The clinical efficacy and impact on pain scores of comprehensive traditional Chinese medicine acupuncture treatment for neck, shoulder, back and leg pain
中医针灸综合治疗颈肩腰腿痛临床疗效及疼痛评分的影响

摘要

目的 深入探讨、细致观察中医针灸综合治疗方案在颈肩腰腿痛疾病治疗中的临床疗效及疼痛评分的影响 旨在为临床研究提供理论与实践参照。方法 该文研讨时间段为2023年9月至2024年9月之间，分析样本均出自本时期院内收治的颈肩腰腿痛患者中，共纳入96例患者，采用随机数字表法将患者分为两组，每组48例，分别命名为参照组与研究组。参照组：执行常规治疗方案；研究组：执行中医针灸综合治疗方案。最终收集整理临床资料和相关数据，评价比对不同治疗方案开展后的效果和差异。比对层面涉及：临床疗效、疼痛评分（VAS）、不良反应发生率。结果 统计分析后发现，研究组整体疗效为95.83％，显著高于参照组77.08％。不良反应发生率为4.17％，较低参照组10.42％，差异显著，有统计学意义（P＜0.05）。结论 对于颈肩腰腿痛患者而言，在其临床治疗方案的横向选择中，建议优先采用中医针灸综合治疗方案，一方面能有效提高整体治疗效果，降低疼痛评分，同时还可切实保障治疗安全性，降低不良反应发生率，应用价值显著，值得推广。

Abstract

Objective To thoroughly investigate and meticulously observe the clinical efficacy and impact on pain scores of the integrated traditional Chinese medicine (TCM) acupuncture treatment protocol in the management of cervical, shoulder, lumbar, and leg pain disorders, aiming to provide theoretical and practical references for clinical research.
Methods The study period was from September 2023 to September 2024, with the analyzed samples all derived from patients with cervical, shoulder, lumbar, and leg pain admitted to the hospital during this period. A total of 96 cases were enrolled, and to meet the requirements of this trial, a red-green ball grouping method was employed to arrange the groups, with 48 cases (n=48) assigned to each group, designated as the control group and the study group. The former received conventional treatment, while the latter received the integrated TCM acupuncture treatment protocol. Clinical data and related information were collected and analyzed to evaluate and compare the effects and differences between the two treatment protocols. The comparison included: clinical efficacy, pain scores (Visual Analogue Scale, VAS), and incidence of adverse reactions.
Results Statistical analysis revealed that the overall efficacy of the study group was 95.83%, significantly higher than the control group's 77.08%. The incidence of adverse reactions was 4.17%, significantly lower than the control group's 10.42%, with a statistically significant difference (P<0.05).
Conclusion   For patients with cervical, shoulder, lumbar, and leg pain, the integrated TCM acupuncture treatment protocol is recommended as the preferred choice among clinical treatment options. This approach not only effectively improves overall therapeutic outcomes and reduces pain scores but also ensures treatment safety and lowers the incidence of adverse reactions, demonstrating significant clinical value and warranting widespread adoption.