世界针灸学会联合会

A Systematic Review of Randomized Controlled Trials on Acupuncture Treatment for Low Back Pain Based on FEAS

author:孙梦晓 source:本站原创 Click:49 update:2018-07-24
  

Sung Yoon Kim*, Serom Jeon, Dongwoo Nam**

* Dept. of Acupuncture &Moxibustion, Kyung Hee Medical Center

Dept. of Acupuncture &Moxibustion, College of Korean Medicine, Kyung Hee University

Purpose:To review RCTs on acupuncture treatment for low back pain

in order to establish a standard acupuncture treatment model

in treating low back pain.

Methods:RCT articles on traditional acupuncture treatment for low back pain were searched through online database.Study quality was assessed using the FEAS.

Result:Ten out of the one hundred six articles searched were reviewed.

Among the ten articles reviewed, six articles compared acupuncture treatment with no treatment or non-penetrating sham acupuncture.

All six articles concluded significantly positive effect of acupuncture compared to the control.

Conclusion:

The ideal acupuncture treatment model for low back pain was obtained as follows.

★ Sterile disposable stainless steel needles (0.30mm×40mm) should be inserted to more than six acupuncture points on the BL, GV and GB meridians such as BL23, BL25, BL40, BL60, GV4 and GB30.

★ Needle handling method to obtain ‘de-qi’ is recommended and repeated stimulation during the 20 minute retention time is necessary.

★ Ideal treatment frequency would be more than once a week for about 7 weeks.

基于FEAS的治疗低腰痛随机对照试验的系统综述

目的:回顾随机对照试验(RCT)研究针刺治疗腰痛的疗效;建立标准的针灸治疗模式;治疗腰痛

方法:通过在线数据库检索传统针刺治疗腰痛的RCT文章。研究质量通过FEAS评估。

结果:100篇文章中有10篇被审查。在十篇文章中,有六篇文章比较针灸治疗,没有治疗,也没有假针灸。与对照组相比,6篇文章均有明显的积极作用。

结论:

      以下采用理想的低腰痛针刺治疗模型:无菌一次性不锈钢针(0.30 mm*40 mm)应在BL、GV、GB经络上超过6个穴位施治,如BL23、BL25、BL40、BL60、GV4和GB30。在20分钟的保留时间内,建议使用针刺方法来得气,并重复刺激。理想的治疗频率每周不止一次,持续7周左右。