温针灸治疗膝关节骨关节炎的近期效果

关键词：膝  骨关节炎；温针灸；疼痛

Keywords:knee  osteoarthritis  warm acupuncture-moxibustion  pain

摘要：

      目的：探讨温针灸疗法治疗膝关节骨性关节炎（OA）的临床疗效，评估温针灸疗法治疗膝关节OA的临床效果。方法：将90例符合纳入标准的患者随机分为3组，治疗组予以温针灸治疗，对照组Ⅰ予以口服布洛芬缓释胶囊，对照组Ⅱ为等待组, 2周内不接受任何针灸，2周后进行温针灸治疗。运用患者自评量表(WOMAC)及中文版简明健康状况调查表(SF-36)在疗程0周、2周时进行评估。结果：3组治疗措施均有效，治疗组2周后总有效率为86.67％，对照组Ⅰ总有效率为90.00％，对照组Ⅱ总有效率为60.00%。治疗组与对照组I后2周治疗后WOMAC和SF-36评分与治疗前比较均有显著性差异(P＜0.05）；除对照组Ⅱ精神健康无显著性差异外， 2周治疗后WOMAC与SF-36评分与治疗前比较均有显著差异（P＜0.05）。治疗组与对照组Ⅰ在2周治疗后WOMAC和SF-36评分比较无显著性差异（P＞0.05），两组分别与对照组Ⅱ比较有显著性差异(P＜0.05）。结论：通过应用温针灸治疗膝关节OA，确实能起到温补阳气、祛风除湿、消肿止痛、改善关节功能的作用。

Abstract:

      Objective：To investigate the effect of warm acupancture-moxibustion in patients with osteoarthritis(OA) of knee. Method：Patients with OA of knee were randomly assigned to warm acupuncture-moxibustion group(n=30), drug treatment group(n=30) and waiting control group(n=30). Warm acupuncture-moxibustion or Ibuprofen was applied to the corresponding group respectively in 10 sessions over 2 weeks.The patieuts in waiting control group didn′t receive any acupuncture at the first 2 weeks, but 2 weeks later received warm acupuncture-moxibustion treatment for 2 weeks. Patients completed standard questionnaires at baseline and after 2 weeks. The Western Ontario and McMaster Universities Osteoarthritis(WOMAC) and SF-36 index were used to evaluate the outcome at the end of week 0 and 2. Result： Significant differences on WOMAC and SF-36 scores were found between before and after 2-week treatment in warm acupuncture-moxibustion group and drug treatment group(P<0.05). There were no difference between warm acupuncture-moxibustion group and drug treatment group after 2-week treatment(P>0.05). Conclusion：The results suggested that warm acupuncture-moxibustion is an effective and safe therapy to patients with OA of knee.