科研之友
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摘要
Background: Acupuncture has long been employed for the treatment of chronic low back pain [CLBP]. The aim of this randomized, controlled study was to validate back-pain-acupoints acupuncture for relieving CLBP compared with standard acupuncture and usual care.
Methods: In total, 236 patients with CLBP participated in this study. Eligible patients were randomized to back-pain-acupoints acupuncture, standard acupuncture, or usual care groups. Fourteen treatments were provided over four weeks. Back-related dysfunction and symptom severity were assessed by Roland-Morris Disability Questionnaire [RMDQ] and visual analog scale [VAS] scores. Repeated-measures analysis of variance [ANOVA] was employed for factorial analyses.
Results: The back-pain-acupoints acupuncture group improved by RMDQ scores and VAS scores [P < 0.001 for both] compared with the usual care group. The standardized acupuncture group also improved by RMDQ scores and VAS scores [P < 0.001 for both] compared with the usual care group. The back-pain-acupoints group improved by RMDQ scores [four weeks, P < 0.05; 24 weeks, P < 0.001] and VAS scores [P < 0.05 for both] compared with the standardized group. Across the three testing points, significant differences were found in the RMDQ and VAS scores between the usual care group and both treatment groups [P < 0.001]. A significant difference was found between the back-pain-acupoints and standardized acupuncture groups in repeated-measures ANOVA [P < 0.05].
Conclusion: Both acupuncture groups have beneficial and persistent effectiveness against CLBP compared with the usual care group. Back-pain-acupoints acupuncture is significantly more effective than standardized acupuncture.
- 出版日期2012-6
- 单位中国人民解放军成都军区总医院
