Volume 24 Issue 4
Apr.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(4): 692-697
YANG Linlin, WANG Yan, YUAN Haiguang, YU Boqiang, HE Yingtao. Efficacy analysis of acupuncture combined with medicine in the adjuvant treatment of lumbar spinal stenosis: a meta-analysis[J]. Chinese Journal of General Practice, 2026, 24(4): 692-697. doi: 10.16766/j.cnki.issn.1674-4152.004470
Citation: YANG Linlin, WANG Yan, YUAN Haiguang, YU Boqiang, HE Yingtao. Efficacy analysis of acupuncture combined with medicine in the adjuvant treatment of lumbar spinal stenosis: a meta-analysis[J]. Chinese Journal of General Practice, 2026, 24(4): 692-697. doi: 10.16766/j.cnki.issn.1674-4152.004470
shu

Efficacy analysis of acupuncture combined with medicine in the adjuvant treatment of lumbar spinal stenosis: a meta-analysis

doi: 10.16766/j.cnki.issn.1674-4152.004470
  • 1.

    Department of Pediatric Rehabilitation Ⅱ, Xi'an International Medical Center Hospital, Xi'an, Shaanxi 710100, China

Funds:

 YJS-YB-2023-40

 JGCX202303

  • Received Date: 2025-05-22
    Abstract
  •   Objective  The reports on the use of acupuncture combined with medicine for the treatment of lumbar spinal stenosis have been increasing. However, no relevant systematic evaluation is currently available. Based on the meta-analytic methods of evidence-based medicine, this study evaluates the efficacy and safety of acupuncture combined with medicine in the treatment of lumbar spinal stenosis.  Methods  A computerized search for randomized controlled trials on acupuncture combined with medicine for lumbar spinal stenosis was conducted in CNKI, Wanfang Data, VIP, SinoMed, Cochrane Library, PubMed, Embase, and Web of Science from inception to September 2023. Two researchers independently collected the literature, and meta-analysis was performed using RevMan 5.4 software following initial and subsequent screening.  Results  A total of 14 papers involving 990 patients were included. The results of the meta-analysis showed that, compared with the control group, the observation group demonstrated significantly better outcomes in pain score (SMD=-1.63, 95% CI: -2.16 to -1.09), the lumbar function score (SMD=1.58, 95% CI: 0.81 to 2.35), the serum inflammatory factor IL-1ɑ content (MD=-2.70, 95% CI: -3.68 to -1.73), the serum inflammatory factor TNF-α content (MD=-5.27, 95% CI: -7.62 to -2.93), and overall effective rate (OR=3.47, 95% CI: 1.86 to 6.48).  Conclusion  The combination of acupuncture and medicine can improve the clinical efficacy of lumbar spinal stenosis, with fewer adverse events and better safety.

     

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    • References(27)
  • [1]
    芦怀旺, 田霖, 胡鹏, 等. 单侧双通道内镜治疗单责任节段腰椎管狭窄症的短期临床疗效分析[J]. 中华全科医学, 2023, 21(3): 413-416. doi: 10.16766/j.cnki.issn.1674-4152.002896

    LU H W, TIAN L, HU P, et al. Short-term clinical effect analysis of unilateral biportal endoscopic surgery for of single responsible segment lumbar spinal stenosis[J]. Chinese Journal of General Practice, 2023, 21(3): 413-416. doi: 10.16766/j.cnki.issn.1674-4152.002896
    [2]
    廖烨晖, 叶入裴, 唐强, 等. 超声骨刀单侧开窗双侧减压后路腰椎椎体间融合术治疗退变性腰椎管狭窄症[J]. 中国修复重建外科杂志, 2019, 33(4): 416-422.

    LIAO Y H, YE R P, TANG Q, et al. Application of ultrasonic osteotome in the posterior lumbar interbody fusion surgery by unilateral fenestration and bilateral decompression in the treatment of degenerative lumbar spinal stenosis[J]. Chinese Journal of Reparative and Reconstructive Surgery, 2019, 33(4): 416-422.
    [3]
    刘郁林, 朱文俊, 常跃文, 等. 电针联合镇痛药物对腰椎管狭窄症术后镇痛的影响[J]. 上海针灸杂志, 2022, 41(5): 515-520.

    LIU Y L, ZHU W J, CHANG Y W, et al. Effect of electroacupuncture plus analgesics on analgesia after surgery for lumbar spinal stenosis[J]. Shanghai Journal of Acupuncture and Moxibustion, 2022, 41(5): 515-520.
    [4]
    康健, 王世轩. 中医外治法治疗腰椎管狭窄症的研究进展[J]. 实用中医内科杂志, 2022, 36(1): 97-99.

    KANG J, WANG S X. Research progress of external treatment of traditional Chinese medicine for lumbar spinal stenosis[J]. Journal of Practical Traditional Chinese Internal Medicine, 2022, 36(1): 97-99.
    [5]
    ZHU Y F, WU T, WANG W H, et al. Artificial Intelligence algorithm-based lumbar and spinal MRI for evaluation of efficacy of chinkuei shin chewan decoction on lumbar spinal stenosis[J]. Contrast Media Mol Imaging, 2021, 16(4): 1-10.
    [6]
    YUK D I, SUNG I S, SONG D H, et al. Clinical study of lumbar spine stenosis treated by using acupotomy combined with oriental medical treatments[J]. J Pharmacopunct, 2013, 16(3): 46-51. doi: 10.3831/KPI.2013.16.017
    [7]
    PAGE M J, MCKENZIE P M, BOSSUYT P M, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews[J]. BMJ, 2021, 372(2021): 71.
    [8]
    SU X, QIAN H, CHEN B Y, et al. Acupuncture for acute low back pain: a systematic review and meta-analysis[J]. Ann Palliat Med, 2021, 10(4): 3924-3936. doi: 10.21037/apm-20-1998
    [9]
    孙莉, 王娟. 中医药配合针灸治疗腰椎椎管狭窄症45例临床观察报告[J]. 中国现代药物应用, 2008, 2(23): 133-134.

    SUN L, WANG J. Clinical observation report of 45 cases of lumbar spinal stenosis treated with traditional Chinese medicine combined with acupuncture[J]. Chinese Journal of Modern Drug Application, 2008, 2(23): 133-134.
    [10]
    苏必良, 党捍东. 电针夹脊穴为主治疗腰椎管狭窄症疗效观察[J]. 特别健康, 2020(21): 58.

    SU B L, DANG H D. Observation on efficacy of electroacupuncture at Jiaji points as main treatment for lumbar spinal stenosis[J]. Special Health, 2020(21): 58.
    [11]
    刘陆伟, 王春生. 三才刺法联合前列地尔治疗腰椎管狭窄症的疗效分析[J]. 中国伤残医学, 2018, 26(5): 74-75.

    LIU L W, WANG C S. Efficacy analysis of Sancai needling combined with alprostadil for lumbar spinal stenosis[J]. Chinese Journal of Trauma and Disability Medicine, 2018, 26(5): 74-75.
    [12]
    刘国军. 针刺结合补阳还五汤加减对腰椎管狭窄症患者血清中炎性因子水平的影响[J]. 针灸临床杂志, 2016, 32(2): 18-21.

    LIU G J. Effect of acupuncture combined with modified Buyang Huanwu Decoction on serum inflammatory factor levels in patients with lumbar spinal stenosis[J]. Journal of Clinical Acupuncture and Moxibustion, 2016, 32(2): 18-21.
    [13]
    李永强, 杨家锋, 吴红. 中西医结合治疗退变性腰椎管狭窄症34例临床观察[J]. 中国民族民间医药, 2018, 27(6): 83-85.

    LI Y Q, YANG J F, WU H. Clinical observation of 34 cases of degenerative lumbar spinal stenosis treated with integrated traditional Chinese and Western medicine[J]. Chinese Journal of Ethnomedicine and Ethnopharmacy, 2018, 27(6): 83-85.
    [14]
    雷小平, 杨永辉, 尚荣安, 等. 独活寄生汤联合温通针法治疗退行性腰椎管狭窄症患者的临床疗效[J]. 世界中医药, 2020, 15(21): 3313-3317.

    LEI X P, YANG Y H, SHANG R A, et al. Clinical Efficacy of Duhuo Jisheng Decoction Combined with Wentong Acupuncture Therapy on Degenerative Lumbar Spinal Stenosis[J]. World Chinese Medicine, 2020, 15(21): 3313-3317.
    [15]
    黄正, 冯辉, 张子峰, 等. 中药联合针刺治疗退变性腰椎管狭窄症的研究[J]. 世界中医药, 2017, 12(12): 3109-3113.

    HUANG Z, FENG H, ZHANG Z F, et al. Clinical Observation on Acupuncture Combined with Chinese Medicine in Treating Degenerative Lumbar Spinal Stenosis[J]. World Chinese Medicine, 2017, 12(12): 3109-3113.
    [16]
    高帅, 尹丽. 中药联合针刺治疗腰椎管狭窄症临床观察[J]. 实用中医药杂志, 2018, 34(9): 1037-1038.

    GAO S, YIN L. Clinical observation of Chinese herbal medicine combined with acupuncture for lumbar spinal stenosis[J]. Journal of Practical Traditional Chinese Medicine, 2018, 34(9): 1037-1038.
    [17]
    陈祝江, 高雪伟, 朱凌. 针刺治疗腰椎管狭窄症术后下肢麻痛的临床效果观察[J]. 中医临床研究, 2019, 11(9): 111-112.

    CHEN Z J, GAO X W, ZHU L. Clinical observation of acupuncture treatment of lower limb numbness after lumbar spinal stenosis[J]. Clinical Journal of Chinese Medicine, 2019, 11(9): 111-112.
    [18]
    冯雪, 郭晓明, 孙旭, 等. 针灸治疗腰椎管狭窄症术后下肢麻痛的效果分析[J]. 双足与保健, 2019, 28(21): 37-38.

    FENG X, GUO X M, SUN X, et al. Effect analysis of acupuncture and moxibustion for postoperative lower limb numbness and pain in lumbar spinal stenosis[J]. Feet and Health, 2019, 28(21): 37-38.
    [19]
    禤品莲, 罗小珍, 罗盛华. 针灸治疗腰椎管狭窄症术后下肢麻痛的临床研究[J]. 护理研究, 2011, 25(2): 129-130.

    XUAN P L, LUO X Z, LUO S H. Clinical research on acupuncture to treat patients with lower extremity numbness after accepting lumbar spinal stenosis operation[J]. Chinese Nursing Research, 2011, 25(2): 129-130.
    [20]
    王刚强. 针灸治疗腰椎管狭窄症术后下肢麻痛的临床研究[J]. 双足与保健, 2017, 26(13): 161-162.

    WANG G Q. Clinical study of acupuncture and moxibustion for postoperative lower limb numbness and pain in lumbar spinal stenosis[J]. Feet and Health, 2017, 26(13): 161-162.
    [21]
    王吉庆, 顾敬东, 郭际, 等. 补阳还五汤结合针刺治疗退变性腰椎管狭窄症的临床研究[J]. 现代中西医结合杂志, 2023, 32(6): 819-822, 827.

    WANG J Q, GU J D, GUO J, et al. Clinical study of Buyang Huanwu Decoction combined with acupuncture for degenerative lumbar spinal stenosis[J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2023, 32(6): 819-822, 827.
    [22]
    薛亚萍, 丁亚萍, 余洁, 等. 认知行为干预对老年人害怕跌倒和平衡能力影响的meta分析[J]. 护理研究, 2021, 35(10): 1720-1725.

    XUE Y P, DING Y P, YU J, et al. Influence of cognitive behavioral therapy on fear of falling and balance ability of elderly people: a Meta-analysis[J]. Chinese Nursing Research, 2021, 35(10): 1720-1725.
    [23]
    郭义, 林俊. 补阳还五汤联合针刺治疗腰椎管狭窄症术后气虚血瘀证患者下肢残留症状临床观察[J]. 中国中医药现代远程教育, 2023, 21(15): 130-132.

    GUO Y, LIN J. Buyang Huanwu Decoction Combined with Acupuncture in the Treatment of Residual Symptoms of Lower Limbs in Postoperative Lumbar Spinal Stenosis Patients with Qi Deficiency and Blood Stasis Syndrome[J]. Chinese Medicine Modern Distance Education of China, 2023, 21(15): 130-132.
    [24]
    郑铁牛, 黄岩石, 王文斌, 等. 针刺联合益肾活血汤治疗肝肾亏虚型腰椎管狭窄症疗效及对炎症因子、疼痛介质的影响[J]. 新中医, 2023, 55(3): 180-184.

    ZHENG T N, HUANG Y S, WANG W B, et al. Curative Effect of Acupuncture Combined with Yishen Huoxue Decoction for Lumbar Spinal Stenosis of Liver-Kidney Deficiency Type and Its Effect on Inflammatory Factors and Pain Mediators[J]. Journal of New Chinese Medicine, 2023, 55(3): 180-184.
    [25]
    姚立群. 针药结合治疗腰椎管狭窄症48例[J]. 上海针灸杂志, 2004, 23(1): 21.

    YAO L Q. 48 cases of lumbar spinal stenosis treated with acupuncture and medicine[J]. Shanghai Journal of Acupuncture and Moxibustion, 2004, 23(1): 21.
    [26]
    祝琳. 温针灸联合止痛通痹液治疗腰椎间盘突出症的临床观察及对血清TNF-α、IL-1β、IL-6 PGE_2水平的影响[J]. 中国中医药科技, 2019, 26(2): 162-165.

    ZHU L. Clinical observation of warm acupuncture and moxibustion combined with Zhitong Tongbi liquid for lumbar disc herniation and its effect on serum TNF-α, IL-1β, IL-6 and PGE2 levels[J]. Traditional Chinese Medicinal Science and Technology, 2019, 26(2): 162-165.
    [27]
    刘建航, 余绍涌, 李锦威. 非特异性下腰痛的治疗进展[J]. 中华全科医学, 2019, 17(3): 459-463. doi: 10.16766/j.cnki.issn.1674-4152.000708

    LIU J H, YU S Y, LI J W. Progress in the treatment of nonspecific low back pain[J]. Chinese Journal of General Practice, 2019, 17(3): 459-463. doi: 10.16766/j.cnki.issn.1674-4152.000708
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