针刺治疗非特异性下腰痛的研究进展

被引：53

作者：

李威

唐慧玲

秦思茹

李姗姗

黄锦

徐枝芳

机构：

[1] 天津中医药大学实验针灸学研究中心

来源：

针刺研究 | 2020年 / 45卷 / 08期

关键词：

针刺; 非特异性下腰痛; 临床疗效; 作用机制;

D O I：

10.13702/j.1000-0607.190877

中图分类号：

R246.9 [其他];

学科分类号：

100231 [临床病理学];

摘要：

非特异性下腰痛(NLBP)是一种没有明确病因的异质性疾病。在临床研究方面,针刺治疗NLBP虽已进入多个国家的腰痛临床实践指南,但等级力度较低,且临床疗效评价结果仍存在争议,国际研究中度证据表明针灸治疗NLBP短期镇痛效应明确,可一定程度改善疼痛相关抑郁症状,但疗效规律探索较欠缺,缺乏指导针刺治疗NLBP的具体可操作的实践方案;国内临床研究在量效选穴、特色针法、针刺器具等方面颇具特点,但存在研究缺乏系统性、质量不高、证据力度不强等问题。机制研究结果显示,针刺可能通过抗炎镇痛、改善中枢敏化及局部多裂肌和骨源性损害等实现镇痛效应;但由于NLBP病种的异质性,目前对针刺治疗NLBP机制的阐述可能无法达到共识,仍值得继续探索。

引用

收藏

页码：682 / 686

页数：5

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