Acupuncture and Acupoints for Low Back Pain: Systematic Review and Meta-Analysis

被引：23
作者：
Kim, Geesung [1 ]
Kim, Dongwon [1 ]
Moon, Heeyoung [1 ,2 ]
Yoon, Da-Eun [1 ,2 ]
Lee, Seoyoung [1 ,2 ]
Ko, Seok-Jae [3 ]
Kim, Bonglee [4 ]
Chae, Younbyoung [1 ,2 ,5 ]
Lee, In-Seon [1 ,2 ,5 ]
机构：
[1] Coll Korean Med, Seoul 02447, South Korea
[2] Acupuncture & Meridian Sci Res Ctr, Seoul 02447, South Korea
[3] Kyung Hee Univ, Coll Korean Med, Dept Pathol, Seoul 02447, South Korea
[4] Kyung Hee Univ, Coll Korean Med, Dept Gastroenterol, Seoul 05253, South Korea
[5] Kyung Hee Univ, Acupuncture & Meridian Sci Res Ctr, Coll Korean Med, Space 21 751, Kyungheedaero 26, Seoul 02447, South Korea
来源：
AMERICAN JOURNAL OF CHINESE MEDICINE | 2023年 / 51卷 / 02期
基金：
新加坡国家研究基金会;
关键词：
Low Back Pain; Acupuncture; Acupoints; Network Analysis; Systematic Review; Meta-Analysis; TRIAL COMPARING ACUPUNCTURE; ELECTROACUPUNCTURE; MULTICENTER; MANAGEMENT; MASSAGE; BLIND; CARE; FEASIBILITY; VALIDATION; INJECTION;
D O I：
10.1142/S0192415X23500131
中图分类号：
R [医药、卫生];
学科分类号：
10 ;
摘要：
Acupuncture has been used as a therapeutic intervention for the treatment of numerous diseases and symptoms for thousands of years, and low back pain has been studied and treated the most in acupuncture clinics. Traditional theory strongly suggests that the selection of acupoints will influence their clinical effects and combinations (e.g., the clinical effects of a particular acupoint or combination on reducing pain), but this idea was not considered in earlier systematic reviews and meta-analyses. We performed a systematic review, meta-analysis, and network analysis to evaluate the magnitude of the effects of acupoints used to treat low back pain in randomized controlled clinical trials. We found that acupuncture significantly reduced pain in patients with low back pain compared with the control group. The most frequently prescribed acupoints were BL23, GV3, BL20, BL40, and BL25, whereas the acupoints with the highest average effect size scores were BL20, GV3, GB30, GB34, and BL25. Further, the combinations of BL23-BL40, BL23-B25, and BL23-BL60 were the most frequently prescribed, while BL23-GV3, BL40-GV4, and BL23-BL25 showed the largest average effect size. By calculating clinical outcomes based on average effect sizes, we found that the most popular acupoints might not always be associated with the best results. Although a more thorough investigation is necessary to determine the clinical effects of each acupoint and combination on patients, we suggest that our approach may offer a fresh perspective that will be useful for future research.
引用
收藏
页码：223 / 247
页数：25
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