中国骨伤2025，Vol.38Issue(2)：152-156,5.DOI:10.12200/j.issn.1003-0034.20240746
刺骨针法改善退行性腰椎管狭窄症疼痛及功能的临床研究
Clinical study on the effectiveness of bone acupuncture for alleviating pain and improving function in patients with degenerative lumbar spinal stenosis
摘要
Abstract
Objective To assess the effectiveness of bone acupuncture in improving pain and function in degenerative lumbar spinal stenosis(DLSS)and compare it with Jiaji acupuncture.Methods From January to December 2023,80 DLSS pa-tients were treated with acupuncture and divided into bone acupuncture and Jiaji acupuncture groups.Among them,40 patients in the bone acupuncture group included 15 males and 25 females,with a mean age of(60.60±6.98)years old;anthor 40 pa-tients in the Jiaji acupuncture group included 16 males and 24 females,with a mean age of(61.48±9.55)years old.The Roland Morris disability questionnaire(RMDQ),walking distance,visual analogue scale(VAS),and the MOS item short from health survey(SF-36)of two groups at baseline,2 weeks,4 weeks,and 12 weeks post-treatment were compared.Results Eighty patients were followed up for 3 to 5 months with an average of(3.62±0.59)months.There was no significant differences in general data and the scores before treatment between two groups(P＞0.05).The RMDQ scores in both groups decreased sig-nificantly at 2,4 and 12 weeks after treatment compared with before treatment(P＜0.05),at each time point after treatment,the decrease was more significant in the bone acupuncture group than in the Jiaji acupuncture group(P＜0.05).The VAS of waist and leg in both groups was significantly lower at 2,4 and 12 weeks after treatment that before treatment(P＜0.05).At all time points after treatment,the waist VAS in the bone acupuncture group was reduced more significant than in the Jiaji acupuncture group(P＜0.05);there was no significant difference in leg VAS at 2 and 12 weeks after treatment between two groups(P＞0.05),the improvement was more significant in the bone acupuncture group in the 4 weeks after treatment than in the Jiaji acupunc-ture group.The SF-36 scores in both groups were significantly higher at 2,4,and 12 weeks after treatment than before treat-ment(P＜0.05);the SF-36 score raised more significant in the bone acupuncture group than in the Jiaji acupunture group(P＜0.05).No significant difference in the walking distance between two groups at 2 weeks after treatment(P＞0.05);the walking distance in the bone acupuncture group was significantly higher than that in the Jiaji acupuncture group at 4 and 12 weeks after treatment(P＜0.05).Conclusion Bone-penetrating acupuncture moderately improves functional impairment,pain,and quality of life in patients with DLSS,showing better efficacy than Jiaji acupuncture.关键词
刺骨针法/夹脊针/退行性腰椎管狭窄症/疼痛/功能障碍Key words
Bone acupunture/Jiaji acupunture/Degenerative lumbar spinal stenosis/Pain/Functional impair-ment分类
特种医学引用本文复制引用
韩昶晓,冯敏山,高景华,尹逊路,刘广伟,温海宝,李静,彭博辰,朱立国..刺骨针法改善退行性腰椎管狭窄症疼痛及功能的临床研究[J].中国骨伤,2025,38(2):152-156,5.基金项目
北京市中医药科技发展项目(编号:JJ-2020-72) （编号:JJ-2020-72）
中国中医科学院望京医院高水平中医医院建设项目"名老医药专家学术经验传承"专项(编号:WJCC-202302)Beijing Traditional Chinese Medicine Science and Technology Development Project(No.JJ-2020-72) （编号:WJCC-202302）
