运用《腰痛循证针灸临床实践指南》推荐方案治疗慢性非特异性腰痛临床观察

目的 评价应用《腰痛循证针灸临床实践指南》中的推荐方案治疗慢性腰痛的临床疗效。方法 收集符合慢性非特异性腰痛诊断及纳入标准的患者30例，根据指南中的推荐方案进行治疗，每周3次，治疗4周。分别于治疗前，首次治疗后即刻，治疗第7天、第14天、第28天进行疗效评价，并于治疗后1个月和3个月随访。结果 首次治疗后即刻视觉模拟评分（visual analogue scales，VAS）即较首次治疗前显著降低（P<0.05），至治疗第28天末降至最低值。治疗后不同时点腰部关节前屈、后伸、左侧屈和右侧屈活动度较治疗前明显增加，至治疗第28天增加至最大值，差异均具有统计学意义（P<0.05）。治疗第28天末，Oswestry功能障碍指数（Oswestry disability index，ODI）总分及各项因子评分均较治疗前显著降低（P<0.05）。在治疗结束后1个月、3个月随访时，VAS评分、ODI总分与治疗前比较，差异均有统计学意义（P<0.05）。结论 按照指南中推荐方案治疗慢性腰痛，能够缓解疼痛，增加腰部关节活动度，减轻腰部功能活动障碍，具有较好的近期和远期疗效。

Clinical Effect of Regimen Recommended in Evidence-based Clinical Practice Guidelines for Acupuncture and Moxibustion for Lumbago in Treatment of Chronic Non-specific Lumbago: A Clinical Analysis

Objective To investigate the clinical effect of the regimen recommended in Evidence-based Clinical Practice Guidelines for Acupuncture and Moxibustion for Lumbago in the treatment of chronic lumbago.Methods A total of 30 patients who met the diagnostic criteria for chronic non-specific lumbago and the inclusion criteria were enrolled and treated with the regimen recommended in the guidelines three times a week for 4 weeks. The clinical effect was evaluated before treatment, immediately after the first treatment, and on days 7, 14, and 28 of treatment, and follow-up was performed at 1 and 3 months after treatment. Results The Visual Analogue Scale (VAS) score was significantly reduced immediately after the first treatment (P<0.05) and was reduced to the lowest value on day 28 of treatment. The treatment resulted in significant increases in the ranges of flexion, extension, left lateral flexion, and right lateral flexion of the waist joints, greatest on day 28. At the end of day 28 of treatment, the total score of Oswestry disability index (ODI) and the scores on each subscale were significantly reduced (P<0.05). Significant improvements were seen in the VAS score and total score of ODI at 1 and 3 months after treatment (P<0.05). Conclusion The regimen for the treatment of chronic lumbago recommended in the guidelines can alleviate pain, increase the ranges of motion of the waist joints, and reduce functional dysfunction of the waist, and has good short- and long-term effects.