隔附子饼灸治疗肝肾不足型膝骨关节炎的临床观察

Clinical Observations on the Treatment of Primary Genual Osteoarthritis of Liver-kidney Depletion Type by Aconite Cake-separated Moxibustion

目的观察隔附子饼灸治疗肝肾不足型膝原发性骨关节炎的疗效。方法将56例患者,共80膝随机分为两组,治疗组用隔附子饼灸治疗,对照组口服双氯芬酸钠缓释片治疗。结果两组各单项症状、体征分级量化积分治疗前后比较差异均有统计学意义(P<0.01);两组各症状、体征分级量化积分经治疗后均有明显改善,其中晨僵或起床后疼痛、从坐位站立时疼痛或不适、走下标准登机梯、蹲下或弯曲膝关节、在不平的路面上行走各单项积分治疗组优于对照组(P<0.05)。治疗结束后两组间综合疗效比较差异无统计学意义(P>0.05)。结论隔附子饼灸法在改善部分症状方面疗效理想。

Objective To investigate the efficacy of aconite cake-separated moxibustion in treating primary genual osteoarthritis of liver-kidney depletion type. Methods Fifty-six patients, a total of 80 knees, were randomly allocated to two groups. The treatment group was treated by aconite cake-separated moxibustion and the control group, by oral administration of dielofenae sodium slow-release tablets. Results There were statistically significant differences in each symptom and sign scale score between pre- and posttreatment in both groups （P 〈 0. 01 ）. Each symptom and sign scale score signifieantly improved after treatment in both groups. Each of the scores of the items including morning stiffness or pain after getting up, pain or discomfort during standing up from a seat, going down a standard boarding ladder, squatting or bending knee joints, and walking on a rough road was significantly lower in the treatment group than in the control group （P 〈 0.05 ）. There was no statistically significant difference in global therapeutic effect between the two groups at the end of treatment （P 〉 0.05）. Conclusion Aconite cake-separated moxibustion has an ideal relieving effect on part of the symptoms.