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浙江中医药大学附属宁波市中医院针灸科,宁波 315000
✉冯鑫鑫,主任中医师。E-mail:fengxinxindy@163.com
收稿:2024-08-30,
网络首发:2025-07-16,
纸质出版:2025-09-12
移动端阅览
梁爽, 黄凯裕, 冯鑫鑫, 等. 基于解剖列车理论的浮针治疗非特异性腰背痛:随机对照试验[J]. 中国针灸, 2025,45(9):1248-1252.
LIANG Shuang, HUANG Kaiyu, FENG Xinxin, et al.
梁爽, 黄凯裕, 冯鑫鑫, 等. 基于解剖列车理论的浮针治疗非特异性腰背痛:随机对照试验[J]. 中国针灸, 2025,45(9):1248-1252. DOI: 10.13703/j.0255-2930.20240830-k0006.
LIANG Shuang, HUANG Kaiyu, FENG Xinxin, et al.
目的
2
观察基于解剖列车理论的浮针治疗非特异性腰背痛的临床疗效。
方法
2
将120例非特异性腰背痛患者随机分为解剖列车浮针组(40例,脱落3例)、常规针刺组(40例,脱落2例)和常规浮针组(40例,脱落2例)。常规针刺组于阿是穴及双侧肾俞、大肠俞行针刺治疗,隔日1次,每周3次;常规浮针组于腰背部肌筋膜触发点行浮针治疗,隔2日1次,每周2次;在常规浮针组基础上,解剖列车浮针组于后表线、体侧线肌筋膜触发点行浮针治疗,隔2日1次,每周2次。3组均治疗2周。分别于治疗前后观察3组患者疼痛数字等级评定量表(NRS)和Oswestry功能障碍指数(ODI)评分,测量Schober试验距离并评定腰背肌耐力。
结果
2
治疗后,3组患者NRS、ODI评分较治疗前降低(
P
<
0.05),Schober试验距离较治疗前延长(
P
<
0.05),静态肌耐力、动态肌耐力较治疗前升高(
P
<
0.05);解剖列车浮针组患者NRS、ODI评分低于常规针刺组和常规浮针组(
P
<
0.05),Schober试验距离长于常规针刺组和常规浮针组(
P
<
0.05),静态肌耐力、动态肌耐力高于常规针刺组和常规浮针组(
P
<
0.05)。
结论
2
基于解剖列车理论的浮针治疗可有效缓解非特异性腰背痛患者疼痛症状,提高生活质量,改善腰椎活动度和腰部肌肉功能。
Objective
2
To observe the clinical effect of
Fu
’s subcutaneous needling based on anatomy train theory for nonspecific low back pain (NLBP).
Methods
2
A total of 120 patients with NLBP were randomized into an anatomy train Fu’s subcutaneous needling group (40 cases
3 cases dropped out)
a conventional acupuncture group (40 cases
2 cases dropped out) and a conventional Fu’s subcutaneous needling group (40 cases
2 cases dropped out). Acupuncture was applied at
ashi
points and bilateral Shenshu (BL23) and Dachangshu (BL25) in the conventional acupuncture group
once every other day
3 times a week.
Fu
’s subcutaneous needling was applied at lumbodorsal myofascial trigger points (MTrPs) in the Fu’s subcutaneous needling group
once every 3 days
twice a week. On the basis of the treatment in the Fu’s subcutaneous needling group
Fu
’s subcutaneous needling was applied
at MTrPs along the posterior superficial line and lateral line in the anatomy train Fu’s subcutaneous needling group
once every 3 days
twice a week. All groups were treated for 2 weeks. Before and after treatment
the scores of numeric rating scale (NRS) and Oswestry disability index (ODI) were observed
the distance of Schober test was measured and the endurance of trunk extensors was assessed in the 3 groups.
Results
2
After treatment
in the 3 groups
the NRS and ODI scores were decreased compared with those before treatment (
P
<
0.05)
the Schober test distance was increased compared with that before treatment (
P
<
0.05)
the static and dynamic muscle endurance was increased compared with that before treatment (
P
<
0.05). After treatment
in the anatomy train Fu’s subcutaneous needling group
the NRS and ODI scores were lower than those in the conventional acupuncture group and the conventional Fu’s subcutaneous needling group (
P
<
0.05)
the Schober test distance was longer than that in the conventional acupuncture group and the conventional Fu’s subcutaneous needling group (
P
<
0.05)
the static and dynamic muscle endurance was superior to that in the conventional acupuncture group and the conventional Fu’s subcutaneous needling group (
P
<
0.05).
Conclusion
2
Fu
’s subcutaneous needling based on anatomy train theory can effectively relieve the pain symptom
enhance quality of life
improve lumbar motion and lumbar muscle function in patients with NLBP.
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