Objective:In the current systematic review on acupuncture and/or moxibustion for lumbar disc herniation(LDH),we evaluated the methodology and quality of evidence and reports to provide necessary information for accura...Objective:In the current systematic review on acupuncture and/or moxibustion for lumbar disc herniation(LDH),we evaluated the methodology and quality of evidence and reports to provide necessary information for accurate clinical decision-making regarding acupuncture and/or moxibustion for LDH.Methods:From databases such as CBM(Chinese biomedical literature database),VIP(China science and technology journal database),CNKI(China national knowledge infrastructure),WF(Wanfang database),Web of Science,Embase,Medline,and Cochrane Library,systematic reviews on acupuncture and/or moxibustion for LDH were retrieved,and the methodological quality of the literature was evaluated according to the assessment of multiple systematic reviews(AMSTAR)list.Furthermore,the grading of recommendations assessment,development and evaluation(GRADE)system was used to grade the quality of evidence and the preferred reporting items for systematic reviews and meta-analyses(PRISMA)statement to evaluate the quality of the report.Results:A total of 18 systematic reviews were included,and the conclusion is that acupuncture and/or moxibustion have some advantages in terms of efficacy and safety with regard to LDH treatment.According to the AMSTAR score,there were 4 high-quality studies,13 moderate-quality studies,and 1 low-quality study.GRADE showed that quality of evidence such as total effective rate of LDH and VAS was low and that of other forms of evidence was lower.The PRISMA statement showed that 8 articles were in line with 20 or more of the 27 items,and 10 articles were in line with 10-19 of the 27 items.Conclusion:At present,acupuncture and/or moxibustion for LDH has a good curative effect.More importantly,its methodological quality was of moderate level and the report quality was generally good and relatively complete.However,the poor quality of the original research results was reflected in the quality of evidence.More studies are needed to make sure whether acupuncture is more effective than other treatment methods.展开更多
Objective: To observe the therapeutic effect of traction combined with acupuncture on lumbar intervertebral disc herniation (LIDH). Methods:Eighty-three patients diagnosed as LIDH were randomly divided into treatment ...Objective: To observe the therapeutic effect of traction combined with acupuncture on lumbar intervertebral disc herniation (LIDH). Methods:Eighty-three patients diagnosed as LIDH were randomly divided into treatment group (n=42)and control group (n=41). In the treatment group, besides lumbar traction, electroacupuncture at Jiaji (EX-B 2, L 3～5), Shenshu (BL 23), Qihai (CV 6), Mingmen (GV 4), Huantiao (GB 30), Chengshan (BL 57) and Yanglingquan (GB 34) was added. In the control group, only lumbar traction was applied. Results: In treatment group, the cure plus markedly effective rate was 80.95% with a total effective rate of 92.86%, while in control group, it was 39.02% with a total effective rate of 80.48%. The therapeutic effect in the treatment group was obviously better than that in the control group (P<0.001). Conclusion: Lumbar traction plus EA can effectively alleviate or even eliminate clinical symptoms and signs of lumbar intervertebral disc herniation.展开更多
Musculoskeletal diseases such as neck, shoulder, back and leg pain are ext remely common in clinic. Diseases of the joints of the ext remi ti es, especially sputum, wr ist spr ains, and periarthritis of the shoulders,...Musculoskeletal diseases such as neck, shoulder, back and leg pain are ext remely common in clinic. Diseases of the joints of the ext remi ti es, especially sputum, wr ist spr ains, and periarthritis of the shoulders, and even lumbar disc herniation, use X-shaped balance acupuncture therapy to relieve pain and improve motor function. The method of obtaining acupoints is simple and easy to operate. Many of clinical comparison shows that this therapy is simple to conventional acupuncture and moxibustion in the treatment of local pain and joint diseases. This review concluded the advantaged about the X-shaped balance acupuncture therapy and it worth to clinical promotion.展开更多
Objective: To observe the therapeutic effect of round-sharp needle for prolapse of lumbar intervertebral disc. Methods: A total of 80 cases of lumbar intervertebral disc prolapse were treated by puncturing Qihaishu (...Objective: To observe the therapeutic effect of round-sharp needle for prolapse of lumbar intervertebral disc. Methods: A total of 80 cases of lumbar intervertebral disc prolapse were treated by puncturing Qihaishu (气海俞 BL 24), Guanyuanshu (关元俞 BL 26), etc., with round-sharp needle, once every week, continuously for 4 sessions. Results: After the treatment, of the 80 cases, 56 (70 %) were cured, 16 (20%) improved,and 8 (10)%) failed, with an effective rate of 90%. Conclusion: Round-sharp needle works well in the treatment of prolapse of lumbar intervertebral disc.展开更多
目的观察环跳穴不同针刺深度对气滞血瘀型腰椎间盘突出症临床疗效的影响。方法招募150例气滞血瘀型腰椎间盘突出症患者,用随机数字表法分为深刺组(75例)和浅刺组(75例)。深刺组采用芒针深刺环跳穴治疗,浅刺组采用毫针针刺环跳穴治疗。...目的观察环跳穴不同针刺深度对气滞血瘀型腰椎间盘突出症临床疗效的影响。方法招募150例气滞血瘀型腰椎间盘突出症患者,用随机数字表法分为深刺组(75例)和浅刺组(75例)。深刺组采用芒针深刺环跳穴治疗,浅刺组采用毫针针刺环跳穴治疗。分别在治疗前、治疗1个疗程后、治疗后和随访时,观察两组疼痛视觉模拟量表(visual analog scale,VAS)评分、日本骨科协会(Japanese Orthopaedic Association,JOA)腰椎评分、肌力评分和患侧膝踝反射评分的变化。比较两组临床疗效。结果深刺组治愈率高于浅刺组(P<0.05)。两组各时间点VAS评分、JOA腰椎评分、肌力评分和患侧膝踝反射评分比较,差异有统计学意义(P<0.05)。治疗后和随访时,深刺组VAS评分均低于浅刺组(P<0.05);治疗1个疗程后、治疗后和随访时,深刺组JOA腰椎评分和肌力评分均优于对照组(P<0.05)。结论环跳穴深刺治疗气滞血瘀型腰椎间盘突出症的临床疗效优于浅刺,可更有效地缓解疼痛,改善症状,提高肌力。展开更多
基金The study was financially supported by the Major Program of the National Natural Science Foundation of China(No.81590951).
文摘Objective:In the current systematic review on acupuncture and/or moxibustion for lumbar disc herniation(LDH),we evaluated the methodology and quality of evidence and reports to provide necessary information for accurate clinical decision-making regarding acupuncture and/or moxibustion for LDH.Methods:From databases such as CBM(Chinese biomedical literature database),VIP(China science and technology journal database),CNKI(China national knowledge infrastructure),WF(Wanfang database),Web of Science,Embase,Medline,and Cochrane Library,systematic reviews on acupuncture and/or moxibustion for LDH were retrieved,and the methodological quality of the literature was evaluated according to the assessment of multiple systematic reviews(AMSTAR)list.Furthermore,the grading of recommendations assessment,development and evaluation(GRADE)system was used to grade the quality of evidence and the preferred reporting items for systematic reviews and meta-analyses(PRISMA)statement to evaluate the quality of the report.Results:A total of 18 systematic reviews were included,and the conclusion is that acupuncture and/or moxibustion have some advantages in terms of efficacy and safety with regard to LDH treatment.According to the AMSTAR score,there were 4 high-quality studies,13 moderate-quality studies,and 1 low-quality study.GRADE showed that quality of evidence such as total effective rate of LDH and VAS was low and that of other forms of evidence was lower.The PRISMA statement showed that 8 articles were in line with 20 or more of the 27 items,and 10 articles were in line with 10-19 of the 27 items.Conclusion:At present,acupuncture and/or moxibustion for LDH has a good curative effect.More importantly,its methodological quality was of moderate level and the report quality was generally good and relatively complete.However,the poor quality of the original research results was reflected in the quality of evidence.More studies are needed to make sure whether acupuncture is more effective than other treatment methods.
文摘Objective: To observe the therapeutic effect of traction combined with acupuncture on lumbar intervertebral disc herniation (LIDH). Methods:Eighty-three patients diagnosed as LIDH were randomly divided into treatment group (n=42)and control group (n=41). In the treatment group, besides lumbar traction, electroacupuncture at Jiaji (EX-B 2, L 3～5), Shenshu (BL 23), Qihai (CV 6), Mingmen (GV 4), Huantiao (GB 30), Chengshan (BL 57) and Yanglingquan (GB 34) was added. In the control group, only lumbar traction was applied. Results: In treatment group, the cure plus markedly effective rate was 80.95% with a total effective rate of 92.86%, while in control group, it was 39.02% with a total effective rate of 80.48%. The therapeutic effect in the treatment group was obviously better than that in the control group (P<0.001). Conclusion: Lumbar traction plus EA can effectively alleviate or even eliminate clinical symptoms and signs of lumbar intervertebral disc herniation.
文摘Musculoskeletal diseases such as neck, shoulder, back and leg pain are ext remely common in clinic. Diseases of the joints of the ext remi ti es, especially sputum, wr ist spr ains, and periarthritis of the shoulders, and even lumbar disc herniation, use X-shaped balance acupuncture therapy to relieve pain and improve motor function. The method of obtaining acupoints is simple and easy to operate. Many of clinical comparison shows that this therapy is simple to conventional acupuncture and moxibustion in the treatment of local pain and joint diseases. This review concluded the advantaged about the X-shaped balance acupuncture therapy and it worth to clinical promotion.
文摘Objective: To observe the therapeutic effect of round-sharp needle for prolapse of lumbar intervertebral disc. Methods: A total of 80 cases of lumbar intervertebral disc prolapse were treated by puncturing Qihaishu (气海俞 BL 24), Guanyuanshu (关元俞 BL 26), etc., with round-sharp needle, once every week, continuously for 4 sessions. Results: After the treatment, of the 80 cases, 56 (70 %) were cured, 16 (20%) improved,and 8 (10)%) failed, with an effective rate of 90%. Conclusion: Round-sharp needle works well in the treatment of prolapse of lumbar intervertebral disc.
文摘目的观察环跳穴不同针刺深度对气滞血瘀型腰椎间盘突出症临床疗效的影响。方法招募150例气滞血瘀型腰椎间盘突出症患者,用随机数字表法分为深刺组(75例)和浅刺组(75例)。深刺组采用芒针深刺环跳穴治疗,浅刺组采用毫针针刺环跳穴治疗。分别在治疗前、治疗1个疗程后、治疗后和随访时,观察两组疼痛视觉模拟量表(visual analog scale,VAS)评分、日本骨科协会(Japanese Orthopaedic Association,JOA)腰椎评分、肌力评分和患侧膝踝反射评分的变化。比较两组临床疗效。结果深刺组治愈率高于浅刺组(P<0.05)。两组各时间点VAS评分、JOA腰椎评分、肌力评分和患侧膝踝反射评分比较,差异有统计学意义(P<0.05)。治疗后和随访时,深刺组VAS评分均低于浅刺组(P<0.05);治疗1个疗程后、治疗后和随访时,深刺组JOA腰椎评分和肌力评分均优于对照组(P<0.05)。结论环跳穴深刺治疗气滞血瘀型腰椎间盘突出症的临床疗效优于浅刺,可更有效地缓解疼痛,改善症状,提高肌力。
