上海针灸杂志2024，Vol.43Issue(6)：663-668,6.DOI:10.13460/j.issn.1005-0957.2024.06.0663
基于肌骨超声观察经筋排针刺法治疗慢性非特异性腰背痛的临床疗效
Observation the clinical efficacy of sinew row acupuncture in the treatment of chronic non-specific low back pain based on musculoskeletal ultrasound
摘要
Abstract
Objective To observe the clinical effect of sinew row acupuncture on chronic non-specific low back pain based on musculoskeletal ultrasound.Method A total of 136 patients with chronic non-specific low back pain were randomly divided into a conventional acupuncture group and a sinew row acupuncture group,with 68 cases in each group.The patients in the routine acupuncture group were treated with routine acupuncture,and the patients in the sinew row acupuncture group were treated with sinew row acupuncture.The Japanese Orthopaedic Association scores(JOA),Oswestry disability index(ODI)score,visual analog scale(VAS)score,and the thickness of the multifidus muscle in resting state and maximum isometric contraction state measured by musculoskeletal ultrasound before and after treatment were observed in the two groups.The clinical efficacy was compared between the two groups.Result Compared before treatment,the JOA,ODI,VAS scores and the thickness of multifidus muscle in the maximum isometric contraction state were improved after treatment in the two groups(P＜0.05),and the thickness of multifidus muscle in the resting state was superior to that before treatment in the sinew row acupuncture group(P＜0.05).Correlation analysis showed that the thickness of multifidus muscle in the maximum isometric contraction state after treatment was positively correlated with the JOA score after treatment(P＜0.05),and negatively correlated with the VAS score after treatment(P＜0.05).The thickness of multifidus muscle at resting state after treatment was positively correlated with JOA score at follow-up(P＜0.05).The total effective rate in the sinew row acupuncture group was better than that in the conventional acupuncture group(P＜0.05).Conclusion Row acupuncture at sinew is superior to conventional acupuncture in the treatment of chronic non-specific low back pain,which can effectively relieve pain.The thickness of multifidus muscle by musculoskeletal ultrasound can be used as a basis for the evaluation of the efficacy of chronic non-specific low back pain.关键词
针刺疗法/经筋排针刺/腰背痛/肌骨超声/镇痛Key words
Acupuncture therapy/Sinew row acupuncture/Low back pain/Musculoskeletal ultrasound/Analgesia分类
中医学引用本文复制引用
周立晨,刘桂珍,黄勇,张宁霞,李美莺,胡诚,张彬彬,徐秋信,胡凡,张芳芳..基于肌骨超声观察经筋排针刺法治疗慢性非特异性腰背痛的临床疗效[J].上海针灸杂志,2024,43(6):663-668,6.基金项目
上海市普陀区中医临床重点专科建设项目(ptzyzk2110) （ptzyzk2110）
