隔附子饼灸治疗肝肾不足型膝原发性骨关节炎

目的:通过研究隔附子饼灸对肝肾不足型膝原发性骨关节炎的治疗作用,综合评价其临床疗效.方法:将56例患者共80膝,随机分为隔附子饼灸组41膝,穴取内膝眼、犊鼻、阴陵泉等;西药组39膝,口服双氯芬酸钠缓释片.结果:症状、体征分级量化评分积分隔附子饼灸组治疗前(37.41±6.61)分,治疗后(9.37±8.15)分;西药组治疗前(37.64±6.00)分,治疗后(12.05±8.83)分,2组治疗前后组内比较,差异均有非常显著性意义(P<0.01).治疗结束后随访2个月,隔附子饼灸组积分为(11.71±8.69)分,西药组为(15.95±9.96)分,隔附子饼灸组优于西药组(P<0.05).治疗结束后,2组间综合疗效比较差异无显著性意义(P>0.05),隔附子饼灸组愈显率为63.4%,西药组为48.7%;但治疗结束后随访2个月,隔附子饼灸组愈显率为56.1%,后期综合疗效优于西药组的33.3%(P<0.05).结论:隔附子饼灸法治疗肝肾不足型膝原发性骨关节炎疗效理想,后期疗效优于双氯芬酸钠缓释片.

Clinical observation on treatment of primary knee osteoarthritis of liver and kidney deficiency type with Aconite cake-separated moxibustion

OBJECTIVE: To observe the effect of Aconite cake-separated moxibustion on primary knee osteoarthritis of liver and kidney deficiency type. METHODS: Fifty-six cases of such disease (80 knees) were randomly divided into a cake-separated moxibustion group (41 knees) with Neixiyan (EX-LE 5), Dubi (ST 35), Yinlingquan (SP 9) etc. selected, and a western medicine group (39 knees) were treated with oral administration of Sodium Diclofenate Slow-released Tablet. RESULTS: The cumulative score for symptoms and signs was (37.41 +/- 6.61) points before treatment and (9.37 +/- 8.15) points after treatment in the cake-separated moxibustion group and (37.64 - 6.00) points before treatment and (12.05 +/- 8.83) points after treatment in the western medicine group, with a very significant difference before and after treatment in the two groups (P < 0.01); two months after treatment, it was (11.71 +/- 8.69) points in the cake-separated moxibustion group and (15.95 +/- 9.96) points in the western medicine group, the former being better than the latter (P < 0.05). After the end of treatment, there was no significant difference in the comprehensive therapeutic effect between the two groups (P > 0.05), the cured and markedly effective rate was 63.4% in the cake-separated moxibustion group and 48.7% in the western medicine group, but two months after treatment, the cured and markedly effective rate of 56.1% in the cake-separated moxibustion group was better than 33.3% in the western medicine group (P < 0.05). CONCLUSION: Aconite cake-separated moxibustion has an ideal therapeutic effect on primary knee osteoarthritis of liver and kidney deficiency type, and the therapeutic effect at anaphase is better than that of Sodium Diclofenate Slow-released Tablet.