摘要
目的:观察针刺慢性非特异性腰痛(CNLBP)患者肾俞穴局部微循环变化特征。方法:选取2023年8月—2023年11月期间就诊于长海医院的CNLBP患者60例并随机分为两组,每组30例,两组分别进行电针和假电针治疗,治疗前后采用NRS评分表评估腰痛程度,电针组治疗过程中对肾俞穴针刺前、针刺即刻、电针30 min后和取针后的温度值与血流灌注量进行观测,假电针组治疗过程中对肾俞穴进行针刺前、取针后的温度值与血流灌注量观测。结果:治疗后NRS评分,电针组与假电针组比较,差异有统计学意义(P<0.05);治疗后,电针组临床总有效率为96.55(28/29),假针组总有效率为56.67%(17/29),差异具有统计学意义(P<0.05);温度值,两组取针后组间比较,差异无统计学意义(P>0.05),电针组:电针30 min后与针刺前比较,差异有统计学意义(P<0.05),取针后与针刺比较,前差异有统计学意义(P<0.05);血流灌注量,两组取针后组间比较,差异有统计学意义(P<0.05),电针组:针刺即刻与针刺前比较,差异有统计学意义(P<0.05),电针30 min后与针刺前比较差异有统计学意义(P<0.05),取针后与针刺前比较,差异有统计学意义(P<0.05)。结论:针刺可显著缓解慢性非特异性腰痛患者的腰痛症状,针刺肾俞穴有温度值和血流灌注量的改变,提示穴位温度值和血流灌注量的改变可能与针刺效应有关。
Objective:To observe the changes in local microcirculation of Shenshu(BL23)acupoint induced by acupuncture in treatment of chronic non-specific low back pain(CNSLBP).Methods:60 patients with CNSLBP were randomly divided into the electro-acupuncture(EA)group and the sham EA group,with 30 patients in each group.The degree of low back pain was assessed by the NRS score before and after the treatment.In the EA group,temperature and blood perfusion volume at BL23 were observed before needling,immediately after needling,30 min after EA,and after needle removal.In the sham EA group,temperature and blood perfusion at BL23 were observed before needling and after needle removal.Results:There was a statistical difference in the score of NRS between the EA group and the sham EA group after the treatment(P<0.05);the total clinical effective rate was 96.55%(28/29)in the EA group,which was significantly higher than 56.67%(17/29)in the sham EA group(P<0.05);there was no statistical difference in temperature between the EA group and the sham EA group after needle removal(P>0.05);the EA group showed significant differences in temperature between 30 min after EA and before needling(P<0.05),and between after needle removal and before needling(P<0.05).There was a statistical difference in blood perfusion volume between the two groups after needle removal(P<0.05);the EA group showed significant differences in blood perfusion volume between immediately after needling and before needling(P<0.05),between 30 min after needling and before needling(P<0.05),as well as between after needle removal and before needling(P<0.05).Conclusion:Acupuncture can significantly relieve the symptoms of CNSLBP,and needling BL23 can change the temperature and blood perfusion volume around the point,which indicates that the changes in temperature and blood perfusion volume may be related to the effect of acupuncture.
作者
王岭
顾伟
WANG Ling;GU Wei(Naval Medical University,Shanghai 200433,China)
出处
《针灸临床杂志》
2025年第6期42-47,共6页
Journal of Clinical Acupuncture and Moxibustion
基金
军队中医药服务能力培育与提升专项,编号:2021ZY002。
关键词
非特异性腰痛
肾俞穴
针刺
温度
血流灌注量
Non-specific lower back pain
BL23
Acupuncture
Temperature
Blood perfusion volume
