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浮针联合热敏灸治疗膝骨关节炎临床观察

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目的:运用肌骨超声观察浮针联合热敏灸治疗膝骨关节炎的临床疗效。方法:选取符合纳入标准60例膝骨关节炎患者,随机分为两组各30例。对照组采用常规针刺治疗,治疗组采用浮针联合热敏灸治疗,记录并比较两组患者治疗前后的视觉模拟评分法(VAS评分)、美国西安大略和麦克马斯特大学骨关节炎指数评分法(WOMAC评分)、白细胞介素-1 β(IL-1 β)水平、肿瘤坏死因子-α(TNF-α)水平以及关节腔积液厚度。结果:治疗组总有效率为93。33%,高于对照组的70。00%(P<0。05);治疗后,两组VAS评分、WOMAC评分、IL-1 β水平、TNF-α水平均较治疗前降低(P<0。01),且治疗组下降程度均优于对照组(P<0。01);两组关节腔积液厚度较治疗前均降低(P<0。01),且治疗组关节积液厚度下降程度优于对照组(P<0。01)。结论:浮针联合热敏灸治疗膝骨关节炎在缓解疼痛、改善关节功能等方面明显优于常规针刺治疗,临床疗效较好。
Efficacy observation of Fu's subcutaneous needling therapy and heat-sensitive moxibustion on knee osteoarthritis
Objective:To observe the clinical efficacy of Fu's subcutaneous needling and heat-sensitive moxibustion on knee osteoarthriti by musculoskeletal ultrasound.Methods:60 cases of eligible patients with knee osteoarthritis were selected and randomly divided into two groups,30 cases in each group.The control group was treated with conventional needling,while the treatment group was treated with Fu's subcutaneous needling and heat-sensitive moxibustion.Visual analogue scale(VAS),the Western Ontario and McMaster Universities Osteoarthritis Index(WOM AC),level of interleukin-1 β(IL-1 β),level of tumor necrosis factor-α(TNF-α)and thickness of articular cavity effusion of patients were recorded and compared between two groups before and after treatment.Results:The total effective rate of treatment group was 93.33%,which was higher than 70.00%of control group(P<0.05).In both groups after treatment,VAS score,WOMAC score,IL-1 β level and TNF-α level were lower than pre-treatment(P<0.01),and the decreasing degree of treatment group was larger than that of control group(P<0.01);the thickness of articular cavity effusion was decreased compared with pre-treatment(P<0.01),and the decreasing degree of articular cavity effusion thickness of treatment group was larger than that of control group(P<0.01).Conclusion:The clinical efficacy of Fu's subcutaneous needling therapy and heat-sensitive moxibustion on knee osteoarthriti is significantly better than conventional needling therapy in relieving pain and improving joint function,etc.

knee osteoarthritisFu's subcutaneous needlingheat-sensitive moxibustionmusculoskeletal ultrasoundtherapy of needling

王浩宇、孙晓伟

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黑龙江中医药大学(哈尔滨150040)

黑龙江中医药大学附属第一医院

膝骨关节炎 浮针 热敏灸 肌骨超声 针灸疗法

2024

山西中医
山西省中医药学会 山西中医药研究院

山西中医

影响因子:0.59
ISSN:1000-7156
年,卷(期):2024.40(12)