Clinical Study of Acupotomy'Regulating Tendons and Treating Bones Method'Combined with Heat-Sensitive Moxibustion in Treatment of KOA
Objective:To study the clinical efficacy of acupotomy'regulating tendons and treating bones method'combined with heat-sensitive moxibustion in treatment of knee osteoarthritis(KOA).Methods:103 KOA patients with wind-cold-dampness syndrome were randomly divided into the control group(n=51)and the study group(n=52).The control group was treated with acupotomy'regulating tendons and treating bones method';on which basis,the study group was also treated with heat-sensitive moxibustion.After three courses of treatment,clinical efficacy,scores of visual analogue scale(VAS)and Western Ontario and McMaster University Osteoarthritis Index(WOMAC),levels of C-reactive protein(CRP)and interleukin-6(IL-6),knee flexion angle on the affected side during walking,and adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 94.23%(49/52),which was higher than 80.39%(41/51)of the control group(P<0.05).The VAS score and WOMAC score were decreased after the treatment in the two groups,and the decreases were more significant in the study group than those in the control group(P<0.05).The serum levels of CRP and IL-6 were reduced after the treatment in the two groups,and the reductions were more significant in the study group than those in the control group(P<0.05).The maximum flexion angle in the study group was greater than that in the control group,and the minimum flexion angle was smaller in the study group than that in the control group(P<0.05).There were no significant systemic or local adverse reactions during the treatment in the two groups.Conclusion:The combination of acupotomy'regulating tendons and treating bones method'and heat-sensitive moxibustion can effectively alleviate pain and inflammatory reactions in KO A patients,it can improve symptoms and flexion angle of the affected knee joint during walking,without obvious adverse reactions.
Knee osteoarthritisAcupotomyMethods of regulating tendons and treating bonesHeat-sensitive moxibustion