不同方案温和灸治疗阳虚寒凝型膝骨性关节炎临床疗效观察

目的:观察采用不同方案温和灸治疗阳虚寒凝型膝骨性关节炎临床疗效差异。方法:59例阳虚寒凝型膝骨性关节炎患者采用随机数字表法随机分为对照组30例及试验组29例。对照组予以内、外膝眼穴温和灸治疗,试验组第1疗程予以内、外膝眼穴实施温和灸治疗,第2疗程予以命门、腰阳关穴实施温和灸治疗,两组均配合常规针刺,均每日治疗1次,7d为1个疗程,共治疗2个疗程。以Lysholm膝关节功能评分表进行疗效评价,比较两组治疗前后关节疼痛、晨僵、关节肿胀、步行能力评分。结果:治疗后两组患者在关节疼痛、晨僵、关节肿胀、步行能力方面均比治疗前好转(P0.05),试验组在治疗后以上各项指标比对照组改善显著(P0.05)。治疗后试验组总有效率89.66%(26/29),对照组总有效率70.00%(21/30),试验组的疗效明显高于对照组(P0.05)。结论:采用不同方案温和灸治疗膝骨性关节炎可以取得更好的疗效。

Clinical Effect of Different Schemes of Mild Moxibustion for Treatment of Knee Osteoarthritis

Objective To observe the therapeutic effect of different schemes of mild moxibustion for treatment of(yang-deficiency induced cold-accumulation type)knee osteoarthritis(KOA).Methods Fifty-nine KOA patients were chosen and randomly divided into control group(n=30)and test group(n=29).Patients of the control group were treated by mild moxibustion of Neixiyan(EX-HE 4)and Waixiyan(ST 35)for 30 min,once daily for 14days(two courses),and those of the test group were treated by mild moxibustion of EX-HE 4and ST 35 for 30min,once daily for 7days(the same to control group),followed by moxibustion of Yaoyangguan(GV 3)and Mingmen(GV 4)once daily for next 7days more.In addition,patients of the two groups were also treated by routine acupuncture stimulation of EX-HE 4,ST 35,Yanglingquan(GB 34),Kunlun(BL 60),etc.The interval between two therapeutic courses was one day.The Lysholm Knee Score Scale(LKSS)was used to evaluate the therapeutic effect.Visual analogue scale(VAS)was employed to assess the patient's knee-joint pain severity(arthralgia),and scores of morning stiffness,arthrocele,and walking restraint degree of the knee-joint were also evaluated before and after the treatment.Results After the treatment,the scores of VAS,morning stiffness,arthrocele and walking restraint degree of the knee-joint of both groups were significantly decreased(P<0.05),and the scores of the test group were obviously lower than those of the control group(P<0.05).The effective rate of the test group was 89.66%(26/29)which was obviously higher than that(70.00%,21/30)of the control group(P<0.05).Conclusion Mild moxibustion of Neixiyan(EX-HE 4)and Waixiyan(ST 35,local acupoints),and Yaoyangguan(GV 3)and Mingmen(GV 4)has a better therapeutic effect for KOA patients than moxibustion of local acupoints only.