PDF(Pubmed)
Abstract：
UNASSIGNED: Chronic low back pain (CLBP) imposes considerable financial and social burden with poor response to medical and surgical treatments. Alternatively, acupuncture and venesection(Fasd) are traditionally used to alleviate nociceptive and musculoskeletal pains. This study aimed to evaluate the effectiveness and the safety of acupuncture and venesection on CLBP and patient functionality.
UNASSIGNED: The current study was a single-blinded, randomized clinical trial with balanced allocation, conducted in the Department of Physical Medicine & Rehabilitation Medicine, in 2022. One hundred five CLBP patients who had no back pain-attributable structural or major diseases were randomly allocated into three parallel arms and received either physical therapy (PTG), acupuncture (APG), or venesection (VSG). Pain severity and functional aspects were evaluated using the visual analogue scale (VAS) and Oswestry disability index (ODI) during the study. VAS and ODI scores were defined as the primary outcomes.
UNASSIGNED: Ninety-five patients were reviewed in the final analysis (PTG=33, APG=30, VSG=31). Demographic data showed equal group distribution. Statistical analysis showed all procedures had reduced VAS score immediately after the first session, after the last session, and after follow-up; however, APG and VSG values were significantly lower (P<0.05). Pain reduction results in follow-up period were more sustainable in APG and VSG as compared to PTG (P<0.01). ODI results revealed global improvement after the last session of the treatment in all groups, while APG had more significant results (P<0.05). During the follow-up period, ODI still tended to decrease in VSG, non-significantly increased in APG, and significantly increased in PTG. Only two patients reported fainting after receiving venesection.
UNASSIGNED: Considering the pain and functional scores, both acupuncture and venesection can reproduce reliable results. Acupuncture and venesection both have sustained effects on pain and daily function of the patients even after treatment termination, while physical therapy had more relapse in pain and functional limitations.
UNASSIGNED: The current study was a single-blinded, randomized clinical trial with balanced allocation, conducted in the Department of Physical Medicine & Rehabilitation Medicine, in 2022. One hundred five CLBP patients who had no back pain-attributable structural or major diseases were randomly allocated into three parallel arms and received either physical therapy (PTG), acupuncture (APG), or venesection (VSG). Pain severity and functional aspects were evaluated using the visual analogue scale (VAS) and Oswestry disability index (ODI) during the study. VAS and ODI scores were defined as the primary outcomes.
UNASSIGNED: Ninety-five patients were reviewed in the final analysis (PTG=33, APG=30, VSG=31). Demographic data showed equal group distribution. Statistical analysis showed all procedures had reduced VAS score immediately after the first session, after the last session, and after follow-up; however, APG and VSG values were significantly lower (P<0.05). Pain reduction results in follow-up period were more sustainable in APG and VSG as compared to PTG (P<0.01). ODI results revealed global improvement after the last session of the treatment in all groups, while APG had more significant results (P<0.05). During the follow-up period, ODI still tended to decrease in VSG, non-significantly increased in APG, and significantly increased in PTG. Only two patients reported fainting after receiving venesection.
UNASSIGNED: Considering the pain and functional scores, both acupuncture and venesection can reproduce reliable results. Acupuncture and venesection both have sustained effects on pain and daily function of the patients even after treatment termination, while physical therapy had more relapse in pain and functional limitations.
摘要：
■慢性下腰痛（CLBP）造成相当大的财政和社会负担，对药物和手术治疗反应不佳。或者，传统上，针灸和静脉切除术（Fasd）用于减轻伤害性和肌肉骨骼疼痛。本研究旨在评估针灸和静脉穿刺对CLBP和患者功能的有效性和安全性。
■当前的研究是单盲的，均衡分配的随机临床试验，在物理医学和康复医学系进行，2022年。没有背痛引起的结构性或重大疾病的105名CLBP患者被随机分配到三个平行的手臂中，并接受物理治疗（PTG）。针灸（APG），或手术（VSG）。在研究期间，使用视觉模拟评分（VAS）和Oswestry残疾指数（ODI）评估疼痛严重程度和功能方面。将VAS和ODI评分定义为主要结果。
■对95例患者进行了最终分析（PTG=33，APG=30，VSG=31）。人口统计学数据显示组分布相等。统计分析显示，所有程序在第一次会议后立即降低了VAS评分，在最后一次会议之后，在后续行动之后；然而，APG和VSG值均明显降低(P<0.05)。与PTG相比，APG和VSG在随访期间的疼痛减轻结果更可持续（P<0.01）。ODI结果显示，在最后一次治疗后，所有组的总体改善，APG结果更显著(P<0.05)。在后续期间,VSG的ODI仍然趋于下降，APG没有显著增加，PTG显著增加。只有两名患者在接受静脉切除术后报告昏厥。
■考虑到疼痛和功能评分，针刺和开腹都能重现可靠的结果。即使在治疗终止后，针刺和静脉穿刺均对患者的疼痛和日常功能有持续影响。而物理治疗在疼痛和功能限制方面复发更多。
■当前的研究是单盲的，均衡分配的随机临床试验，在物理医学和康复医学系进行，2022年。没有背痛引起的结构性或重大疾病的105名CLBP患者被随机分配到三个平行的手臂中，并接受物理治疗（PTG）。针灸（APG），或手术（VSG）。在研究期间，使用视觉模拟评分（VAS）和Oswestry残疾指数（ODI）评估疼痛严重程度和功能方面。将VAS和ODI评分定义为主要结果。
■对95例患者进行了最终分析（PTG=33，APG=30，VSG=31）。人口统计学数据显示组分布相等。统计分析显示，所有程序在第一次会议后立即降低了VAS评分，在最后一次会议之后，在后续行动之后；然而，APG和VSG值均明显降低(P<0.05)。与PTG相比，APG和VSG在随访期间的疼痛减轻结果更可持续（P<0.01）。ODI结果显示，在最后一次治疗后，所有组的总体改善，APG结果更显著(P<0.05)。在后续期间,VSG的ODI仍然趋于下降，APG没有显著增加，PTG显著增加。只有两名患者在接受静脉切除术后报告昏厥。
■考虑到疼痛和功能评分，针刺和开腹都能重现可靠的结果。即使在治疗终止后，针刺和静脉穿刺均对患者的疼痛和日常功能有持续影响。而物理治疗在疼痛和功能限制方面复发更多。
