Application of acupuncture in multimodal analgesia after lumbar surgery: a randomized controlled trial

WEN Fayan; ZHANG Qiaoli; ZHANG Jingqian; LIU Yongming; LI Yadong; LI Zhenjun

doi:10.13703/j.0255-2930.20250105-k0001

您当前的位置：

首页 >

文章列表页 >

Application of acupuncture in multimodal analgesia after lumbar surgery: a randomized controlled trial

Clinical Research | 更新时间：2026-01-16

- Application of acupuncture in multimodal analgesia after lumbar surgery: a randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 46, Issue 1, Pages: 43-48(2026)
- 作者机构：
  
  甘肃中医药大学研究生院，兰州　730030
  甘肃中医药大学附属医院康复医学科
  甘肃省中医院脊柱骨四科，兰州　730050
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20250105-k0001
  CLC：
- Received：05 January 2025，
  
  Online First：12 November 2025，
  
  Published：12 January 2026
- 稿件说明：
移动端阅览
WEN Fayan, ZHANG Qiaoli, ZHANG Jingqian, et al. Application of acupuncture in multimodal analgesia after lumbar surgery: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 43-48.
DOI：

WEN Fayan, ZHANG Qiaoli, ZHANG Jingqian, et al. Application of acupuncture in multimodal analgesia after lumbar surgery: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 43-48. DOI： 10.13703/j.0255-2930.20250105-k0001.

摘要

目的：

观察针刺在腰椎退行性疾病患者腰椎后路椎间融合术（PLIF）后多模式镇痛中的短期疗效。

方法：

将60例拟全麻下行PLIF手术的腰椎退行性疾病患者随机分为观察组和对照组，每组30例。对照组予术后常规治疗和患者自控静脉镇痛（PCIA），观察组在对照组治疗基础上，于术后24 h内开始针刺治疗，穴取双侧腰痛点、合谷、后溪、阳陵泉、足三里、三阴交、太溪，每次30 min，每日1次，连续治疗7 d。记录两组患者术后48 h内PCIA中镇痛药物的总消耗量以及试验期间服用依托考昔片的患者数量。观察两组患者治疗前、治疗3 d、治疗7 d静息时的视觉模拟量表（VAS）评分、日本骨科学会腰椎功能（JOA）评分和15项恢复质量量表（QOR-15）评分，并统计两组患者术后住院时间。

结果：

与对照组比较，观察组患者术后0~24 h、24~48 h的PCIA总消耗量和服用依托考昔片的患者例数减少（

0.05）。治疗3 d后，与治疗前比较，两组患者VAS评分降低（

0.05），JOA和QOR-15评分升高（

0.05）；治疗7 d后，与治疗前、治疗3 d比较，两组患者VAS评分降低（

0.05），JOA和QOR-15评分升高（

0.05）。治疗3 d、7 d后，与对照组比较，观察组患者VAS评分降低（

0.05），JOA和QOR-15评分升高（

0.05）。两组患者术后住院时间比较，差异无统计学意义（

0.05）。

结论：

针刺治疗可在短时间内减少PLIF术后镇痛药物的用量，缓解疼痛，加快术后恢复。

Abstract

Objective

To observe the short-term effect of acupuncture in multimodal analgesia after posterior lumbar interbody fusion (PLIF) in patients with lumbar degenerative diseases.

Methods

A total of 60 patients with lumbar degenerative diseases undergoing PLIF under general anesthesia were randomly divided into an observation group and a control group

with 30 cases in each one. In the control group

the patients received routine postoperative treatment and patient-controlled intravenous analgesia (PCIA). In the observation group

on the basis of the measures as the control group

the patients received acupuncture within 24 h after operation. The acupoints were bilateral Yaotongdian (EX-UE7)

Hegu (LI4)

Houxi (SI3)

Yanglingquan (GB34)

Zusanli (ST36)

Sanyinjiao (SP6) and Taixi (KI3). Acupuncture was operated 30 min each time

once daily and for consecutive 7 days. The total PCIA consumption within 48 h after operation

and the number of patients taking etoricoxib tablets during the trial were recorded in the two groups. Before treatment

after 3 days of treatment and after 7 days treatment

the scores of visual analogue scale (VAS)

lumbar function of Japanese Orthopaedic Association scale (JOA) and 15-item quality of recovery (QOR-15) scale were observed separately in the two groups. The postoperative hospital stay was recorded in the two groups.

Results

Compared with the control group

the total PCIA consumption at 0-24 h and 24-48 h after operation and the number of patients taking etoricoxib tablets were reduced in th

e observation group (

0.05). After 3 days of treatment

compared with before treatment

VAS scores decreased (

0.05)

JOA scores and QOR-15 scores increased (

0.05) in each group. After 7 days of treatment

compared with before treatment and after 3 days of treatment

VAS scores were reduced (

0.05)

JOA and QOR-15 scores were elevated in each group (

0.05). After 3 and 7 days of treatment

compared with the control group

VAS scores were lower (

0.05)

while JOA and QOR-15 scores were higher in the observation group (

0.05). The difference in postoperative hospital stay was not significant statistically between the two groups (

0.05).

Conclusion

Acupuncture can reduce the consumption of analgesic drugs

relieve pain and accelerate postoperative recovery after PLIF in a short time.

关键词

Keywords

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Qihuang acupuncture therapy for mid-term postoperative pain after arthroscopic rotator cuff repair: a randomized controlled trial

Shengqing Jiangzhuo acupuncture method for sepsis-associated gastrointestinal dysfunction: a randomized controlled trial

Long-term clinical effect of fire needling on knee osteoarthritis

Effect of acupuncture based on the theory of "exterior-interior relationship between lung and large intestine" on acute exacerbation of bronchial asthma

Clinical dose-effect study of acupuncture at Lianquan (CV23) with different frequencies of twirling manipulation for post-ischemic stroke aphasia

Related Author

SUN Quan

XU Zhanjie

YU Jinyan

XIANG Xiaobing

CHEN Jianfa

LI Jie

WANG Nanbu

CHEN Zhenhu

Related Institution

School of Acupuncture-Moxibustion and Tuina, Beijing University of CM

First Clinical Medicine School of Guangzhou University of CM

First Affiliated Hospital of Guangzhou University of CM

Department of Emergency, First Teaching Hospital of Tianjin University of TCM

Department of Education, First Teaching Hospital of Tianjin University of TCM

⁰