隔三七饼灸治疗血瘀型膝骨性关节炎的临床研究

目的：研究隔三七饼灸治疗血瘀型膝骨性关节炎（KOA）的临床疗效。方法：将血瘀型KOA患者80例，共110膝随机分为治疗组和对照组。治疗组采用隔三七饼灸，每天治疗1次，10次为1个疗程，连续治疗2个疗程；对照组予双氯芬酸钠缓释片（75mg／片），每日一片，连服20天。采用WOMAC骨关节炎指数对患者治疗前后的临床疗效进行评定。结果：在改善关节僵硬与功能障碍积分方面，治疗后组间比较差异有统计学意义（P〈0．05），治疗组优于对照组；而在改善疼痛积分方面，治疗后均明显改善（P〈0．05），但两组间无显著差异（P〉0．05）；随访2个月后组间比较疗效有显著性差异（P〈0．01），治疗组优于对照组。结论：隔三七饼灸治疗血瘀型KOA疗效确切，是一种防治KOA的有效疗法。

Clinical Research of Treating Knee Osteoarthritis by Gesan Qibing Moxibustion

Objective：To observe the effect of Gesan Qibing moxibustion on knee osteoarthritis. Methods：80 patients, up to 110 knees were devided into two groups randomly. The treatment group was treated with Gesan Qibing moxibustion once a day, totally 20 days;Control group was treated with 75mg Diclofenac Sodium Sus- tained Release Tablets each day, totally 20 days. The changes were evaluated by using WOMAC questionnaire before and after the treatment. Results：All the cases were evaluated according to the curative effect after 20 times treatment. The result showed that there was an obvious difference in stiffness and dysfunction of joints be- tween two groups （ P 〈 0.05 ）, and the treatment group was better than the control group ; there was no significant difference before and after treatment in pain marks between the two groups （ P 〉 0.05 ）. Judge the curative effect and there was an obvious difference after follow- up two months（P 〈0.01 ） ,and the treatment group was obvi- ously superior to the control group. Conclusion： Gesan Qibing moxibustion is obviously effective for KOA with stagnation of blood, which is worth researching forward and popularization.