火龙灸配合电针治疗寒湿型退行性膝骨关节炎临床观察
|
摘要
目的观察火龙灸配合电针治疗寒湿型退行性膝骨关节炎的临床疗效。方法 60例寒湿型退行性膝骨关节炎的患者,随机分为治疗组和对照组,每组30例。治疗组采用火龙灸配合电针治疗,对照组口服尼美舒利缓释胶囊。观察两组治疗前后视觉模拟量表(VAS)评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分的变化情况,并比较两组临床疗效。结果两组治疗后VAS、WOMAC评分均较同组治疗前降低(P<0.05),治疗组优于对照组(P<0.05)。治疗组总有效率为93.3%,对照组总有效率为73.3%,两组比较差异有统计学意义(P<0.05)。结论火龙灸配合电针治疗寒湿型退行性膝骨关节炎具有较好的临床疗效。
Objective To observe the clinical efficacy of fiery dragon moxibustion plus electroacupuncture for degenerative knee osteoarthritis of cold-dampness type. Method Sixty patients with degenerative knee osteoarthritis of cold-dampness type were randomized to treatment and control groups, with 30 cases in each group. The treatment group received fiery dragon moxibustion plus electroacupuncture and the control group, oral administration of nimesulide sustained-release capsules. The Visual Analogue Scale(VAS) score and the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC) score were recorded in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups. Result After treatment, the VAS and WOMAC scores decreased in both groups compared with before(P<0.05) and were lower in the treatment group than in the control groups(P<0.05). The total efficacy rate was 93.3% in the treatment group and 73.3% in the control group with a statistically significant difference between the two groups(P < 0.05). Conclusion Fiery dragon moxibustion plus electroacupuncture has a better clinical therapeutic effect on degenerative knee osteoarthritis of cold-dampness type.
Objective To observe the clinical efficacy of fiery dragon moxibustion plus electroacupuncture for degenerative knee osteoarthritis of cold-dampness type. Method Sixty patients with degenerative knee osteoarthritis of cold-dampness type were randomized to treatment and control groups, with 30 cases in each group. The treatment group received fiery dragon moxibustion plus electroacupuncture and the control group, oral administration of nimesulide sustained-release capsules. The Visual Analogue Scale(VAS) score and the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC) score were recorded in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups. Result After treatment, the VAS and WOMAC scores decreased in both groups compared with before(P<0.05) and were lower in the treatment group than in the control groups(P<0.05). The total efficacy rate was 93.3% in the treatment group and 73.3% in the control group with a statistically significant difference between the two groups(P < 0.05). Conclusion Fiery dragon moxibustion plus electroacupuncture has a better clinical therapeutic effect on degenerative knee osteoarthritis of cold-dampness type.
引文
[1]陈建慧.中药薰洗配合中医手法治疗膝关节骨性关节炎66例[J].中医正骨,2014,26(2):45-46.
[2]吕福平,张贵锋,陈志成,等.温针灸治疗退行性膝关节炎的机制与临床研究进展[J].中医药导报,2011,17(1):103-106.
[3]陈志伟,方晓明,张钰敏,等.倒悬推拿结合火龙灸治疗寒湿型腰椎间盘突出症30例[J].中国中医骨伤科杂志,2017,25(7):62-64.
[4]中华医学会风湿病学分会.骨关节炎诊断及治疗指南[J].中华风湿病学杂志,2010,14(6):416-419.
[5]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,1994:29-30.
[6]湖南省中医药学会.中医临床病证诊断标准[S].长沙:湖南科学技术出版社,1993:53.
[7]郑筱萸.中药新药临床研究指导原则[S].北京:中国医药科技出版社,2002:349-353.
[8]张红梅.中西医结合治疗膝骨性关节炎180例临床疗效观察[J].基层医学论坛,2015,19(20):2820-2821.
[9]诸剑芳,王国军,金肖青,等.电针治疗早、中期老年性膝关节炎的临床疗效观察[J].中华中医药杂志,2013,28(7):2085-2087.
[10]Lee JH,Lee SY,Choi SJ,et al.The effects of extractorporeal shock wave therapy on the pain and function of patients with degenerative knee arthritis[J].J Phys Ther Sci,2017,29(3):536-538.
[11]Nguyen US,Zhang Y,Zhu Y,et al.Increasing prevalence of knee pain and symptomatic knee osteoarthritis:survey and cohort data[J].Ann Intern Med,2011,155(11):725-732.
[12]Igawa T,Katsuhira J.Biomechanical analysis of stair descent in patients with knee osteoarthriti[J].J Phys Ther Sci,2014,26(5):629-631.
[13]李宁,李应福,蒋国鹏,等.益肾通痹方治疗膝关节骨性关节炎的临床研究[J].中国中医骨伤科杂志,2016,24(4):15-17,21.
[14]李梦,罗玲.独特的大面积灸法--火龙灸[J].上海针灸杂志,2015,34(5):472-473.
[15]陈建洪,吴桂红,邓莎.艾瑞昔布片治疗退行性膝关节炎的临床疗效观察[J].临床合理用药杂志,2016,9(16):38-39.
[16]陈益丹,邱华平,金肖青,等.针刺对膝骨关节炎模型兔血清白介素-1?、肿瘤坏死因子-?的影响[J].上海针灸杂志,2010,29(7):468-470.
[17]杜元会.电针在膝骨关节炎的基础研究[J].医学信息,2014,27(19):665-666.
[18]刘冬梅.电针辨证分型治疗退行性膝关节炎195例临床观察[J].内蒙古医学杂志,2013,45(7):856-857.
[19]杜俊英,方剑乔,梁宜,等.电针对CFA致炎性痛大鼠脊髓ATF-2Thr71位点磷酸化的干预研究[J].中华中医药杂志,2012,27(4):957-960.
[20]陈子平,陈鹏典,庄礼兴.穴位贴敷配合电针治疗退行性膝关节炎的临床观察[J].针灸临床杂志,2014,30(5):28-30.
[21]陈波,谢西梅,李佳霖.艾灸治疗对兔KOA软骨损伤及TNF-?、TGF-?1和IGF-1表达调节作用的实验研究[J].江苏中医药,2009,41(6):69-71.
[22]张子谦,姚红,陈建雄,等.电针治疗早期膝关节炎的近远期疗效观察[J].光明中医,2011,26(8):1616-1618.
[2]吕福平,张贵锋,陈志成,等.温针灸治疗退行性膝关节炎的机制与临床研究进展[J].中医药导报,2011,17(1):103-106.
[3]陈志伟,方晓明,张钰敏,等.倒悬推拿结合火龙灸治疗寒湿型腰椎间盘突出症30例[J].中国中医骨伤科杂志,2017,25(7):62-64.
[4]中华医学会风湿病学分会.骨关节炎诊断及治疗指南[J].中华风湿病学杂志,2010,14(6):416-419.
[5]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,1994:29-30.
[6]湖南省中医药学会.中医临床病证诊断标准[S].长沙:湖南科学技术出版社,1993:53.
[7]郑筱萸.中药新药临床研究指导原则[S].北京:中国医药科技出版社,2002:349-353.
[8]张红梅.中西医结合治疗膝骨性关节炎180例临床疗效观察[J].基层医学论坛,2015,19(20):2820-2821.
[9]诸剑芳,王国军,金肖青,等.电针治疗早、中期老年性膝关节炎的临床疗效观察[J].中华中医药杂志,2013,28(7):2085-2087.
[10]Lee JH,Lee SY,Choi SJ,et al.The effects of extractorporeal shock wave therapy on the pain and function of patients with degenerative knee arthritis[J].J Phys Ther Sci,2017,29(3):536-538.
[11]Nguyen US,Zhang Y,Zhu Y,et al.Increasing prevalence of knee pain and symptomatic knee osteoarthritis:survey and cohort data[J].Ann Intern Med,2011,155(11):725-732.
[12]Igawa T,Katsuhira J.Biomechanical analysis of stair descent in patients with knee osteoarthriti[J].J Phys Ther Sci,2014,26(5):629-631.
[13]李宁,李应福,蒋国鹏,等.益肾通痹方治疗膝关节骨性关节炎的临床研究[J].中国中医骨伤科杂志,2016,24(4):15-17,21.
[14]李梦,罗玲.独特的大面积灸法--火龙灸[J].上海针灸杂志,2015,34(5):472-473.
[15]陈建洪,吴桂红,邓莎.艾瑞昔布片治疗退行性膝关节炎的临床疗效观察[J].临床合理用药杂志,2016,9(16):38-39.
[16]陈益丹,邱华平,金肖青,等.针刺对膝骨关节炎模型兔血清白介素-1?、肿瘤坏死因子-?的影响[J].上海针灸杂志,2010,29(7):468-470.
[17]杜元会.电针在膝骨关节炎的基础研究[J].医学信息,2014,27(19):665-666.
[18]刘冬梅.电针辨证分型治疗退行性膝关节炎195例临床观察[J].内蒙古医学杂志,2013,45(7):856-857.
[19]杜俊英,方剑乔,梁宜,等.电针对CFA致炎性痛大鼠脊髓ATF-2Thr71位点磷酸化的干预研究[J].中华中医药杂志,2012,27(4):957-960.
[20]陈子平,陈鹏典,庄礼兴.穴位贴敷配合电针治疗退行性膝关节炎的临床观察[J].针灸临床杂志,2014,30(5):28-30.
[21]陈波,谢西梅,李佳霖.艾灸治疗对兔KOA软骨损伤及TNF-?、TGF-?1和IGF-1表达调节作用的实验研究[J].江苏中医药,2009,41(6):69-71.
[22]张子谦,姚红,陈建雄,等.电针治疗早期膝关节炎的近远期疗效观察[J].光明中医,2011,26(8):1616-1618.