广州中医药大学学报2026，Vol.43Issue(2)：401-408,8.DOI:10.13359/j.cnki.gzxbtcm.2026.02.018
"腹髋同调"针法联合悬吊训练治疗慢性非特异性腰背痛的疗效观察
Clinical Observation of"Abdominal-Hip Coordinating"Acupuncture Combined with Sling Exercise Therapy in Treating Chronic Non-Specific Low Back Pain
摘要
Abstract
Objective To observe the clinical efficacy of"Abdominal-Hip Coordinating"Acupuncture combined with sling exercise therapy(SET)in treating chronic non-specific low back pain(CNLBP).Methods Ninety patients diagnosed with CNLBP were enrolled from the Acupuncture and Tuina outpatient and inpatient departments of Dongguan Hospital of Guangzhou University of Chinese Medicine between June 2023 and February 2025.They were randomly divided into an observation group and a control group using a random number table method,with 45 patients in each group.Both groups received SET.The observation group received"Abdominal-Hip Coordinating"Acupuncture combined with SET,while the control group received conventional acupuncture combined with SET.The treatment consisted of 10 sessions completed within 4 weeks.After one month of treatment,the clinical efficacy was evaluated.Changes in traditional Chinese medicine(TCM)syndrome scores,Visual Analogue Scale(VAS)scores,Pain Catastrophizing Scale(PCS)scores,and the modified Chinese version of the Oswestry Disability Index(ODI)scores were observed before and after treatment in both groups,along with the muscle-nerve reaction times of the biceps brachii and erector spinae muscles.Changes in somatosensory evoked potentials(SEP)were also compared before and after treatment in both groups.Results(1)During the study,4 patients dropped out in the observation group and 5 in the control group,resulting in 41 in the observation group and 40 patients in the control group being included in the final efficacy analysis,respectively.(2)The total effective rate was 87.80％(36/41)in the observation group and 75.00％(30/40)in the control group,with the observation group showing superior efficacy,and the difference was statistically significant(P<0.05).(3)After treatment,TCM syndrome scores were significantly improved in both groups(P<0.05),and the improvement in the observation group was significantly greater than that in the control group,with a statistically significant difference(P<0.05).(4)VAS,PCS,and ODI scores were significantly improved in both groups after treatment(P<0.05),and the improvements in the observation group were significantly superior to those in the control group,with statistically significant differences(P<0.05).(5)After treatment,the time difference between the peak electromyographic amplitude and the onset of contraction in the affected-side erector spinae(Δ1)and the time difference between the onset of contraction of the biceps brachii and the affected-side erector spinae(Δ2)significantly improved in both groups(P<0.05),and the improvements in Δ1 and Δ2 in the observation group were significantly greater than those in the control group,with statistically significant differences(P<0.05).(6)After treatment,the N20 latency,P25 latency,N20 amplitude,and P25 amplitude of SEP significantly improved in both groups(P<0.05),and the improvements in the observation group were significantly superior to those in the control group,with statistically significant differences(P<0.05).Conclusion"Abdominal-Hip Coordinating"Acupuncture combined with SET exerts certain effect in treating CNLBP.It can shorten the latency and enhance the amplitude of somatosensory evoked potentials,optimize pain signal processing in the central nervous system,and inhibit central sensitization in patients with CNLBP.Simultaneously,it activates the core lumbar stabilizing muscles and improves motor control,thereby alleviating pain and dysfunction,demonstrating significant clinical efficacy.关键词
腹髋同调针法/悬吊训练/慢性非特异性腰背痛/表面肌电/临床观察Key words
Abdominal-Hip Coordinating Acupuncture/sling exercise therapy(SET)/chronic non-specific low back pain(CNLBP)/surface electromyography/clinical observation分类
医药卫生引用本文复制引用
叶小琳,李银娣,李悦,黎杰轩,利铸均,黎少文,薛爱国,李红儿.."腹髋同调"针法联合悬吊训练治疗慢性非特异性腰背痛的疗效观察[J].广州中医药大学学报,2026,43(2):401-408,8.基金项目
广东省医学科研基金资助项目(编号:A2022461) （编号:A2022461）
薛爱国广东省名中医传承工作室资助项目(编号:粤中医办函[2023]108号) （编号:粤中医办函[2023]108号）
东莞市社会发展科技资助项目(编号:20231800936952) （编号:20231800936952）
