北京中医药2025，Vol.44Issue(12)：1505-1509,5.DOI:10.16025/j.1674-1307.2025.12.001
基于MB-Ruler测量评价电针输刺法治疗椎间盘源性腰痛的临床疗效
Evaluation of clinical efficacy of electroacupuncture infusion method for discogenic low back pain based on MB-Ruler
摘要
Abstract
Objective To observe the clinical efficacy of the electroacupuncture infusion method for the treatment of discogenic low back pain based on the MB-Ruler.Methods Sixty patients with discogenic low back pain,who visited the Orthopedics and Acupuncture and Moxibustion Departments of Dongzhimen Hospital,Beijing University of Chinese Medicine from May 2023 to May 2024,were randomly divided into an observation group and a control group,with 30 cases in each.The observation group was treated with electroacupuncture at the lumbar Jiaji points(L2～L5),30 minutes per session,once every other day,3 times per week,continuously for 2 weeks.The control group received oral celecoxib capsules,1 capsule per dose,twice daily,for 2 weeks.Follow-up assessments were conducted at 1 and 3 months after the treatment course.Lumbar joint mobility was measured using the MB-Ruler before and after treatment.Pain was evaluated using the visual analogue scale(VAS),and lumbar functional impairment was assessed using the oswestry disability index(ODI).Adverse events during treatment were recorded.Results After treatment,lumbar joint mobility in the control group showed no significant change compared with baseline(P>0.05),while in the observation group,forward flexion,backward extension,left lateral flexion,and right lateral flexion all increased significantly compared with baseline(P<0.05),and were superior to the control group(P<0.05).After treatment and at 1-and 3-month follow-ups,VAS and ODI scores decreased significantly in both groups compared with baseline(P<0.05),with the observation group showing lower scores than the control group(P<0.05).Two cases of subcutaneous hematoma occurred in the observation group,both resolving spontaneously.All patients in both groups completed the treatment without serious adverse reactions.Conclusion The electroacupuncture infusion method can increase lumbar joint mobility,relieve pain,and improve lumbar function in patients with discogenic low back pain,with a high safety profile.关键词
马库斯·巴德标尺/腰椎关节活动度/电针/椎间盘源性腰痛/输刺法/夹脊穴Key words
MB-Ruler/lumbar joints mobility/electroacupuncture/discogenic low back pain/infusion method/Jiaji points引用本文复制引用
董博一,杜琳,梁诗敏,郭金成,林蔚峰,杨磊..基于MB-Ruler测量评价电针输刺法治疗椎间盘源性腰痛的临床疗效[J].北京中医药,2025,44(12):1505-1509,5.基金项目
中央高校基本科研业务费专项(2023-JYB-JBQN-034) （2023-JYB-JBQN-034）
