温针灸配合海桐皮汤外洗治疗寒湿型和湿热型膝关节炎疗效的比较研究

Warming Needle Moxibustion Combined with Haitongpi Decoction in the Treatment of Gonarthritis

目的:观察并比较温针灸配合海桐皮汤外洗治疗寒湿型和湿热型膝关节炎的疗效。方法:寒湿型和湿热型膝关节炎患者各30例,采取温针灸和海桐皮汤外洗的方法治疗1个月,运用简化McGill疼痛评分表和膝关节功能评分表评价治疗效果。结果:温针灸配合海桐皮汤外洗对寒湿型和湿热型膝关节炎患者的疼痛、肿胀、屈伸受限、行走困难等临床症状均有良好疗效,总有效率分别达到90%和87%,但两者有效率无显著性差异(P>0.05);治疗前后各评价指标有非常显著差异(P<0.01);该方法对寒湿型患者的疼痛症状改善明显优于湿热型患者(P<0.05)。结论:温针灸配合海桐皮外洗对寒湿型和湿热型膝关节炎的治疗都有非常显著的疗效,对寒湿型患者的膝关节疼痛改善更加明显。

Objective：To observe and compare the therapeutic effect of warming needle moxibustion and Haitongpi decoction washing on cold - dampness and damp - heat types of gonarthritis. Methods：30 cases of each type is ready, warming needle moxibustion and Haitongpi decoction washing method for treating for a month, using the SF - MPQ and knee function score table to evaluate treatment. Results： Warming needle moxibustion and Haitongpi decoction washing skin have a good effect on the patients of gonarthritis, their knee pains, swell- ing,flexion and extension are better improvement. The total effective rates were 90% and 87% , but both had no significant difference in efficiency （ P 〉 0. 05 ） ; Evaluation before and after treatment had a significant difference （P 〈0. 01 ） ; It is better improvement for cold - dampness type of patients than the clamp - heat type of patients （ P 〈 0. 05 ）. Conclusion： Warming needle moxibustion and Haitongpi decoction washing on the gonarthritis of osteoarthritis of the knee have a very significant effect, especially for the patients of cold - dampness type.