温针灸治疗阳虚寒凝型膝骨性关节炎临床研究
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摘要
目的:观察温针灸治疗阳虚寒凝型膝骨性关节炎的临床疗效。方法:选取2016年9月至2016年12月河南省唐河县中医院门诊收治的阳虚寒凝型膝骨性关节炎患者48例,随机分为温针灸组和针刺组,各24例。针刺组给予针刺治疗,温针灸组给予温针灸治疗。结果:温针灸组有效率为95.8%,针刺组有效率为79.2%,温针灸组优于针刺组(P<0.05),差异有统计学意义;两组患者治疗后症状积分、疼痛积分及膝关节功能评分比治疗前均显著改善(P<0.05),且温针灸组优于针刺组(P<0.05),差异有统计学意义。结论:温针灸和单纯针刺疗法均可治疗阳虚寒凝型膝骨性关节炎,但温针灸对KOA的主要临床症状、膝关节运动功能的改善效果更佳。
Objective: To observe the clinical curative effect of warm acupuncture and moxibustion on knee osteoarthritis( KOA) of yang deficiency cold condensate type. Methods: Forty-eight cases of knee osteoarthritis of yang deficiency and cold coagulation type who were treated in the clinic of Tanghe County TCM Hospital of Henan province from September 2016 to December 2016 were selected as the research subjects,and randomly divided into the warm acupuncture group and the acupuncture group,with 24 cases in each group. The ones in the acupuncture group were treated with acupuncture,while the ones in the warm acupuncture group were treated with warm acupuncture. Results: The effective rate of the warm acupuncture group was 95. 8%,and that of the acupuncture group was 79. 2%,the warm acupuncture group was superior to the acupuncture group( P < 0. 05),and the difference was statistically significant. The scores of the symptoms,the pain scores and the knee joint function scores in the two groups were significantly improved after the treatment( P < 0. 05),and the warm acupuncture group was superior to the acupuncture group( P < 0. 05),and the differences were statistically significant. Conclusion: Warm acupuncture and simple acupuncture can be both used to treat KOA of yang deficiency cold condensate type,but the effect of warm acupuncture and moxibustion on the main clinical symptoms of KOA and the function of knee joint movement is better.
Objective: To observe the clinical curative effect of warm acupuncture and moxibustion on knee osteoarthritis( KOA) of yang deficiency cold condensate type. Methods: Forty-eight cases of knee osteoarthritis of yang deficiency and cold coagulation type who were treated in the clinic of Tanghe County TCM Hospital of Henan province from September 2016 to December 2016 were selected as the research subjects,and randomly divided into the warm acupuncture group and the acupuncture group,with 24 cases in each group. The ones in the acupuncture group were treated with acupuncture,while the ones in the warm acupuncture group were treated with warm acupuncture. Results: The effective rate of the warm acupuncture group was 95. 8%,and that of the acupuncture group was 79. 2%,the warm acupuncture group was superior to the acupuncture group( P < 0. 05),and the difference was statistically significant. The scores of the symptoms,the pain scores and the knee joint function scores in the two groups were significantly improved after the treatment( P < 0. 05),and the warm acupuncture group was superior to the acupuncture group( P < 0. 05),and the differences were statistically significant. Conclusion: Warm acupuncture and simple acupuncture can be both used to treat KOA of yang deficiency cold condensate type,but the effect of warm acupuncture and moxibustion on the main clinical symptoms of KOA and the function of knee joint movement is better.
引文
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[9]孙小琴,徐兰凤.近10年骨性膝关节炎的治疗方法综述[J].针灸临床杂志,2009,25(2):46-48,59.
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[11]吴齐雁,曹景泉,郭琳,等.关节内注射甲氨蝶呤和地塞米松改善类风湿患者膝关节功能[J].中国临床康复,2005,9(27):27-29.
[12]徐颖.中药离子导入联合微波治疗膝关节骨性关节炎的临床疗效观察[D].武汉:湖北中医药大学,2015.
[13]季卫锋,童培建,袁小凤,等.补肾法与活血法对SD大鼠膝骨性关节炎滑膜IL-1β、TNF-α及软骨MMP-13、ADAMTS-5的影响[J].中国中医骨伤科杂志,2012,20(2):1-5.
[14]王昕.非甾体抗炎药联合氨基葡萄糖及关节镜手术治疗膝骨性关节炎的临床研究[D].兰州:兰州大学,2013.
[15]黄姵慈.中医药治疗膝骨性关节炎的数据挖掘及临床用药疗效分析[D].南京:南京中医药大学,2015.
[16]贺成功,黄学勇,龙红慧,等.温针灸疗法及其应用[J].中医学报,2015,30(1):143-145.
[17]王昕.非甾体抗炎药联合氨基葡萄糖及关节镜手术治疗膝骨性关节炎的临床研究[D].兰州:兰州大学,2013.
[18]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.
[2]莫永豪.温针灸治疗膝骨性关节炎的临床疗效观察[D].广州:广州中医药大学,2015.
[3]宋玉娟.悬针电透刺治疗顽固性面瘫的疗效观察[J].中医药信息,2014,31(3):143-145.
[4]张宾,王澍欣,徐展琼,等.靳氏膝三针为主治疗膝骨关节炎40例[J].中国中医药现代远程教育,2014,12(11):67-68.
[5]曾庆馀.骨关节炎[M].天津:天津科学技术出版社,1999:1.
[6]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,1999:33.
[7]郑莜萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:349-353.
[8]卢迪.中西医结合治疗创伤骨科疾病疗效观察[J].实用中西医结合临床,2014,14(4):81.
[9]孙小琴,徐兰凤.近10年骨性膝关节炎的治疗方法综述[J].针灸临床杂志,2009,25(2):46-48,59.
[10]邵红岩.何氏药物铺灸疗法治疗阳虚寒凝型膝关节炎的临床对照研究[D].兰州:甘肃中医学院,2014.
[11]吴齐雁,曹景泉,郭琳,等.关节内注射甲氨蝶呤和地塞米松改善类风湿患者膝关节功能[J].中国临床康复,2005,9(27):27-29.
[12]徐颖.中药离子导入联合微波治疗膝关节骨性关节炎的临床疗效观察[D].武汉:湖北中医药大学,2015.
[13]季卫锋,童培建,袁小凤,等.补肾法与活血法对SD大鼠膝骨性关节炎滑膜IL-1β、TNF-α及软骨MMP-13、ADAMTS-5的影响[J].中国中医骨伤科杂志,2012,20(2):1-5.
[14]王昕.非甾体抗炎药联合氨基葡萄糖及关节镜手术治疗膝骨性关节炎的临床研究[D].兰州:兰州大学,2013.
[15]黄姵慈.中医药治疗膝骨性关节炎的数据挖掘及临床用药疗效分析[D].南京:南京中医药大学,2015.
[16]贺成功,黄学勇,龙红慧,等.温针灸疗法及其应用[J].中医学报,2015,30(1):143-145.
[17]王昕.非甾体抗炎药联合氨基葡萄糖及关节镜手术治疗膝骨性关节炎的临床研究[D].兰州:兰州大学,2013.
[18]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.