Research Article

Acupoint Injection for Nonspecific Chronic Low Back Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Studies

Table 2

Characteristics of included studies in this systematic review.

Author, yearAge rangeParticipants (M/F)InterventionsFrequency and duration of the acupoint injectionAcupoint injection drug, doseAcupoints injectedOutcomes/measure(s)

Jing, 2013 [26]18–7590 (43/47)EG: Acupoint injection + TDP
CG: Acupuncture
EG: 15 min-2 min/day, once a day or alternate dose, 10 dayS
CG: 40 min/day, once a day, 10 dayS
Cervus and Cucumis Polypeptide injection 4 ml, 0.5–1 ml/pointBL32, BL36, BL40, BL54, BL57, GB37, GB30, SP9, Ashi pointSubjective cure rate

Li et al., 2004 [23]25–75150 (63/87)EG1: Acupoint injection (2% lidocaine)
EG2: Acupoint injection (Danshen injection)
CG: Acupuncture
EG1: Every three days, 20 days
EG2: Every three days, 20 days
CG: every other day, 20 days
EG1: 2% lidocaine
EG2: Danshen injection
BL23, BL24, BL25, BL40, GB30, GB34, EX-B05, Ashi pointSubjective cure rate

Li, 2014 [19]22–76100 (59/41)EG: Acupoint injection + Electroacupuncture
CG: Electroacupuncture
EG: Acupoint injection: Once/5–7 days
Electroacupuncture: 25 min one time, once a day, 6 days as a session, 2–4 sessions
CG: Electroacupuncture
2% lidocaine 4 ml + triamcinolone acetonide acetate 12.5 mg + vitamin B12 2 mlBL23, BL25, BL40, BL54, GV03, Ashi pointSubjective cure rate

Liu et al., 2012 [35]Did not report208 (did not report)EG: Acupoint injection + acupuncture
CG: Acupuncture
EG: Acupuncture: 20 min/day, 5 times/week, 2 weeks; acupoint injection: Once a week, 2 weeks
CG: 20 min/day, 5 times/week, 2 weeks
Diprospan 5 mg + mecobalamin 0.5 mg + 0.9% NaCl 10 mlBL23, BL28, Ashi pointSubjective cure rate

Luo and Han, 2017 [20]23–7880 (65/15)EG: Acupoint injection + Electroacupuncture. CG: ElectroacupunctureEG: Acupuncture: 25 min/day, 6 times/week, 2–4 weeks; acupoint injection: Once a week, 2–4 weeks
CG: 25 min/day, 6 times/week, 2–4 weeks
2% lidocaine 4 ml + triamcinolone acetonide acetate 12.5 mg + vitamin B12 + 2 mlBL23, BL25, BL40, BL54, GV03, Ashi pointSubjective cure rate;
Patient satisfaction

Qi, 2012 [21]22–7860 (39/21)EG: Acupoint injection + Electroacupuncture
CG: Electroacupuncture
EG: Acupuncture: 25 min/day, 6 times/week, 2–4 weeks; acupoint injection: once a week, 2–4 weeks
CG: 25 min/day, 6 times/week, 2–4 weeks
2% lidocaine 4 ml + triamcinolone acetonide acetate 12.5 mg + vitamin B1 2.2 mlBL23, BL25, BL40, BL54, GV03, Ashi pointSubjective cure rate

Shin et al., 2012 [27]18–6560 (27/33)EG: Acupoint injection
CG: sham injection
EG: Twice a week for 4 weeks for a total of 8 treatment sessions
CG: twice a week for 4 weeks for a total of 8 treatment sessions
EG: In the BVA group, the bee venom was diluted 1 : 2000, and a volume of 0.1 ml was injected into each acupoint. The total injected volume per participant was set at 0.6 ml (0.1 ml × 6 points)
CG: Equal amounts of normal saline were injected into each acupoint (0.1 ml × 6 points)
BL23, BL24, BL25VAS, SF-36, ODQ, SLRT

Wen et al., 2017 [25]40–75150 (85/65)EG: Acupoint injection + function exercise
CG: function exercise + voltaren (oral)
EG: Function exercise: did not report;
Acupoint injection: once two days
CG: function exercise: did not report;
Voltaren (oral): Two pills each time, once a day
Danhong injection 2 ml each pointGV03, BL23, BL40, BL32VAS; subjective cure rate

Wu et al., 2015 [18]24–5693 (52/41)EG: Acupoint injection + traditional Chinese medicine bone setting technique
CG: Lumbar traction
EG: Acupoint injection: once a day, 20 times as a session;
Traditional Chinese medicine bone setting technique: Once every two days, 20 times as a session
CG: 15–40 minutes/day
0.5 mg vitamin B12 (1 ml) + compound Angelica injection (2 ml) + 0.9% NaCl (2 ml)Back Shu pointSubjective cure rate; VAS

Yang and Wang, 2010 [24]Did not report90 (did not report)EG1: Acupoint injection (Angelica injection)
EG2: Acupoint injection (O3 injection)
CG: Electroacupuncture
EG1: Once a day, ten times as a session, one session
EG2: Once a day, ten times as a session, one session
CG: Once a day, ten times as a session, one session
EG1: Angelica injection (0.5–1 ml)
EG2: 1% lidocaine + 30 μg/ml oxygen-ozone 3–5 ml
BL24, BL25, BL26, Ashi pointSubjective cure rate

Zhang et al., 2007 [36]Did not report120 (65/55)EG1: Acupoint injection (Angelica injection)
EG2: Acupoint injection (O3 injection)
CG: Electroacupuncture
EG1: Once a day, ten times as a session, one session
EG2: Once a day, ten times as a sesson, one session
CG: Once a day, ten times as a sesson, one session
EG1: Angelica injection 0.5–1 ml
EG2: 30 μg/ml oxygen-ozone 3–5 ml
BL24, BL25, BL26, Ashi pointSubjective cure rate

Zhu, 2003 [22]38–72180 (did not report)EG1: Acupoint injection;
EG2: Oral Chinese medicine;
CG: The five elements of haci needle + anti-inflammatory agent
EG1: Once a day, four times as a sesson, one session
EG2: Once a day, four times as a sesson, one session
CG: 20 minutes/day, once a day, ten times as a session, one session
Tongxitong 40 mg + Angelica injection 4 ml + vitamin B1 200 mg + vitamin B12 100 mgGV03, EX-B02, GB34, Ashi pointSubjective cure rate

VAS, visual analogue scale.