【目的】观察“调神固本”选穴针刺法治疗社区慢性非特异性腰痛（CNLBP）的临床疗效。【方法】选取2024 年3 月至 2025 年3 月深圳市宝安区福永人民医院塘尾社区健康服务中心中医科收治的100 例明确诊断为慢性非特异性腰痛的患者为研 究对象。按随机数字表将患者随机分为观察组和对照组，每组各50 例。对照组给予常规针刺治疗，观察组在对照组取穴基 础上，加用“调神固本”理论核心穴位针刺治疗。每周治疗2 次，连续治疗8 周，共16 次。治疗2 个月后，评价2 组临床疗 效。观察2 组患者治疗前后疼痛数字评分法（NRS）评分、Oswestry 功能障碍指数（ODI）评分的变化情况，以及腰部功能量表 （BPS）评分和5 次坐下-起立测试（5TSST）完成时间的情况。比较2 组患者治疗前后社区卫生服务满意度量表（CSQ-8）评分的 变化情况。并评价2 组的安全性及不良反应的发生情况。【结果】（1）观察组总有效率为94.00%（47/50），对照组为84.00% （42/50）。观察组疗效优于对照组，差异有统计学意义（P＜0.05）。（2）治疗后，2 组患者的NRS、ODI 评分明显改善（P＜0.05）， 且观察组在改善NRS、ODI 评分方面明显优于对照组，差异有统计学意义（P＜0.05）。（3）治疗后，2 组患者的BPS 评分、 5TSST 时间明显改善（P＜0.05），且观察组在改善BPS 评分、5TSST 时间方面明显优于对照组，差异有统计学意义（P＜0.05）。 （4）治疗后，2 组患者的CSQ-8 评分明显改善（P＜0.05）。观察组在改善CSQ-8 评分方面稍优于对照组，但差异无统计学意义 （P＞0.05）。（5）治疗期间，观察组不良反应发生率为6.00%（3/50），对照组为6.00%（3/50）。观察组与对照组的不良反应发生 率比较，差异无统计学意义（P＞0.05）。【结论】“调神固本”选穴针刺法治疗社区慢性非特异性腰痛（CNLBP），能有效缓解患 者的临床症状并改善患者的功能活动，疗效优于常规针刺，适宜在社区健康管理中推广，为基层医疗机构治疗慢性非特异 性腰痛提供了一种有效的非药物干预方案。

Objective To observe the clinical efficacy of acupuncture at points selected based on the“Tiaoshen Guben”（regulating the spirit and consolidating the foundation）principle for treating chronic nonspecific low back pain（CNLBP）in community settings. Methods A total of 100 patients definitively diagnosed with CNLBP and treated at the Department of Traditional Chinese Medicine，Tangwei Community Health Service Center，Fuyong People’s Hospital of Bao’an District，Shenzhen，from March 2024 to March 2025 were enrolled as study subjects. Patients were randomly divided into an observation group and a control group using a random number table，with 50 cases in each group. The control group received conventional acupuncture treatment. The observation group received additional acupuncture at core acupoints based on the“Tiaoshen Guben”theory，in addition to the points used in the control group. Treatment was administered twice weekly for 8 consecutive weeks，totaling 16 sessions. After 2 months of treatment，the clinical efficacy was evaluated in both groups. Changes in the Numeric Rating Scale（NRS）score，Oswestry Disability Index（ODI）score，as well as the Bournemouth Questionnaire for low back pain（BPS）score and the time to complete the Five Times Sit-to-Stand Test（5TSST），were observed before and after treatment in both groups. Changes in the Community Satisfaction with Services Questionnaire（CSQ-8） score were compared between the two groups before and after treatment. The safety and occurrence of adverse reactions were also evaluated for both groups. Results（1）The total effective rate was 94.00%（47/50）in the observation group and 84.00%（42/50）in the control group. The efficacy in the observation group was superior to that in the control group，and the difference was statistically significant（P＜0.05）.（2）After treatment，NRS and ODI scores were significantly improved in both groups（P＜0.05），and the improvement in NRS and ODI scores was significantly greater in the observation group than in the control group，with statistically significant differences （P＜0.05）.（3）After treatment，BPS scores and 5TSST times were significantly improved in both groups（P＜ 0.05），and the observation group showed significantly greater improvement in BPS scores and 5TSST times compared to the control group，with statistically significant differences（P＜0.05）.（4）After treatment，CSQ-8 scores were significantly improved in both groups（P＜0.05）. The improvement in CSQ-8 scores was slightly greater in the observation group than in the control group，but the difference was not statistically significant（P＞ 0.05）.（5）During the treatment period，the incidence of adverse reactions was 6.00%（3/50）in the observation group and 6.00%（3/50）in the control group. There was no statistically significant difference in the incidence of adverse reactions between the observation group and the control group（P＞0.05）. Conclusion Acupuncture at points selected based on the“Tiaoshen Guben”principle for treating CNLBP in community settings can effectively alleviate patients’clinical symptoms and improve their functional activities. Its efficacy is superior to conventional acupuncture，making it suitable for promotion in community health management and providing an effective non pharmacological intervention for treating chronic nonspecific low back pain in primary healthcare institutions.

R246.9

国家自然科学基金青年项目（编号：82405559）；深圳市科技创新委员会基础研究专项（编号：JCYJ20230807115501002）；深圳市 宝安区中医药发展基金会“针灸治疗常见病、多发病、重大疾病的中医药研究专项”（编号：2022KJCX-ZJZL-1）；深圳市宝安区中医药 协会资助中医药临床研究专项（编号：2023ZYYLCZX-4）