电子温灸仪治疗膝骨关节炎疗效观察
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摘要
目的使用WOMAC量表评价电子温灸仪治疗膝骨关节炎的临床疗效。方法将符合诊断标准的66例患者随机分为温灸仪组33例、艾灸组33例。温灸仪组采用电子温灸仪治疗,艾灸组采用艾灸治疗。两组取穴均为内膝眼、犊鼻、血海、梁丘,疗程均为4星期。观察两组患者治疗前后WOMAC量表评分。结果治疗后两组患者WOMAC量表评分较治疗前均显著降低(P<0.001),且治疗后温灸仪组较艾灸组显著降低(P<0.05)。结论电子温灸仪与艾灸均能有效减轻膝关节疼痛及改善膝关节功能,且温灸仪组对膝关节功能改善优于艾灸组。
Objective To evaluate the clinical efficacy of electronic mild moxibustion equipment in treating knee osteoarthritis(KOA) by using the Western Ontario and Mc Master Universities Osteoarthritis Index(WOMAC). Method Sixty-six eligible patients were randomized into a mild moxibustion equipment group of 33 cases and a moxibustion group of 33 cases. The mild moxibustion equipment group was intervened by electronic mild moxibustion equipment, and the moxibustion group was treated with moxibustion. In the two groups, same acupoints were selected, including Neixiyan(EX-LE4), Dubi(ST35), Xuehai(SP10) and Liangqiu(ST34), and the treatment lasted for 4 weeks. The WOMAC scores of the two groups were observed before and after the treatment. Result The WOMAC scores dropped significantly in both groups after the intervention(P<0.001), and the score of the mild moxibustion equipment group was significantly lower than that of the moxibustion group(P<0.05). Conclusion Electronic mild moxibustion equipment and moxibustion both can effectively mitigate joint pain and improve knee joint function, but the moxibustion equipment can produce a more significant effect in improving the joint function than moxibustion.
Objective To evaluate the clinical efficacy of electronic mild moxibustion equipment in treating knee osteoarthritis(KOA) by using the Western Ontario and Mc Master Universities Osteoarthritis Index(WOMAC). Method Sixty-six eligible patients were randomized into a mild moxibustion equipment group of 33 cases and a moxibustion group of 33 cases. The mild moxibustion equipment group was intervened by electronic mild moxibustion equipment, and the moxibustion group was treated with moxibustion. In the two groups, same acupoints were selected, including Neixiyan(EX-LE4), Dubi(ST35), Xuehai(SP10) and Liangqiu(ST34), and the treatment lasted for 4 weeks. The WOMAC scores of the two groups were observed before and after the treatment. Result The WOMAC scores dropped significantly in both groups after the intervention(P<0.001), and the score of the mild moxibustion equipment group was significantly lower than that of the moxibustion group(P<0.05). Conclusion Electronic mild moxibustion equipment and moxibustion both can effectively mitigate joint pain and improve knee joint function, but the moxibustion equipment can produce a more significant effect in improving the joint function than moxibustion.
引文
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[2]许丁锐,王峰,梁文武,等.消瘀接骨散对兔膝骨关节炎模型血清COMP、CTX-Ⅱ含量影响的实验研究[J].中医药临床杂志,2015,27(12):1723-1725.
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[9]王苏春.艾灸治疗膝关节骨关节炎40例疗效观察[J].实用医技杂志,2013,20(4):431-432.
[10]欧阳八四,高洁,吉玲玲.近5年来针灸治疗膝骨关节炎临床研究概述[J].辽宁中医药大学学报,2011,(2):13-16.
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[17]宣益民,赵媛,张航曼,等.针药并用治疗膝骨关节炎临床观察[J].上海针灸杂志,2009,28(8):460-461.
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[19]余敏.膝四针温针灸治疗膝骨关节炎40例疗效观察[J].中国民间疗法,2016,24(4):25.
[20]陈秀玲.穴位注射鹿瓜多肽注射液治疗膝骨关节炎的临床研究[J].上海针灸杂志,2009,28(1):44-45.
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[22]陆乾人,王晓军,朱卫红.电针加穴位注射治疗膝骨关节炎临床观察[J].上海针灸杂志,2010,29(1):43-44.
[23]周忠良,孙奎,程红亮,等.隔药灸治疗血瘀型膝骨关节炎疗效观察[J].上海针灸杂志,2010,29(1):45-47.
[24]张青元,胡淑萍.艾灸机理研究现状与探析[J].上海针灸杂志,2008,27(5):57-50.
[25]王松,沈霖,肖琳.艾灸疗法影响兔膝骨性关节炎软骨细胞凋亡的效应[J].中国临床康复,2006,10(39):55-58.
[26]韩艳.中西医结合治疗膝骨性关节炎临床研究[J].浙江中西医结合杂志,2008,18(1):18-21.
[27]张忠旭,孙玉珠.关节腔内注射药物治疗膝关节骨性关节炎[J].吉林医学,2007,28(15):1703.
[2]许丁锐,王峰,梁文武,等.消瘀接骨散对兔膝骨关节炎模型血清COMP、CTX-Ⅱ含量影响的实验研究[J].中医药临床杂志,2015,27(12):1723-1725.
[3]刘锦涛,姜宏.金黄膏外敷治疗膝骨关节炎的随机、双盲、安慰剂对照临床观察[J].上海中医药杂志,2015,49(12):31-34.
[4]姜俊良,周予婧,林海丹,等.膝骨关节炎运动疗法国内研究进展[J].华西医学,2015,30(12):2373-2376.
[5]吴开泽,陈献聪,康禹,等.富血小板血浆在膝关节骨关节炎治疗中的应用[J].国际骨科学杂志,2015,36(6):414-418.
[6]严旭琳,欧阳颖.选择性环氧化酶2抑制剂的不良反应[J].药物不良反应杂志,2012,14(2):93-97.
[7]高翔,吴弢,瞿佶,等.益气化瘀利水方治疗膝骨关节炎的临床疗效观察[J].老年医学与保健,2010,16(5):315-317.
[8]刘月,许建允,林敏.艾灸治疗膝骨关节炎的系统性评价及Meta分析[J].临床和实验医学杂志,2017,16(8):783-787.
[9]王苏春.艾灸治疗膝关节骨关节炎40例疗效观察[J].实用医技杂志,2013,20(4):431-432.
[10]欧阳八四,高洁,吉玲玲.近5年来针灸治疗膝骨关节炎临床研究概述[J].辽宁中医药大学学报,2011,(2):13-16.
[11]van Weeren PR,de Grauw JC.Pain in osteoarthritis[J].Vet Clin North Am Equine Pract,2010,26(3):619-642.
[12]American College of Rheumatology Subcommittee on Osteoarthritis Guidelines.Recommendations for the medical management of osteoarthritis of the hip and knee:2000 update[J].Arthritis Rheum,2000,43(9):1905-1915.
[13]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:48.
[14]中华人民共和国技术监督局.GB12346-90中华人民共和国国家标准·经穴部位[S].北京:中国标准出版社,1990:9.
[15]Sivrikaya A,Cel IL OF,Sivrikaya N,et al.The effect of diclofenac soditim and papaverine on isolated human ureteric smooth muscle[J].Int Urol Nephrol,2003,35(4):479-483.
[16]中华医学会骨科学分会.骨关节炎诊治指南(2007年版)[J].中华骨科杂志,2007,27(10):793-796.
[17]宣益民,赵媛,张航曼,等.针药并用治疗膝骨关节炎临床观察[J].上海针灸杂志,2009,28(8):460-461.
[18]谭燕泉,林波.推拿手法结合中药热敷治疗老年骨性膝关节炎52例[J].陕西中医,2012,33(7):877-878.
[19]余敏.膝四针温针灸治疗膝骨关节炎40例疗效观察[J].中国民间疗法,2016,24(4):25.
[20]陈秀玲.穴位注射鹿瓜多肽注射液治疗膝骨关节炎的临床研究[J].上海针灸杂志,2009,28(1):44-45.
[21]张峻峰,吴耀持,李石胜.透刺温针灸治疗膝骨关节炎疗效观察[J].上海针灸杂志,2009,28(12):722-723.
[22]陆乾人,王晓军,朱卫红.电针加穴位注射治疗膝骨关节炎临床观察[J].上海针灸杂志,2010,29(1):43-44.
[23]周忠良,孙奎,程红亮,等.隔药灸治疗血瘀型膝骨关节炎疗效观察[J].上海针灸杂志,2010,29(1):45-47.
[24]张青元,胡淑萍.艾灸机理研究现状与探析[J].上海针灸杂志,2008,27(5):57-50.
[25]王松,沈霖,肖琳.艾灸疗法影响兔膝骨性关节炎软骨细胞凋亡的效应[J].中国临床康复,2006,10(39):55-58.
[26]韩艳.中西医结合治疗膝骨性关节炎临床研究[J].浙江中西医结合杂志,2008,18(1):18-21.
[27]张忠旭,孙玉珠.关节腔内注射药物治疗膝关节骨性关节炎[J].吉林医学,2007,28(15):1703.