首页|两种灸法治疗轻中度膝骨关节炎的疗效对照研究

两种灸法治疗轻中度膝骨关节炎的疗效对照研究

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目的:观察雷火-热敏灸与单纯雷火灸治疗轻中度膝骨关节炎的临床疗效差异.方法:将60例轻中度KOA患者随机分为治疗组和对照组,每组30例,治疗组采用雷火灸条施以热敏灸法治疗,对照组采用单纯雷火灸条悬灸治疗.分别于治疗后2周及治疗4周后,观察两组疼痛VAS评分及骨关节炎指数(WOMAC评分),并比较两组临床疗效.结果:治疗后2周,两组VAS评分及WOMAC各项评分与治疗前比较,差异均具有统计学意义(P<0.01);治疗组与对照组比较,VAS评分差异显著(P<0.05),WOMAC疼痛评分、WOMAC身体功能评分、WOMAC总分差异极显著(P<0.01).治疗后4周,两组WOMAC僵硬评分与治疗后2周比较,差异显著(P<0.05);两组VAS评分、WOMAC疼痛评分、WOMAC身体功能评分及WOMAC总分与治疗后2周比较,差异极显著(P<0.01);治疗组与对照组比较,WOMAC身体功能评分、WOMAC总分差异显著(P<0.05).治疗后4周,治疗组与对照组总有效率分别为96.67%和93.33%,两组比较差异具有统计学意义(P<0.01);治疗后3个月随访,治疗组与对照组总有效率分别为96.55%和96.30%,两组比较差异具有统计学意义(P<0.05).结论:雷火-热敏灸较单纯雷火灸治疗KOA在短期内疗效更优,且疗效稳定.
Comparative Study on the Therapeutic Effect of Two kinds of Moxibustion in Treating Mild and Moderate Knee Osteoarthritis
Objective:To investigate the clinical efficacy differences between heat-sensitive point thunderfire moxibustion and pure thunder-fire moxibustion in treating mild and moderate knee osteoarthritis (KOA).Methods:Sixty KOA patients were randomly divided into a treatment and acontrol group evenly.The treatment group received heat-sensitive point thunder-fire moxibustion and the control group received pure thunder-fire moxibustion.The Visual Analogue Scale (VAS) score,the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score were observed in the two groups after two weeks and four weeks treatment respectively.The clinical therapeutic effects were compared between the two groups.Methods:Two weeks after treatment,there were statistically significant pre-/post-treatmem differences in the VAS score and WOMAC subscores in the two groups (P < 0.01);there was statistically significant post-treatment difference in the VAS score between the treatment and control groups (P < 0.05);there were extremely statistically significant post-treatment differences in the WOMAC pain and body function scores and the WOMAC score between the treatment and the control group (P < 0.01).Four weeks after treatment,compared with the results got two weeks before,there were statistically significant differences in the WOMAC stiffness score in the two groups ((P <0.05),there were extremely statistically significant differences in the WOMAC pain and body function scores and the WOMAC score in the two groups((P < 0.01);there were statistically significant differences in the WOMAC body function score and the WOMAC score between the treatment and the control group (P < 0.05).The total efficacy rates at the end of treatment were 96.67% and 93.33% in the treatment group and the control group,there was statistically significant difference between the two groups (P < 0.01);the total efficacy rates got three months after treatment were 96.55% and 96.30% in the treatment group and the control group,there was statistically significant difference between the two groups (P < 0.05).Conclusion:The clinical efficacy of heat-sensitive point thunder-fire moxibustion is better than that of pure thunder-fire moxibustion in short term treatment of knee osteoarthritis,and the efficacy of heat-sensitive point thunder-fire moxibustion is stable.

MoxibustionMoxa stick moxibustionHeat-sensitive point moxibustionThunder-fire moxibustionOsteoarthritis, knee joint

张晶倩、袁庆东、韩亚岑、郭欣

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北京市羊坊店医院,北京100038

北京国医堂中医医院,北京102218

灸法 骨关节炎

2016

贵阳中医学院学报
贵阳中医学院

贵阳中医学院学报

影响因子:1.18
ISSN:1002-1108
年,卷(期):2016.38(5)
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