observation indexes.Results A total of 178 patients completed the experimental observation,including 88 patients in the treatment group and 90 patients in the control group.The study confirmed that after one course of treatment(10d),the effective rate of clinical treatment in the treatment group was significantly better than that in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the curative rate between the two groups(P>0.05).The recurrence rates at 3 m and 6 m of the treatment group were both significantly lower than those of the control group,and the differences were statistically significant(P<0.05).Within both groups,the JOA scores before and after treatment showed statistically significant differences(P<0.01),and after treatment,the difference between the t

关 键 词：针刺 浮针 非特异性下腰痛 JOA评分 随机对照试验 

分 类 号：R246[医药卫生—针灸推拿学]