上海针灸杂志2026，Vol.45Issue(1)：52-58,7.DOI:10.13460/j.issn.1005-0957.2026.01.1001
电针联合悬吊训练治疗慢性非特异性下腰痛的临床观察
Clinical observation of electroacupuncture combined with sling exercise therapy for chronic nonspecific low back pain
摘要
Abstract
Objective To observe the clinical efficacy of electroacupuncture combined with sling exercise therapy(SET)in the treatment of chronic nonspecific low back pain(CNLBP).Method Seventy-two patients with CNLBP were randomly divided into an observation group and a control group(36 cases each).The control group received SET,while the observation group was additionally treated with electroacupuncture at Jiaji(EX-B2)points.Changes in the visual analog scale(VAS),Oswestry disability index(ODI),and Japanese Orthopaedic Association(JOA)scores were evaluated before and after treatment.Surface electromyography(sEMG)parameters-root mean square(RMS)and median frequency(MF)-of the erector spinae and multifidus muscles were also compared between groups.Result After 2 weeks of treatment,the VAS and ODI scores in both groups were significantly lower than those before treatment(P＜0.05).At the end of treatment,the VAS and ODI scores were further reduced compared with both 2 weeks after treatment and baseline(P＜0.05).The observation group showed significantly lower VAS and ODI scores than the control group both after 2 weeks and at the end of treatment(P＜0.05).After 2 weeks of treatment,the JOA scores in both groups were significantly higher than those before treatment(P＜0.05),and the scores at the end of treatment were higher than those both at 2 weeks and before treatment(P＜0.05).The JOA scores in the observation group were significantly higher than those in the control group both after 2 weeks and at the end of treatment(P＜0.05).In the control group,the bilateral RMS values of the erector spinae and multifidus muscles showed no significant difference between 2 weeks after treatment and baseline(P＞0.05),but were significantly higher at the end of treatment compared with both baseline and 2 weeks(P＜0.05).In the observation group,the bilateral RMS values of the erector spinae and multifidus muscles were significantly increased after 2 weeks of treatment compared with baseline,and further increased at the end of treatment compared with both 2 weeks and baseline(P＜0.05).The observation group showed significantly higher bilateral RMS values of the erector spinae and multifidus muscles than the control group both after 2 weeks and at the end of treatment(P＜0.05).After 2 weeks of treatment,the bilateral MF values of the erector spinae and multifidus muscles in both groups were significantly higher than those before treatment(P＜0.05).At the end of treatment,the MF values were further increased compared with both 2 weeks and baseline(P＜0.05).The observation group showed significantly higher bilateral MF values of the erector spinae and multifidus muscles than the control group both after 2 weeks and at the end of treatment(P＜0.05).Conclusion Electroacupuncture combined with SET can more effectively relieve pain,enhance electromyographic activity of paraspinal core muscles(multifidus and erector spinae),and promote functional recovery of the lumbar core musculature.关键词
电针/穴,夹脊/悬吊训练/下腰痛/椎旁核心肌/表面肌电信号Key words
Electroacupuncture/Jiaji(EX-B2)acupoints/Sling exercise therapy/Low back pain/Paraspinal core muscles/Surface electromyography分类
医药卫生引用本文复制引用
李国华,黎村丰,莫佳琪..电针联合悬吊训练治疗慢性非特异性下腰痛的临床观察[J].上海针灸杂志,2026,45(1):52-58,7.基金项目
浙江省中医药科技计划项目(2023ZL727) （2023ZL727）
