热敏灸配合推拿治疗膝骨关节炎疗效观察

Therapeutic Observation of Heat-sensitive Moxibustion plus Tuina for Knee Osteoarthritis

目的观察热敏灸配合推拿治疗膝骨关节炎的临床疗效。方法将80例膝骨关节炎患者随机分为治疗组和对照组,每组40例。治疗组采用热敏灸配合推拿治疗,对照组采用单纯推拿手法治疗,疗程为1个月。比较两组治疗前后骨性关节炎指数可视化量表(WOMAC)评分并评定疗效。结果两组患者治疗后WOMAC各项评分(疼痛评分、僵硬评分、日常活动功能评分及总评分)与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后WOMAC量表疼痛评分、日常活动功能评分及总评分与对照组比较,差异均具有统计学意义(P<0.01)。治疗组总有效率为95.0%,对照组为77.5%,两组比较差异具有统计学意义(P<0.01)。结论热敏灸配合推拿是一种治疗膝骨关节炎的有效方法,在改善膝骨关节炎疼痛及日常活动功能方面优于单纯推拿手法治疗。

Objective To observe the clinical efficacy of heat-sensitive moxibustion plus tuina in treating knee osteoarthritis （KOA）. Method Eighty KOA patients were randomized into a treatment group and a control group, 40 in each group. The treatent group was by heat-sensitive mc3xibustion plus tuina, and the control group was only by tuina treatment, with 1 month as a treatment course. The Western Ontario and McMaster Universities Arthritis Index （WOMAC） was used for therapeutic evaluation. Result After treatment, the scores of WOMAC （pain score, stiffness score, activities of daily living score, and general score） were changed significantly in the two groups （P〈0.01）. The pain score, activities of daily living score, and general score of the treatment group were significantly different from those of the control group （P〈0.01）. The total effective rate was 95.0% in the treatment group versus 77.5% in the control1 group, and the difference was statistically significant （P〈0.01）. Conclusion Heat-sensitive moxibustion plus tuina is an effective method in treating KOA, and it＇s better than single tuina treatment in improving pain and activities of daily living.