针刺人中穴为主治疗急性腰扭伤的研究进展  

Research Progress on the Treatment of Acute Lumbar Sprain with Acupuncture at Renzhong (DU26) Point

作　　者：牛玲 陈成笙 景康 胡傲然 郭艳蒙 杨冯静 

机构地区：[1]湖北中医药大学第一临床学院,湖北 武汉 [2]武汉市中医医院心血管病科,湖北 武汉

出　　处：《中医学》2023年第8期2190-2198,共9页Traditional Chinese Medicine

摘　　要：急性腰扭伤为临床常见疾病,该病主要发生在年龄较轻、从事体力劳动的人群中,且患病率较高,在临床腰痛病例中大约占比12%;主要症状为腰部疼痛、腰部活动受限,有时可伴牵涉痛,严重影响到患者的生活质量。通过中国知网、维普、万方及PubMed这四个数据库,检索近20年来以人中穴为主治疗急性腰扭伤的临床文献报道,从针刺人中单穴、穴位配伍、配合推拿或放血等治疗方法对人中穴治疗急性腰扭伤的临床研究情况进行归纳总结,并针对急性腰扭伤的临床研究方案进行分析,指出治疗急性腰扭伤临床实验过程中存在设计方案不合理、纳入标准不规范、辨证不明确及疗效评定标准过于单一等问题,为针灸治疗治疗急性腰扭伤提供参考。Acute lumbar sprain is a prevalent clinical condition that primarily affects young and middle-aged individuals involved in physical labor. It has a high incidence rate, accounting for approximately 12% of clinical cases of low back pain. The main symptoms include lumbar pain, restricted lumbar movement, and sometimes referred pain, negatively impacting the patient’s quality of life. By conducting a search on four databases, including CNKI (China National Knowledge Infrastructure), VIP (Chongqing VIP Information Co., Ltd.), Wanfang Data, and PubMed, we reviewed clinical literature on the treatment of acute lumbar sprain using the “Ren Zhong” acupoint over the last two decades. We summarized the clinical research on the treatment of acute lumbarsprain using single-needle acupuncture at the Ren Zhong acupoint, acupoint combinations combined with massage or bloodletting, and analyzed the research protocols for clinical studies on acute lumbar sprain. We identified issues such as inappropriate study design, non-standard inclusion criteria, unclear syndrome differentiation, and overly simplistic evaluation criteria for therapeutic efficacy in the clinical experimental process of treating acute lumbar sprain. These findings provide a reference for acupuncture treatment of acute lumbar sprain.

关 键 词：人中穴 水沟穴 急性腰扭伤 综述 

分 类 号：R24[医药卫生—中医临床基础]