Abstract：
This study systematically searched and sorted out randomized controlled trial(RCT) of acupuncture-moxibustion treatment for non-specific low back pain by scoping review, so as to demonstrate the current state of the research evidence and provide a reference point for future clinical research and healthcare decision-making. Eight commonly used Chinese and English databases were searched, and the search time was from the establishment of the databases to July 7, 2023, so as to analyze the characteristics of the current status of the current research through visualization methods. A total of 50 studies were included, including 23 studies in Chinese and 27 studies in English. The overall number of studies showed an increasing trend. The percentage of studies published in Chinese non-core journals was 42.0%. The disease subtypes of interest were mainly chronic non-specific low back pain, accounting for 68.0% of the studies. The sample sizes of the studies were mainly concentrated in the range of 50-100 cases. A total of 15 types of interventions were categorized, with acupuncture interventions being the most studied. Duration of treatment did not exceed one month in 80.0% of the studies. Only 8.0% of the studies used minimal clinical important difference(MCID) as a basis for judgment. The follow-up period was set within 3 months in 28.0% of the studies, and 82.0% of the studies concluded that acupuncture-moxibustion was effective in the treatment of non-specific lower back pain. Adverse events were reported in 20.0% of the studies. The risk of bias in the included studies was dominated by low risk of bias and uncertain risk of bias, with fewer studies focusing on high risks of bias. In most of the studies, acupuncture-moxibustion was significantly more effective than the control group. The research on acupuncture-moxibustion treatment for non-specific low back pain is developing rapidly, but there are still insufficient studies on psychological state, safety, and other indicators, and there are still some studies with uncertain risks of bias, which is not conducive to the generalization and application of the findings. Therefore, future studies should improve and refine these shortcomings.
摘要：
本研究通过范围回顾,系统检索和整理针灸治疗非特异性下腰痛的随机对照试验(RCT),从而展示研究证据的现状,为今后的临床研究和医疗决策提供参考依据。检索了八个常用的中英文数据库,检索时间为自建立数据库至2023年7月7日，通过可视化方法分析当前研究现状的特点。共纳入50项研究，包括23项中文研究和27项英文研究。研究的总体数量呈上升趋势。在中国非核心期刊上发表的研究的百分比为42.0％。感兴趣的疾病亚型主要是慢性非特异性下腰痛，占研究的68.0%。研究的样本量主要集中在50-100例。总共对15种干预措施进行了分类，针灸干预是研究最多的。在80.0%的研究中,治疗持续时间不超过1个月。只有8.0％的研究使用最小的临床重要差异（MCID）作为判断的基础。28.0%的研究将随访期设置在3个月内，82.0%的研究认为针灸治疗非特异性下腰痛有效。20.0%的研究报告了不良事件。纳入研究的偏倚风险主要是低偏倚风险和不确定偏倚风险。较少的研究集中在高风险的偏见。在大多数研究中，针灸治疗组疗效明显优于对照组。针灸治疗非特异性下腰痛的研究发展迅速,但是对心理状态的研究仍然不足，安全,和其他指标，仍然有一些研究存在不确定的偏见风险，不利于研究结果的推广和应用。因此,未来的研究应该改进和完善这些缺点。
