腰痛に対する局所鍼治療と局所注射の比較 : ランダム化比較試験 Comparison of the Effectiveness of Acupuncture Treatment and Local Injection for Low Back Pain : A randomized controlled clinical trial

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著者

    • 井上 基浩 INOUE Motohiro
    • 明治国際医療大学 臨床鍼灸学教室 Department of clinical acupuncture and moxibustion, Meiji university of integrative medicine
    • 中島 美和 NAKAJIMA Miwa
    • 明治国際医療大学 整形外科学教室 Department of orthopaedic surgery, Meiji university of integrative medicine
    • 糸井 恵 [他] TOI Megumi
    • 明治国際医療大学 整形外科学教室 Department of orthopaedic surgery, Meiji university of integrative medicine
    • 大橋 鈴世 OHASHI Suzuyo
    • 明治国際医療大学 整形外科学教室 Department of orthopaedic surgery, Meiji university of integrative medicine
    • 矢野 忠 YANO Tadashi
    • 明治国際医療大学 健康・予防鍼灸学教室 Department of health promoting acupuncture and moxibustion, Meiji university of integrative medicine

抄録

<b>Objective</b><br>The purpose of this trial was to compare the cumulative and sustained effect of repeated acupuncture treatment and repeated local injection of anesthesia for localized low back pain.<br><b>Methods</b><br>A computer program was used to randomly allocate 26 patients with low back pain to either an acupuncture group (n=13) or a local injection group (n=13). Patients in both groups received treatment at the most painful points (from 2 to 5 points) once a week for a total of 4 weeks. For the acupuncture treatment, a 0.18mm diameter stainless steel needle was inserted to a depth of 10 to 20mm and then manual stimulation using the sparrow pecking method (1Hz) was given. For the local injection, injection needle (25G, 0.5mm in diameter) was inserted to a depth of 10 to 20mm before injection of the anesthetic (a mixture of local anesthetic and neurotropin). The visual analog scale (VAS: 100mm) was used to measure subjective pain intensity before and directly after the first treatment, before subsequent treatments, and at two and four weeks after completion of the treatment. The Roland-Morris Disability Questionnaire (RDQ) and Pain Disability Assessment Scale (PDAS) were also used to evaluate Quality of Life (QOL) of the subject at before the first treatment, at the time of completion of treatment, and at two and four weeks after the completion of treatment.<br><b>Results</b><br>There was a significant difference (p=0.0016) in changes in the VAS scores between two groups, with more favorable results in the acupuncture group than in the local injection group. Calculation of the degree of change from the initial scores indicated that acupuncture group showed significantly better results than those in the local injection group at directly after the first treatment (p=0.0348), and there was a significant cumulative effect (at the end of treatment: p=0.0076) and sustained effect (two weeks after treatment: p=0.0096, four weeks after treatment: p=0.0128). Similarly, RDQ and PDAS were also better in the acupuncture group compared to the local injection group.<br><b>Discussion</b><br>Both local injection and acupuncture reduced low back pain. The superior effect of acupuncture directly after treatment and its superior cumulative and sustained effect, indicate that it could be an effective treatment for low back pain. The reason for the disparity between the effects could be due to differences in the mechanisms of pain suppression.

収録刊行物

  • 日本温泉気候物理医学会雑誌 = THE JOURNAL OF JAPANESE ASSOCIATION OF PHYSICAL MEDICINE, BALNEOLOGY AND CLIMATOLOGY  

    日本温泉気候物理医学会雑誌 = THE JOURNAL OF JAPANESE ASSOCIATION OF PHYSICAL MEDICINE, BALNEOLOGY AND CLIMATOLOGY 71(4), 211-220, 2008-08-01 

    The Japanese Society of Balneology, Climatology and Physical Medicine

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各種コード

  • NII論文ID(NAID)
    10021950387
  • NII書誌ID(NCID)
    AN00186245
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00290343
  • NDL 記事登録ID
    9631568
  • NDL 雑誌分類
    ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL 請求記号
    Z19-225
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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