一篇針刺治療下背痛的評論性文章介紹

Introduction on Commentary Papers for Acupuncture Treatment of Low Back Pain

黃仁彰(Jen-Chang Huang) ； 葉家豪(Chia-Hao Yeh)

《北市中醫會刊》 15卷1期 (2009/03) Pp. 32-38

https://doi.org/10.6718/TJCMb.200903_15(1).0008

摘要

下背痛(Low back pain)指的是背部12肋以下到下臀線的疼痛，不僅會引起生理不適，也可能造成日常生活功能降低，影響生活品質。目前有相當多的研究結果顯示針灸能有效緩解下背痛的疼痛程度，改善病人生活品質。為了能確實瞭解目前針灸和乾針穿刺法治療下背痛的證據等級，透過科藍圖書館(Cochrane library)資料庫的搜尋方式，可搜尋到針灸和乾針穿刺法治療下背痛之系統性回顧的醫學文獻。本文將針對文獻內容進行嚴格評讀，並針對文中的討論內容提供針灸和乾針穿刺法治療下背痛之臨床應用建議。評讀後發現常用的治療經絡為膀胱經與膽經，常用的穴位為腎俞、委中、陽陵泉及腰腿點等。針灸能改善慢性下背痛的不適，若正使局現代醫學治療者，再加上針灸治療，治療效果會更加明顯。

關鍵字

下背痛 ； 針灸 ； 乾針穿刺法 ； 系統性回顧

並列摘要

The low back pain means the pain from the 12th rib of back to the lower buttocks line, which not only can cause the physiological discomfort, but also can cause the lower function of daily life and influence the living quality. At present many research results show that the acupuncture can alleviate the pain degree of low back pain effectively and improve the living quality of patient. In order to really understand the level of evidence for the treatment of low back pain by acupuncture and dry-needling at present, the systemic review of medical literature for the treatment of low back pain by acupuncture and dry-needling is searched from the database of Cochrane Library. This paper will strictly study the content of literature, and provide the recommendation of clinical application for the treatment of low back pain by acupuncture and dry-needling. After the study, it is found the meridians such as Bladder Jing and Gall Jing as well as the acupuncture points such as Shen Shu, Weichung, Yanglingchuan and Waist/Leg Point are often used for the treatment. The acupuncture can improve the discomfort of chronic low back pain. If the acupuncture is added to the modern medical treatment, the effect of treatment will be more obvious.

並列關鍵字

Low back pain ； acupuncture ； dry-needling ； systemic review