温针灸治疗早中期膝骨关节炎镇痛机制研究进展

Research progress on analgesic mechanism of warming acupuncture and moxibustion on early and knee osteoarthritis in middle stage

目的:膝骨关节炎是全球范围内常见的一种慢性、渐进性关节疾病,随着软骨下骨的破坏逐渐加重,最终引起畸形、疼痛、活动受限。早中期KOA的治疗方法众多,其中西医的药物治疗存在一定缺陷。随着中医药治疗方法的逐渐丰富与基础研究的不断深入,温针灸治疗早中期KOA的确切疗效逐渐得到学术界的认可与临床的应用。文章通过对近年来相关文献的阅读,对温针灸镇痛的机制做一综述,为进一步临床治疗KOA提供理论参考。

Knee osteoarthritis(KOA)is a common chronic and progressive joint disease in the world.With the destruction of subchondral bone,it will lead to deformity,pain and limited activity.There are many methods for the treatment of KOA in the early and middle stages,among which Western medicine has some defects.With the gradual enrichment of traditional Chinese medicine treatment methods and the deepening of basic research,the exact efficacy of warm acupuncture in the treatment of early and midterm KOA is gradually recognized by the academic community and clinical application.In this paper,through reading the relevant literature in recent years,we review the analgesia mechanism of warm acupuncture to provide theoretical reference for further clinical treatment of KOA.