中国针灸2026，Vol.46Issue(9)：1434-1440,7.DOI:10.13703/j.0255-2930.20260414-k0001
基于红外热成像评估解剖点等分定位后斜刺法对急性期骶髂关节损伤的影响
Effect of oblique needling after equal division and positioning of anatomic points on acute sacroiliac joint injury assessed with infrared thermography
摘要
Abstract
Objective To evaluate the clinical therapeutic effect of oblique needling after equal division and positioning of anatomic points on acute sacroiliac joint injury assessed with infrared thermography.Methods A total of 150 patients with acute sacroiliac joint injury were randomly divided into an oblique needling group,a perpendicular needling group,and an acupressure+tuina group,with 50 cases in each group.After equal division and positioning of anatomic points at sacroiliac joints,the oblique needling,perpendicular needling and acupressure+tuina techniques of acupuncture were operated in three groups,respectively.The treatment was administered once daily,5 sessions per week;10 sessions constituted one treatment course,with a total of one course required in the trial.Before and after treatment,the scores of Japanese Orthopaedic Association(JOA),visual analogue scale(VAS)of pain,and World Health Organization quality of life-BREF(WHO QOL-BREF),as well as the average temperature of the lumbosacral region were observed in each group.Additionally,the correlation between the average lumbosacral temperature and efficacy indicators was explored.Results After treatment,the scores of JOA,WHO QOL-BREF in the oblique needling group were higher(P＜0.01,P＜0.001),and the VAS score was lower(P＜0.01,P＜0.001)than those in the perpendicular needling group and the acupressure+tuina group;and the average temperature of the affected lumbosacral region in the oblique needling group was lower compared with that in the other two groups(P＜0.001).After treatment,the average lumbosacral temperature of the affected side showed a negative correlation with the JOA score in each group(r=-0.645,-0.482,-0.809,P＜0.001).Conclusion Following equal division and positioning of anatomic points,the therapeutic effect of acupuncture with oblique needling is superior to the perpendicular needling and acupressure+tuina on acute sacroiliac joint injury.The average temperature of the affected lumbosacral region is correlated with the severity of lumbosacral dysfunction after treatment.关键词
急性期骶髂关节损伤/解剖点等分定位/斜刺/直刺/点穴推拿/红外热成像Key words
acute sacroiliac joint injury/equal division and positioning of anatomic points/oblique needling/perpendicular needling/acupressure and tuina/infrared thermography引用本文复制引用
匡家毅,黎玉宣,莫雯智,龚黎玉,邓明玉,唐妮,吴德锐,符文彬..基于红外热成像评估解剖点等分定位后斜刺法对急性期骶髂关节损伤的影响[J].中国针灸,2026,46(9):1434-1440,7.基金项目
广西中医药适宜技术开发与推广项目:GZSY21-79 （）
广西中医药大学联合基金项目(桂林市中医医院专项):2024GL016 （桂林市中医医院专项）
