扶正通阳灸法配合药物治疗老年性膝关节滑膜炎的临床研究

目的 观察扶正通阳灸法配合药物治疗老年性膝关节滑膜炎的临床疗效及其对膝关节高频彩超特征的影响.方法 将80例老年性膝关节滑膜炎患者随机分为治疗组和对照组,每组40例.对照组采用口服塞来昔布胶囊治疗,治疗组在对照组基础上采用扶正通阳灸法(背俞穴温针治疗配合腘窝隔附子饼灸)治疗.观察两组治疗前后WOMAC评分、膝关节周径的...

Clinical Study on Fu Zheng Tong Yang Moxibustion Combined with Medication for Synovitis of the Knee Joint in the Elderly

Objective To observe the clinical efficacy of Fu Zheng Tong Yang(strengthening healthy qi to unblock the flow of yang)moxibustion plus medication in treating synovitis of the knee joint in the elderly and its effect on the high-frequency ultrasonographic features of the knee joint.Method Eighty elderly patients with synovitis of the knee joint were randomized into a treatment group and a control group,with 40 cases in each group.The control group was intervened by oral administration of Celecoxib capsules,while the treatment group was given Fu Zheng Tong Yang moxibustion(warm needling at back-Shu points plus aconite cake-partitioned moxibustion at popliteal fossa)in addition to the intervention given to the control group.The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)score and circumference of the knee joint in the two groups were observed before and after intervention.The extent of knee joint effusion and synovial thickness were also measured before and after treatment using the high-frequency color ultrasonography.Result The WOMAC score,knee joint circumference,extent of knee joint effusion and synovial thickness changed significantly after treatment in both groups(P<0.05).After intervention,the WOMAC score,knee joint circumference,extent of knee joint effusion and synovial thickness in the treatment group were significantly different from those in the control group(P<0.05).Conclusion Fu Zheng Tong Yang moxibustion plus medication is effective in treating synovitis of the knee joint in the elderly;it can notably improve the volume of knee joint effusion and synovial thickness.