温针灸治疗虚寒型膝骨关节炎疗效观察

Observation on therapeutic effect of warming needle moxibustion on knee osteoarthritis of deficiency-cold type

目的:对比温针灸与单纯针刺治疗膝骨关节炎的临床疗效。方法:120例符合膝骨关节炎诊断标准,中医辨证为肾阳虚寒证的患者,随机分为温针灸组和单纯针刺组,两组均取关元、气海、足三里等穴,用关节疼痛量表、膝骨关节炎病情严重性指数量表、寒证辨证因子等级评分作为疗效评定标准,评价两种疗法的疗效。结果:温针灸和针刺疗法均能缓解膝骨关节炎的疼痛,改善膝关节的功能障碍,减轻症状,温针灸疗法的临床基本痊愈率为32·1%,总有效率96·4%,优于单纯针刺组的7·4%、92·6%。结论:温针灸是治疗肾阳虚寒型膝骨关节炎的有效疗法。

Objective To compare clinically therapeutic effects of warming needle moxibustion and simple acupuncture on knee osteoarthritis. Methods One hundred and twenty cases conformed with the diagnostic criteria of knee osteoarthritis with TCM kidney-yang deficiency and cold syndrome were randomly divided into a warming needle moxibustion group and a simple acupuncture group. Guanyuan （CV 4）, Qihai （CV 6）, Zusanli （ST 36） and others were selected in the two groups. Their therapeutic effects were assessed with joint pain scale, knee osteoarthritis severity index scale and cold syndrome differentiation factors. Results Both warming needle moxibustion and simple acupuncture Could alleviate pain of knee osteoarthritis, improve dysfunction of the knee joint, reduce symptoms. The clinically basic cured rate and the total effective rate were 32.1% and 96.4% in the warming needle moxibustion group, which were better than 7.4% and 92.6% in the simple acupuncture group, Conclusion Warming needle moxibustion is an effective therapy for knee osteoarthritis with kidney-yang deficiency and cold type.