Acupuncture for chronic nonspecific low back pain in middle-aged and older patients:A randomized controlled trial  

针刺治疗中老年慢性非特异性下腰痛:一项随机对照临床试验

作　　者：Fei XU Kai-qiong JIAO Lin-peng WANG Fan ZHANG 徐飞;矫楷琼;王麟鹏;张帆(首都医科大学附属北京中医医院针灸科,北京100010;北京市延庆区刘斌堡乡社区卫生服务中心中医科,北京102104;延庆区中医医院妇科,北京102100)

机构地区：[1]Department of Acupuncture and Moxibustion,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China [2]Department of Traditional Chinese Medicine,Community Health Service Center of Liubinpu Township,Yanqing District,Beijing 102104,China [3]Department of Gynaecology,Yanqing District Traditional Chinese Medicine Hospital,Beijing 102100,China

出　　处：《World Journal of Acupuncture-Moxibustion》2024年第4期300-305,共6页世界针灸杂志（英文版）

基　　金：Supported by the Bejing Municipal Administration of Hospitals Incubation Program:PZ2022012;National Famous Traditional Chinese Medicine Expert Inheritance Studio Construction Project:Guozhongyao Renjiaohan[2022]No.75;Construction Project for the Inheritance of National Famous Traditional Chinese Medicine Experts in the Seventh Batch:Guozhongyao Renjiao Han[2022]No.76.

摘　　要：Objective:To observe the specific effects of acupuncture in middle-aged and older patients with chronic nonspecific low back pain(CNSLBP).Methods:Sixty-six patients with CNSLBP were randomized into the acupuncture or sham acupuncture groups(n=33).In the acupuncture group,penetrating acupuncture with a long needle was delivered at Ashi points(painful/sensitive points),and the needles were manipulated by rotating technique after deqi till patients felt distending pain.The needles were retained in place for 30 min.Acupuncture was given three times per week for 4 weeks.In the sham acupuncture group,shallow needling was performed at non-meridian,non-acupoint,non-painful,and non-sensitive points.The needle retention and duration of treatment were the same as those of the acupuncture group before treatment,after the first intervention,after the whole treatment,and in follow-up visit(4 weeks after the whole treatment).The scores of the visual analog scale(VAS)for pain,range of movement(ROM)of the spine,and simplified Oswestry Dysfunction Index(ODI)were observed separately.Results:Compared to the outcomes before treatment,the VAS score,spinal ROM,and simplified ODI score were lower after the first intervention,after treatment,and in follow-up visits in the acupuncture group,indicating the statistical significance(P<0.05).When compared with the sham acupuncture group,the VAS score,spinal ROM,and simplified ODI score were significantly lower in the acupuncture group after the first intervention,after treatment,and in follow-up visit(P<0.05).The total effective rate was 90.9%in the acupuncture group,which was significantly higher than that(75.76%)in the sham acupuncturegroup(P<0.05).Conclusion:Acupuncture has a specific effect on CNSLBP in middle-aged and older patients and a superior effect on immediate analgesia.

关 键 词：Low back pain ACUPUNCTURE Sham-acupuncture Elongated needle Long needle Specific effect 

分 类 号：R246.9[医药卫生—针灸推拿学]