针灸推拿在肌肉骨骼系统慢性疼痛中的应用研究进展

Research Progress on the Application of Acupuncture and Tuina in Chronic Musculoskeletal Pain

摘要: 慢性疼痛是肌肉骨骼系统中一类常见且影响广泛的临床问题，主要包括腰椎间盘突出症、神经根型颈椎病、膝骨关节炎及慢性坐骨神经痛等疾病。这类病症通常具有病程迁延、易反复发作、可能导致功能障碍等特征，不仅显著影响患者的日常生活质量，也对社会医疗体系构成持续负担。针灸与推拿作为中医外治领域的主要干预手段，以其操作微创、不良反应少以及疗效相对显著等特点，在临床实践中处理慢性肌肉骨骼疼痛方面具有显著的治疗价值。文章旨在对近年来的相关临床研究进行系统综述，总结针灸与推拿治疗该类疼痛的有效性证据，为针灸推拿的临床规范化应用及相关研究提供循证参考。

Abstract: Chronic pain is a common and widely prevalent clinical problem in the musculoskeletal system, mainly including lumbar disc herniation, cervical spondylotic radiculopathy, knee osteoarthritis, chronic sciatica, and other disorders. Such diseases are usually characterized by a prolonged course, frequent recurrence, and potential dysfunction, which not only significantly impair patients’ quality of daily life, but also impose a sustained burden on the social medical system. As major external therapies in traditional Chinese medicine, acupuncture and tuina play an important role in the clinical treatment of chronic musculoskeletal pain due to their advantages of minimal invasiveness, few adverse reactions, and relatively satisfactory efficacy. This paper aims to systematically review relevant clinical studies in recent years, summarize the evidence for the effectiveness of acupuncture and tuina in the treatment of such pain, and provide evidence‑based references for the standardized clinical application and related research of acupuncture and tuina.