- Volume 27 Issue 2
DOI QR Code
The State of Clinical Trials on Acupotomy for Lumbar Disc Herniation in China
요추 추간판 탈출증에 대한 중국 내 도침 임상 연구의 현황 분석
- Received : 2017.03.22
- Accepted : 2017.04.12
- Published : 2017.04.30
Objectives This study aimed to search the Chinese literature on acupotomy for lumbar disc herniation and to analyze their methodologies. Methods Using 4 Chinese databases (CBM [www.sinomed.ac.cn], CNKI [www.cnki.net], WANFANG [www.wanfangdata.com], and WEIPU [www.cqvip.com]), we searched for clinical trials conducted in China over the past 10 years on acupotomy for lumbar disc herniation. The search terms used were "(腰椎椎間板脫出症 or 椎間板脫出症 or 椎間板脫出) and (针刀or 针刀松解术)" and we selected only meta-analyses that were published before December 2016. From among these meta-analyses, we excluded duplicates and selected the remaining 36 randomized controlled trials (RCTs) for our final analysis. Results The largest numbers of acupotomy papers were published in 2008 and 2013 (8 papers each). The average number of subjects was 120; the most common treatment method used for the control group was standard acupuncture (in 11 papers), and the most common concurrent treatment in the treatment group was massage (in 10 papers). The most common site of needle insertion was between the spinous processes, or at less than 0.5 cm on either side of the spinous processes (in 24 papers). The most common site of adhesion lysis was at the transverse process (in 24 papers). Two studies were blinded, and the mean Jadad score was 1.17. Conclusions A large number of RCTs on the use of acupotomy for lumbar disc herniation are conducted every year in China, and the procedure has been shown to be very effective, with few adverse effects. However, the average quality of the studies was not very high. Based on our study, we expect several high-quality clinical trials on acupotomy to be conducted in Korea in the future.
Acupotomy;Herniation of lumbar disk;Clinical trial;Traditional Chinese medicine
- Acupuncture Textbook Vol. 2. Korean Acupuncture and Moxibustion Society Board for the Compilation of Academic Resources. Seoul; Jipmoon Publishing Co. 2008:72-3.
- Suk SI. Spine Surgery New Edition. Seoul: The New Medical Journal. 2004:218-47.
- Lee GM, Lee KC, Huang YJ. Collaborative Study of Oriental-Western Medicine on HIVD. Journal of Korean Acupuncture & Moxibustion Society. 2000;17(2):1-10.
- Zhu HZ. Small needle-knife therapy. Beijing: China Press. 1992:9-42.
- The Korean Acupotomy Society. Acupotomy Therapy. Seoul: Jeongdam Books. 2003;81-2:87, 113.
- Liang CG, Sun JD. Meta-analysis of Acupotomy in the treatment of herniation of lumbar disc. China's rural health. 2016;9(18):3-4.
- Mu JP, Liu L, Fang W. Systematic Review of Needleknife Therapy for Lumbar Intervertebral Disc Protrusion. Chinese Journal of Information on TCM. 2010;7(17):31-4.
- Tang C, Zhong YM. Meta-analysis of Acupotomy in the treatment of herniation of lumbar disc. China Academic Journal of Guangxi on TCM. 2015;10(38):21-3.
- Ye XL, HUang XL, Ye XM. Meta-analysis on curative effect of small-needle-knife therapy on lumbar disc herniation. China Journal of Traditional Chinese Medicine and Pharmacy. 2016;7(31):2785-8.
- Zhang LY, Ye Y, Shao XN, Zhu J. Meta - analysis of Needle - knife Therapy for Lumbar Intervertebral Disc Protrusion. Journal of Clinical Acupuncture and Moxibustion. 2014;2(30):49-53.
- Lee HM, Park MS. Classification and Imaging Study of the Lumbar Disc Herniation. Journal of Korean Society of Spine Surgery. 2001;18(3):314-20.
- Hong WS. Precise correction of Huangdi Neijing. Seoul: Journal of Oriental Medicine. 1985:153-4, 231, 248, 256, 267.
- Jeong HY, Kang SK, Koh HK. Review on the XiaZhenDao Therapy. The Journal of Korean Acupuncture & Moxibustion Society. 2002;19(1):224-61.
- Kwak BM, Song KE. Four Case of HIVD-Lumbar Spine Patient Treated with Acupotomy. The Journal of Korean Acupuncture & Moxibustion Society. 2008;25(4):149-56.
- Yun JY, Kim DH, Kim HW and 5 others. The Clinical Effects of Acupuncture and Acupotomy Therapy for HIVD. The Journal of Korean Acupuncture & Moxibustion Society. 2010;27(4):85-97.
- Park SW, Kim SS, Kim JY and 2 others. The Comparative Study of Effects between Acupotomy and its Cotreatment with Spine Decompression Therapy on HIVD Patients. The Journal of Korean Acupuncture & Moxibustion Society. 2012;29(3):29-40.
- Kim JH, Jang YJ, Park JH and 1 other. The Effects of Korean Medical Treatment Combined with Acupotomy on Patients with a Herniated Intervertebral Disc of the Lumbar Spine: a Retrospective Study. The Journal of Korean Acupuncture & Moxibustion Society. 2015;32(1):119-26.
- Kim HS, Kim SY, Kim HJ and 2 others. The Effect of Acupotomy of Lumbar Herniated Intervertebral Disc: Report of a Case Series. The Journal of Korean Acupuncture & Moxibustion Society. 2015;32(3):185-95.
- State Administration of traditional Chinese Medicine. The percentage of the patients' numbers in different symptoms grade. Nanjing University press. 1994.
- Qu QW, Xia SS, Xie XY. 针刀为主治疗腰椎间盘突出症康复效果评价及机制探讨. Chinese Journal of Rehabilitation Medicine. 2007;22(12):1112-4.
- Mu JP, Cheng JM, Ao JP, Yang DR. Multiple central clinical test of electroacupuncture at Jiaji (EX-B2) combined with laser needle-knife for treatment of lumbar disc herniation. Chinese Acupuncture & Moxibustion. 2007;27(8):553-6.
- Li M, Chen WH, Cai RL. 小针刀结合按摩治疗腰椎间盘突 出症201例疗效观察. Journal of Emergency in Traditional Chinese Medicine. 2008;4(17):474-5.
- Yang C, Wang Q. Observations on the efficacy of needle knife as a main treatment for lumbar intervertebral disk protrusion. Journal of Shanghai acupuncure and moxibustion. 2008;2(27):17-9.
- Wang XM, Xing YK. 针刀治疗腰椎间盘突出症疗效观察. Chinese community doctors. 2008;21(10):148.
- Yao J, She LJ, An HS. Clinical efficacy of intervertebral foramen nerver blocks and lytic acupotomy in interverte bral outside foramen on lumbar intervertebral disk herniation. Pain Clinic Journal. 2008;8(4):256-8.
- Yin JQ. 小针刀结合牵引 '针刺治疗腰椎间盘突出症156例临床观察. Cuiding Journal of Traditional Chinese Medicine and Pharmacy. 2008;6(14):90, 95.
- Wang QJ, Zhao X, Sun R, Han L. 特色小针刀与手术治疗 腰椎间盘突出症的临床研究. Acupotomology branch of China Association of Chinese Medicine. 2008;4 :162-5.
- Shi J, Qin SC, Chen CY, Tang YH, Chen ZJ, Liu QH. Clinical observations of needle knife treatment for 60 cases of lumbar intervertrbral disk protrusion. Acupotomology branch of China Association of Chinese Medicine. 2008:223-6.
- Li TF. 小针刀辅以手法治疗腰椎间盘突出症90例. Clinical Journal of Traditional Chinese Medicine. 2008;6(20):294-5.
- Li DP. Little Knife Needle plus Chiropractic Adjustments for the Treatment of 60 Patients with Lumbar Intervertebral Disc Herniation. Shanghai Journal of Acupuncture and Moxibustion. 2009;7(29):403-5.
- Qiu CM. 针灸推拿结合小针刀治疗腰椎间盘突出症45例. Zhejiang Journal of Traditional Chinese Medicine. 2010;11(45):832-3.
- Dong H, Zhou PY, Xu CY. 小针刀松解联合臭氧侧隐窝 注射治疗腰椎间盘突出症的临床研究. Hubei Journal of Traditional Chinese Medicine. 2010;7(32):61-2.
- Wang JM, Liu BG. 小针刀治疗腰椎间盘突出症临床观察. Chinese Acupuncture and Moxibustion, Special issue on Needle-knife. 2010;30:28-9.
- Wu CJ. 小针刀治疗腰椎间盘突出症64例. Medical Information. 2011:7;2959-60.
- Tian ZQ, Liu B, Zhang CJ. 椎板间入路小针刀治疗腰椎间 盘突出症的临床观察. Hubei Journal of Traditional Chinese Medicine. 2011;1(33):21-2.
- Zhao GY, Zhang P. 针刀治疗腰椎间盘突出症48例临床观 察. Xinjiang Journal of Traditional Chinese Medicine. 2011:29, 23-4.
- Zhou JH. 小针刀疗法配合推拿手法治疗腰椎间盘突出症50 例. Fujian Journal of Traditional Chinese Medicine. 2011;6(42):32.
- Meng GC. 小针刀治疗腰椎间盘突出症60例疗效观察. Guiding Journal of Traditional Chinese Medicine and Pharmacy. 2012;18(11):102-3.
- Yang SB, Chen MH. Clinical observation of acupotomology combined with electro - acupuncture on the treatment of lumbar disc herniation. Hebei Journal of Traditional Chinese Medicine. 2012;34(4):552-3.
- Quan K. 小针刀治疗腰椎间盘突出症临床观察. Journal of Changchun University of Traditional Chinese Medicine. 2012;28(3):499-500.
- Xu YJ. 小针刀治疗腰椎间盘突出症. Medical Frontier. 2013;(12):127-8.
- Zhang LY, shao XN. 针刀配合整脊手法治疗腰椎间盘突出 症40例临床观察. Hunan Journal of Traditional Chinese Medicine. 2013;29(5):66-8.
- Du BF. 手法复位配合小针刀治疗腰椎间盘突出症临床疗效观察. China's naturopathy. 2013;21(12):31-2.
- Song HW. 腰椎间盘突出症小针刀治疗分析. Chinese Journal of Modern Drug Application. 2013;7(5):121-3.
- Tian HB, Li XY, Jiang XM, Wu R, Guo Q, Xie T. Clinical study of direct neurolysis on radicular canal with acupotomy in treating lumbar disc protrusion. China Medicine and Pharmacy. 2013;3(5):9-12.
- Chen GY, Wang CW, Zhao JP, He B. 小针刀配合推拿手 法治疗腰椎间盘突出症的临床疗效分析. Acupotomology branch of China Association of Chinese Medicine. 2013:172-5.
- He WX. 小针刀治疗62例腰椎间盘突出症的疗效观察研究. Guide on China Medicine. 2013;11(8):282-3.
- Qiu ZA, Fan XY. 小针刀配合推拿治疗腰椎间盘突出的临 床探讨. Mod Diagn Treat. 2013;24(2):316-7.
- Ren KJ. 小针刀穴位治疗腰椎间盘突出症58例的效果观察. E-journal of Translational Medicine. 2014;1(6):82-3.
- Dong DH, Wang Q. 侧隐窝注射加小针刀治疗腰椎间盘突 出症100例. Journal of External Therapy of Traditional Chinese Medicine. 2014;23(6):62-3.
- Zhang XW. Observation of small needle knife combined with massage for treatment of lumbar intervertebral disc herniation. China Journal of Traditional Chinese Medicine and Pharmacy. 2014;29(6):2056-7.
- Xia RF. Smal knife treatment of lumbar disk herniation of 100 patients. Nei Mongol Journal of Traditional Chinese Medicine. 2014;19:6-7.
- Zhang YM, Chen NP. Clinical effect observation of the combination of small needle knife, silverneedle acupuncture and spine's manipulation in the treatment of intractable lumbar disc herniation. China Modern Medicine. 2014;21(34):111-4.
- Chen GQ, Zhang T, Wang W, Hu XG. Eighty-Six Cases of Lumbar Disc Disease Treated withSmall Needle Knife Therapy in Combination with Manual Ｒeduction and TCM Hot Compress. Henan Traditional Chinese Medicine. 2015;35(12):3166-8.
- Liu LY. 射频热凝加小针刀松解治疗腰椎间盘突出症的临床 效果. Chinese Journal of Clinical Rational Drug Use. 2015;8(5):105-6.
- A Proposal for Standardization of Acupotomy Terms and Definition Among Korean researchers vol.39, pp.2, 2018, https://doi.org/10.13048/jkm.18012
Supported by : Korea Institute of Oriental Medicine