神阙灸配合电针治疗阳虚寒凝型膝骨关节炎疗效观察

Observation on therapeutic effect of moxibustion at Shenque(CV 8) combined with electroacupuncture on gonarthritis of type of accumulation of pathogenic cold due to yang deficiency

目的:评价神阙灸配合电针局部穴位治疗阳虚寒凝型膝骨关节炎(Osteoarthritis,OA)的作用。方法:采用单盲、随机对照的设计方法,将60例(104膝)患者随机分为2组,观察组30例(54膝),采用神阙灸配合电针局部针刺犊鼻、内膝眼、阳陵泉、阿是穴等;对照组30例(50膝),用神阙安慰灸配合电针局部治疗,穴位同观察组。2组均每日治疗1次,10次为一疗程,经1个疗程治疗后,比较疗效结果,1个月后随访,再次评价疗效。结果:观察组治疗后疼痛疗效结果为临床治愈42膝、显效11膝、有效1膝,综合疗效结果为优37膝、良16膝、可1膝;对照组治疗后疼痛疗效结果为临床治愈13膝、显效35膝、有效2膝,综合疗效结果为优9膝、良40膝、可1膝,2组结果经秩和检验,均P<0.01,差异均有非常显著性意义,观察组优于对照组。1个月后随访时2组间疼痛疗效和综合疗效结果经秩和检验,其中疼痛疗效P>0.05,综合疗效比较,P<0.01。结论:神阙灸配合电针局部穴位治疗阳虚寒凝型膝OA具有较好的临床疗效,优于神阙安慰灸配合电针局部穴位者。

Objective To evaluate the effect of moxibustion at Shenque （CV 8） combined with electroacupuncture on gonarthritis of type of accumulation of pathogenic cold due to yang deficiency. Methods The single-blind, randomized and controlled design method was adopted, and 60 cases （104 knees） were divided into an observation group （34 cases, 54 knees） and a control group （30 cases, 50 knees）. The observation group were treated with moxibustion at Shenque （CV 8） and local electroacupuncture at Dubi （ST 35）, Neixiyan （EX-LE 5）, Yanglingquan （GB 34） and Ashi points, and the control group were treated with sham moxibustion at Shenque （CV 8） and local electroacupuncture at the above points. The treatment was given once each day in the two groups and 10 sessions constituted one course. After treatment of one course and at following-up one month later, their therapeutic effects were compared. Results After treatment, for the pain-killing effect, 42 knees were clinically cured, 11 knees were markedly effective and 1 knee was effective and for the comprehensive therapeutic effect, 37 knees were excellent, 16 knees were good, and 1 knee was OK in the observation group; and for the pain-killing effect, 13 knees were clinically cured, 35 knees were markedly effective and 2 knees were effective and for the comprehensive effect, 9 knees were 6xcellent, 40 knees were good and 2 knees were OK in the control group, with very significant differences between the two groups （P〈0. 01）, the observation group being better than the control group. At the following-up one month later, there was no significant difference in the pain-killing effect （P〉0. 05） and a very significant difference （P〈0.01） in the comprehensive effect between the two groups. Conclusion Moxibustion at Shenque （CV 8） combined with electroacupuncture at local points has a better clinical effect on gonarthritis of type of accumulation of pathogenic cold due to yang deficiency, which is better than that of sham moxibustion at Shenque （CV 8） combined with electroacupuncture at local points .