齐刺法结合雷火灸治疗退行性膝关节炎疗效观察

目的：评价齐刺法结合雷火灸治疗退行性膝关节炎的,临床疗效,以期更好地推广应用于临床方法：将98例退行性膝关节炎患者根据随机数字表分为观察组和对照组各49例,观察组选取犊鼻、内膝眼、阳陵泉、血海、梁丘、足三里、阴陵泉、膝阳关,针刺40min后各穴进行雷火灸20min。对照组只针刺,不进行雷火灸。治疗每日1次,共治疗4周。治疗前后两组均进行膝关节功能评分、膝关节僵硬程度评分并进行疗效评价。结果：治疗4周后,治疗组膝关节功能评分总有效率为93.9%（46/49）,对照组总有效率为71.4%（35/49）,观察组优于对照组（P〈0.05）;观察组膝关节僵硬程度改善优于对照组（P〈0.01）。结论：齐刺法结合雷火灸治疗退行性膝关节炎临床有效,总体疗效明显优于单纯针刺,为一种更佳的治疗选择。

Efficacy observation on degenerative gonitis treated with triple needling combined with thunder-fire moxibustion

Objective To evaluate the clinical efficacy of degenerative gonitis treated with triple needling combined with thunder-fire moxibustion for better promotion and clinical application. Methods Ninety-eight patients with degenerative gonitis were randomly divided into a thunder-fire moxibustion group （group A） and an acupuncture group （group B） according to randon number table, with forty-nine cases in each group. In group A, Neixiyan （内膝眼 EX-LE 4）, Dubi （犊鼻 ST 35）, Yanglingquan （阳陵泉 GB 34）, Xuehai （血海 SP 10）, Liangqiu （梁丘 ST 34）, Zusanli （足三里 ST 36）, Yinlingquan （阳陵泉 SP 9） and Xiyangguan （膝阳关 GB 33） were selected to accept triple and needling thunder-fire moxibustion for 20 min after the needles were retained for 40 min. The patients in group B were only treated with acupuncture. Thunder-fire moxibustion was not applied in the group B. The treatment was given once a day for four weeks. Knee function score and knee stiffness score in both groups were recorded before and after treatment, and the therapeutic effect was assessed. Results After four weeks＇ treatment, the total effective rate of group A was 93.9% （46/49）, which was superior to 71.4% （35/49） in group B （P〈0.05）. Improvement in knee stiffness in group A was superior to that in group B （P〈0.01）. Conclusion Triple needling combined with thunder-fire moxibustion had clinical efficacy on degenerative gonitis, which is a better treatment option with the total efficacy significantly superior to that of acupuncture only.