目的 ：分析SCI源期刊针灸治疗腰痛的临床RCT论文的特点,为以后相关RCT试验的设计和成果发表提供参考。方法：从Web of Science数据库中检索出2011年1月至2017年4月针灸治疗腰痛的相关RCT文献,进行筛选数据提取和分析。结果：共纳入10篇相关SCI文章临床试验设计上方法学质量较高。其特点主要是均采用了随机分组与盲法设计,但在纳入标准、主要指标和评价标准方面各有不同。研究表明,针刺比安慰对照、康复锻炼等疗法效果更好。结论：多数RCT研究中肯定了针刺治疗腰痛的疗效,我们应学习高质量的临床试验设计方法,从多角度阐释中医理论。
杵针疗法是一种有效且无创的治疗方式,也是一种独特的中医外治疗法,广泛应用在各种内外科疾病的治疗中。腰椎间盘突出症发病率高,给患者带来了巨大痛苦,治疗手段多种多样,目前在临床中已有不少学者运用杵针治疗腰椎间盘突出症取得了良好疗效,但目前还未有综述类文章对杵针治疗腰椎间盘突出症的治疗现状进行总结。本文通过阐述杵针治疗腰椎间盘突出症的治疗现状,期望推广杵针疗法的临床应用,为腰椎间盘突出症的临床诊断和治疗提供新的思考方向和方法。Mortar and pestle needle therapy is an effective and non-invasive treatment modality and also a unique external therapy in traditional Chinese medicine, which is widely used in the treatment of medical and surgical diseases. Lumbar disc herniation has a high incidence rate, causing great pain to patients. There are various treatment methods available. Currently, many scholars in clinical practice have achieved good therapeutic effects by using pestle and mortar therapy for lumbar disc herniation. However, there is currently no review article that summarizes the current status of pestle and mortar therapy for lumbar disc herniation. This article describes the current status of pestle and mortar therapy for lumbar disc herniation, hoping to promote the clinical application of pestle and mortar therapy and to provide new ideas and means for the clinical diagnosis and treatment of lumbar disc herniation.
