Efficacy and safety of blood pricking and cupping for treating nonspecific low back pain: a systematic review and Meta-analysis  

作　　者：XIE Chaoju SUN Zhangyin JI Changchun YANG Jinsheng 

机构地区：[1]Shaanxi University of Traditional Chinese Medicine,College of Acupuncture,Moxibustion and Tuina,Xianyang 712046,China [2]Department of Acupuncture and Moxibustion,Shaanxi Provincial Hospital of Traditional Chinese Medicine,Xi'an 710003,China [3]Institute of Basic Theory of Traditional Chinese Medicine,Chinese Academy of Traditional Chinese Medicine,Beijing 100700,China

出　　处：《Journal of Traditional Chinese Medicine》2022年第6期869-876,共8页中医杂志（英文版）

基　　金：Supported by the National Natural Science Foundation of China:Novel Dynamic Regulation Method of Acupoint Stimulation Based on Injectable Magnetic Gel for Myocardial Ischemia-Reperfusion Injury (No. 82074560);Effect Evaluation of Different Combinations of Acupuncture Techniques (No. 8207152951);the Shaanxi Province Innovation Capacity Support Program Project:Exploring the Mechanism of Moxibustion on Diarrheal Irritable Bowel Syndrome based on the"Intestinal Flora-Intestinal Mucosal Immunity"Pathway (No. 2020KJXX-075)。

摘　　要：OBJECTIVE: To systematically evaluate the efficacy and safety of blood pricking and cupping in the treatment of nonspecific low back pain(NLBP).METHODS:The China National Knowledge Infrastructure Database(CNKI), Wanfang Med Online Database(Wanfang), China Science and Technology Journal Database(VIP), Pub Med, Web of Science,EMBase, and Cochrane Library databases were searched from inception to October 31, 2021, for randomized controlled trials(RCTs) of the treatment of NLBP by blood pricking and cupping. The quality of each included study was evaluated according to the Cochrane Systematic Assessor’s Manual evaluation criteria, while the Meta-analysis was performed using RevMan 5.4software.RESULTS: A total of 13 thirteen RCTs included a total of 1088 subjects. The visual analogue scale scores indicated that blood pricking and cupping was superior to the other treatments at relieving NLBP pain [mean difference(MD) =-1.43;95% confidence interval(CI):-2.31 to 0.54;Z = 3.15;P = 0.002). The Oswestry Disability Index score of blood pricking and cupping was superior to that of the control group in terms of improving NLBP dysfunction(MD =-6.25;95%CI:-8.37 to-4.31);Z = 5.77;P < 0.000 01). 7 RCTs mentioned no adverse reactions, while one study reported mild syncope [7%(n = 3), all in the 17-30 years group] that was gradually relieved after rest. CONCLUSIONS: Blood pricking and cupping therapy can safely and effectively reduce pain and improve functional impairment in patients with NLBP. However, this study included limited high-grade studies with a small overall sample size;therefore, further high-quality large-sample RCTs are needed to improve clinical evidence.

关 键 词：low back pain blood pricking cupping therapy META-ANALYSIS systematic review randomized controlled trial 

分 类 号：R246.9[医药卫生—针灸推拿学]