Acupuncture combined with moxibustion and Chinese medicine hot compress in the treatment of knee osteoarthritis of cold-damp obstruction syndrome
Objective To compare the clinical efficacy of acupuncture,Chinese medicine hot compress,acunpuncture combined with moxibustion,acupuncture combined with Chinese medicine hot compress in the treatment of patients with knee osteoarthritis (KOA) of cold-damp obstruction syndrome. Methods A total of 236 patients with KOA recruited from the Beijing Zhongguancun Hospital,Longzeyuan Community Health Service Center,Changping District of Beijing,Beixiaguan Community Health Service Center,Haidian District of Beijing from December 2020 to October 2022 were divided into acupuncture group,Chinese medicine hot compress group,acupuncture combined with moxibustion group,and acupuncture combined with Chinese medicine hot compress group according to randomly grouping,control and non-blind method in the proportion of 1:1:1:1 with 59 cases in each group. The intervention of each group was delivered once daily,5 times a week,and one course of treatments was 10 times,2 courses were required. The scores of WOMAC and VAS were compared among the 4 groups before treatment,after the first and second courses of treatment,and after follow-up for 1,2,and 3 months,and the clinical efficacy and safety were evaluated. Results WOMAC score and VAS score of the 4 groups at each time point after treatment were decreased compared with those before treatment (P<0.05). After the first course of treatment,WOMAC score of acupuncture combined with Chinese medicine hot compress group was lower than that of the acupuncture group (P<0.05);after the second course of treatment and the third follow-up visit,WOMAC score of the acupuncture combined with Chinese medicine hot compress group was lower than that of the acupuncture group and Chinese medicine hot compress group(P<0.05). After the first course of treatment,VAS score of both the acupuncture combined with moxibustion group and the acupuncture combined with Chinese medicine hot compress group were lower than that of the acupuncture group(P<0.05);after the second course of treatment,VAS score of the acupuncture combined with Chinese medicine hot compress group was lower than that of the acupuncture group and Chinese medicine hot compress group (P<0.05);Three follow-up visits showed VAS score of the acupuncture combined with moxibustion group and acupuncture combined with Chinese medicine hot compress group were lower than that of the acupuncture group and Chinese medicine hot compress group (P<0.05). The clinical effect of the acupuncture combined with Chinese medicine hot compress group was superior to the other three groups (P<0.05). In the Chinese medicine hot compress group,1 case had mild allergic reaction and was healed without any treatment. Conclusion Acupuncture,Chinese medicine hot compress,acupuncture combined with moxibustion,acupuncture combined with Chinese medicine hot compress can all achieve clinical effects in the treatment of knee osteoarthritis of cold-damp obstruction syndrome. The combination of acupuncture,moxibustion,and Chinese medicine hot compress is superior to the single therapy,and the combination of acupuncture but Chinese medicine hot compress group has more advantages.
Knee osteoarthritiscold-damp obstruction syndromeacupuncturemoxibustionChinese medicine hot compress
NETL
NSTL
万方数据
