Effect of oblique needling after equal division and positioning of anatomic points on acute sacroiliac joint injury assessed with infrared thermography

KUANG Jiayi; LI Yuxuan; MO Wenzhi; GONG Liyu; DENG Mingyu; TANG Ni; WU Derui; FU Wenbin

doi:10.13703/j.0255-2930.20260414-k0001

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Effect of oblique needling after equal division and positioning of anatomic points on acute sacroiliac joint injury assessed with infrared thermography

Clinical Research | 更新时间：2026-09-15

- Effect of oblique needling after equal division and positioning of anatomic points on acute sacroiliac joint injury assessed with infrared thermography
- Chinese Acupuncture & Moxibustion Vol. 46, Issue 9, Pages: 1434-1440(2026)
- 作者机构：
  
  广州中医药大学第二临床医学院，广东　广州　510120
  桂林市中医医院，推拿科，广西　桂林　541002
  桂林市中医医院，针灸科，广西　桂林　541002
  广西中医药大学
  广东省中医院针灸科，广州　510006
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20260414-k0001
  CLC：
- Received：14 April 2026，
  
  Online First：20 July 2026，
  
  Published：12 September 2026
- 稿件说明：
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KUANG Jiayi, LI Yuxuan, MO Wenzhi, et al. Effect of oblique needling after equal division and positioning of anatomic points on acute sacroiliac joint injury assessed with infrared thermography[J]. Chinese Acupuncture & Moxibustion, 2026, 46(9): 1434-1440.
DOI：

KUANG Jiayi, LI Yuxuan, MO Wenzhi, et al. Effect of oblique needling after equal division and positioning of anatomic points on acute sacroiliac joint injury assessed with infrared thermography[J]. Chinese Acupuncture & Moxibustion, 2026, 46(9): 1434-1440. DOI： 10.13703/j.0255-2930.20260414-k0001.

摘要

目的：

基于红外热成像技术评估解剖点等分定位后斜刺法治疗急性期骶髂关节损伤的临床疗效。

方法：

将150例急性期骶髂关节损伤患者随机分为斜刺组、直刺组和点穴推拿组，每组50例。各组在骶髂关节解剖点等分定位后，分别采用斜刺法、直刺法及点穴推拿法进行治疗。均每天治疗1次，每周治疗5次，10次为1个疗程，共治疗1个疗程。观察各组治疗前后日本骨科协会评分（JOA）、疼痛视觉模拟量表（VAS）评分、世界卫生组织生活质量测定量表简表（WHO QOL-BREF）评分及腰骶部平均温度，并探讨腰骶部平均温度与各疗效指标的相关性。

结果：

治疗后，斜刺组JOA、WHO QOL-BREF评分高于直刺组和点穴推拿组（

0.01，

0.001），VAS评分低于直刺组和点穴推拿组（

0.01

，P

0.001），患侧腰骶部平均温度低于直刺组和点穴推拿组（

0.001）。治疗后，各组患者患侧腰骶部平均温度与JOA评分呈负相关（

=-0.645、-0.482、-0.809，

0.001）。

结论：

解剖点等分定位后斜刺法治疗急性期骶髂关节损伤，疗效优于直刺法及点穴推拿法；治疗后患侧腰骶部平均温度与腰骶部功能障碍的严重程度相关。

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 (

0.01

0.001)

and the VAS score was lower (

0.01

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 (

0.001). After treatment

the average lumbosacral temperature of the affected side showed a negative correlation with the JOA score in each group (

=-0.645

-0.482

-0.809

0.001).

Conclusion

Following equal division and positioning of anatomic points

the therapeutic effect of acupuncture with ob

lique 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.

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