热敏灸治疗膝骨性关节炎疗效对照研究

目的:验证热敏灸治疗膝骨性关节炎(KOA)的临床疗效。方法:将60例KOA患者随机分为热敏灸组和常规艾灸组,每组30例,均选取犊鼻、阳陵泉、足三里及患侧鹤顶穴,热敏灸组进行回旋、雀啄、往返、温和灸,常规艾灸组对准应灸的腧穴部位距离皮肤2～3cm进行温和灸。采用Lysholm膝关节功能评分表评价疗效,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:两组治疗后关节疼痛、晨僵、关节肿胀、步行能力评分均较治疗前明显改善(均P<0.05),热敏灸组以上各指标较常规艾灸组改善更明显(均P<0.01)。热敏灸组有效率为90.0%(27/30),常规艾灸组为73.3%(22/30),热敏灸组有效率明显优于常规艾灸组(P<0.01)。结论:热敏灸治疗膝骨性关节炎疗效优于常规艾灸疗法,能更好地改善KOA患者的症状和体征。

Comparative study of heat-sensitive moxibustion in the treatment of knee osteoarthritis

Objective To verify the clinical efficacy of heat-sensitive moxibustion in treatment of knee osteoarthritis(KOA).Methods Sixty cases of KOA were randomly divided into a heat-sensitive moxibustion group and a conventional moxibustion group,30 cases in each one.Dubi(ST 35),Yanglingquan(GB 34),Zusanli(ST 36) and Heding(EX-LE 2) on the affected side were selected in two groups.In heat-sensitive moxibustion group,the techniques of circling moxibustion,sparrow-pecking moxibustion,moving moxibustion and mild moxibustion were applied.In conventional moxibustion group,the mild moxibustion was used,2 to 3 cm far from the skin of the acupoints selected.Lysholm scale for the assessment of knee joint function was adopted to evaluate the efficacy.The scores of joint pain,morning stiffness,joint swelling and walking ability were compared before and after treatment in two groups.Results The scores of joint pain,morning stiffness,joint swelling and walking ability after treatment were all apparently improved as compared with those before treatment in either group(all P<0.05).The improvement in the above-mentioned indices in heat-sensitive moxibustion group was much more apparent as compared with that in conventional moxibustion group(all P<0.01).The effective rate was 90.0%(27/30) in heat-sensitive moxibustion group and was 73.3%(22/30) in conventional moxibustion group.The effective rate in heat-sensitive moxibustion group was obviously superior to that in conventional moxibustion group(P<0.01).Conclusion The efficacy of heat-sensitive moxibustion is superior to that of conventional moxibustion in the treatment of KOA.This therapy can more significantly improve the symptoms and physical signs of the patients with KOA.