针灸临床杂志2026，Vol.42Issue(4)：43-47,5.DOI:10.19917/j.cnki.1005-0779.026069
声触诊组织量化成像视域下的毫针速刺治疗慢性非特异性腰痛的临床研究
Clinical Study of Fast Filiform Needling for CNLBP Based on SWE
摘要
Abstract
Objective:To evaluate the clinical efficacy of fast filiform needling in treatment of chronic nonspecific low back pain(CNLBP)and to observe its effects on muscle function using shear wave elastography(SWE).Methods:A total of 104 patients with CNLBP were randomly assigned into the study group and the control group,with 48 patients in each group after 4 cases dropped off per group.The control group received conventional acupuncture,whereas the study group received fast filiform needling.Both groups underwent treatment for 2 weeks.The Visual Analogue Scale(VAS)was used to assess lumbar pain severity,and the Japanese Orthopaedic Association(JOA)score was adopted to evaluate lumbar spine function.Muscle thickness at the affected side of the L3 level was measured using conventional musculoskeletal ultrasound to assess muscle edema,while SWE was used to determine shear wave velocity(SWV)to evaluate muscle elasticity.Clinical efficacy was also assessed in the two groups.Results:The total effective rate was 93.75%(45/48)in the study group,which was higher than 79.17%(38/48)in the control group(P<0.05).The VAS scores were decreased,the JOA scores were increased,the muscle thickness were reduced,and the SWV values were decreased in both groups after the treatment(P<0.01);the improvements in the study group were more significant than those in the control group(P<0.05,P<0.01).Conclusion:Fast filiform needling can effectively relieve low back pain in patients with CNLBP,improve lumbar function,reduce local soft tissue edema,restore muscle elasticity,and lessen the impact of the condition on daily life.Compared with conventional acupuncture,it demonstrates superior therapeutic benefits.关键词
慢性非特异性腰痛/毫针速刺/声触诊组织量化成像/肌肉功能/剪切波速度Key words
Chronic nonspecific low back pain/Fast filiform needling/Shear wave elastography/Muscle function/Shear wave velocity分类
医药卫生引用本文复制引用
李志伟,黄谦,张磊,侍昊,何雷..声触诊组织量化成像视域下的毫针速刺治疗慢性非特异性腰痛的临床研究[J].针灸临床杂志,2026,42(4):43-47,5.基金项目
江苏省科技厅重点研发计划,编号:BE2021680 （）
江苏省中医药科技发展计划,编号:MS2024096 （）
江苏省"双创博士"人才计划,编号:JSS-CBS20211636 （）
江苏省青年科技人才托举工程,编号:JSTJ-2024-543 （）
南京中医药大学自然科学基金,编号:XZR2024224 （）
连云港市老龄健康科研项目,编号:L202316. （）
