Influence of muscle regions of meridians needling method combined with auricular point sticking on pain and range of motion in patients with chronic nonspecific low back pain  

经筋刺法联合耳穴贴压对慢性非特异性腰痛患者疼痛及活动度的影响

作　　者：SHAN Yunping MA Yinhua SU Baoqing Hangzhou Fuyang 单云平;马银桦;苏保青(Hangzhou Fuyang Traditional Chinese Medicine Bone Injury Hospital,Zhejiang Province,Hangzhou 311400,China)

机构地区：[1]Traditional Chinese Medicine Bone Injury Hospital,Zhejiang Province,Hangzhou 311400,China

出　　处：《Journal of Acupuncture and Tuina Science》2024年第5期381-386,共6页针灸推拿医学（英文版）

基　　金：2021年浙江省卫生健康科技计划项目,No.2021KY972.

摘　　要：Objective:To observe the effects of muscle regions of meridians needling method combined with auricular point sticking on pain and lumbar range of motion in patients with chronic nonspecific low back pain.Methods:A total of 100 patients with chronic nonspecific low back pain were randomly divided into a control group and an observation group,with 50 patients in each group.Both groups received auricular point sticking treatment,while the control group received additional conventional acupuncture treatment,and the observation group received additional muscle regions of meridians needling method.The total effective rate of the two groups was compared after 4 weeks of treatment.Before treatment and after 1 week and 4 weeks of treatment,the visual analog scale(VAS)score was used to assess the degree of low back pain,and the modified-modified Schober(MMS)score was used to evaluate the lumbar range of motion.Results:There was statistical significance in comparing the total effective rate between the two groups(P<0.01).During the treatment process,as the number of treatments increased,the VAS score gradually decreased,and the MMS score gradually increased in both groups.After 1 week and 4 weeks of treatment,the VAS score in the observation group was lower than that in the control group(P<0.01),and the MMS score in the observation group was higher than that in the control group(P<0.01).During the treatment period,no serious adverse reactions occurred in either group.Conclusion:Based on auricular point sticking treatment,muscle regions of meridians needling method is more effective than conventional acupuncture in treating chronic nonspecific low back pain since it is able to significantly reduce the pain and improve the lumbar range of motion.目的:观察经筋刺法联合耳穴贴压对慢性非特异性腰痛患者疼痛及腰椎活动度的影响。方法:选取100例慢性非特异性腰痛患者为研究对象,随机分为对照组和观察组,每组50例。两组均采用耳穴贴压治疗,对照组加用常规针刺治疗,观察组加用经筋刺法治疗。治疗4周后比较两组总有效率。治疗前及治疗1周和4周后采用视觉模拟量表(VAS)评分评估腰痛程度;采用重复改良Schober试验(MMS)评分评估腰椎活动度。结果:两组总有效率比较差异具有统计学意义(P<0.01)。治疗过程中,随着治疗次数的增加两组VAS评分逐渐下降,MMS评分逐渐增加。治疗1周和4周后,观察组VAS评分均低于对照组(P<0.01),MMS评分均高于对照组(P<0.01)。治疗期间两组患者均未发生严重不良反应。结论:在耳穴贴压治疗基础上经筋刺法治疗慢性非特异性腰痛患者的疗效优于常规针刺,能够明显减轻患者疼痛,改善腰椎活动度。

关 键 词：Acupuncture Therapy Auricular Point Sticking Twelve Meridian Sinews Low Back Pain Visual Analog Scale Pain Measurement Randomized Controlled Trial 

分 类 号：R246.9[医药卫生—针灸推拿学]