电针加隔姜灸治疗阳虚寒凝型膝骨关节炎疗效观察

Clinical Observation on Therapeutic Effect of Electroacupuncture and Ginger-Purtitioned Moxibustion on Knee Osteoarthritis of Yang Deficiency and Cold Coagulation Type

目的:观察电针加隔姜灸法治疗阳虚寒凝型膝骨关节炎的临床疗效。方法:将符合纳入标准的65例患者按抛硬币法分组,治疗组43例采用电针加隔姜灸治疗,对照组22例采用美洛昔康片和活络消痛胶囊治疗,14天1个疗程。疗程结束,比较两组治疗前后膝骨关节HSS评分、膝骨关节炎病情严重程度指数、虚寒证辨证因子等级评分,观察中医证候疗效。结果:治疗组总有效率达100.0%,优于对照组86.36%(P<0.01);治疗后两组膝骨关节炎病情严重程度指数及虚寒证辨证因子等级评分比较有显著性差异(P<0.01或P<0.05),膝骨关节HSS评分比较无差异(P>0.05)。结论:电针加隔姜灸是治疗阳虚寒凝型膝骨关节炎的较佳方法。

Objective：To investigate the therapeutic efficacy of Electroacupuncture and Ginger-Purtitioned Moxibustion on Knee Osteoarthritis of Deficiency-cold type. Methods ： Sixty-five patients conformed with the inclusion criteria were divided into two groups, randomized by a coin toss method. Observation group （ 43 cases ） were treated by Electroacupuncture and Giuger-Purti- tioned Moxibustion,while Control group（22 cases）were treated by Meloxicam tablets and Huoluo-Xiaot0ng Capsule. Through the 14 days, the therapeutic effects were assessed with HSS knee rating scale, knee osteoarthritis severity index, cold syndrome differ- entiation factors and clinical syndromes between the both groups. Results：The total effective rate was 100% in the observation group,which was better than that in the control group（86.36% ） （P 〈 0.01 ）. After treatment, comparison of most indicators be- tween the two groups were significantly different（ P 〈 0.01 or P 〈 0.05 ）, except knee osteoarthritis HSS score （ P 〉 0.05 ）. Conclusion ： Electroacupuncture plus Ginger-Purtitioned Moxibustion is a better therapy for Knee Osteoarthritis of Yang deficiency and cold coagulation type.