Objective To understand the recommendation and clinical research status of acupuncture in the guidelines of low back pain at home and abroad

and provide ideas and methods for conducting clinical research and accumulating clinical evidence for acupuncture.Methods The Medline

EMBASE

the Cochrane library

China National Knowledge Infrastructure（CNKI）

Sinomed

VIP database

Wanfang Data and China Guideline Clearinghouse

National Institute for Clinical excellence（NICE）

National Guideline Clearinghouse（NGC）

Scottish Intercollegiate Guidelines Network（SIGN）

New Zealand Guideline Group（NZGG）

Canadian Medical Association Clinical Practice Guidelines Database（CMACPG）

Guidelines International Network（GIN） were retrieved

and the recommendations of acupuncture in the guidelines for low back pain published from October 2008 to October 2018 and the clinical purpose of acupuncture treatment for low back pain

the main control interventions and the selection of clinical outcome indicators were analyzed

and the practicality and differences of the guidelines and clinical researches for inclusion were analyzed.Results A total of 13 foreign guidelines and 4 domestic guidelines were obtained

and92 foreign clinical studies and 379 domestic clinical studies were included.Foreign guidelines on lumbago only recommend acupuncture

but few recommend levels and specific acupuncture programs

which lack clinical significance.The domestic guidelines are more practical and provide detailed recommendation levels and specific acupuncture point selection

operation and treatment programs for different types of lumbago.The clinical trials of acupuncture for the treatment of low back pain at home and abroad vary greatly in aspects of research objectives

selection of outcome indicators

and standardization of clinical research reports.The current clinical research had shortcomings such as small sample size and short follow-up time

and the accumulated clinical evidence and clinical reality are different.Conclusion At present

the clinical evidence and guidelines for acupuncture in the treatment of lumbago are deviated from the actual clinical practice to some degree

and high-quality RCT and real-world clinical research evidence are urgently needed in the treatment of lumbago

to facilitate the establishment of practical guidelines.