热敏灸配合针刺治疗膝关节骨性关节炎(肝肾亏虚证)60例的临床观察

Clinical observation on treating 60 cases of knee osteoarthritis by moxibustion and acupuncture

目的:验证热敏灸结合针刺治疗膝关节骨性关节炎(KOA)的临床疗效。方法:将60例KOA患者随机分为热敏灸结合针刺组及普通针刺组,每组30例,均选取内外膝眼、阳陵泉、梁丘、血海、足三里、阿是穴针刺;热敏灸组在上述穴位进行往返、回旋灸。采用VAS关节疼痛评判及临床疗效比较。结果:热敏灸结合针刺组以上指标较普通针刺组改善更明显(均P<0.01)。热敏灸结合针刺有效率为93.3%(28/30),针刺组为83.3%(25/30)(P<0.01)。结论:热敏灸结合针刺治疗膝关节骨性关节炎的疗效优于普通针刺疗法,能更好的改善KOA的症状和体征。

Objective： To explore clinical efficacy of moxibustion and acupuncture on knee osteoarthritis. Methods： 60 patients were randomly divided into two groups, one group was given acupuncture at Xiyan, Yanglingquan, Liangqiu, Xuehai, Zusanli, Ashi;another was given moxibustion more. Results： VAS scores of joint pain in moxibustion and acupuncture group was obviously better （P〈0.01）. The efficacy in the moxibustion and acupuncture group was 93.3%, higher than 83.3% in the acupuncture group （P〈0.01）.Conclusion： Moxibustion and acupuncture was good at treating knee osteoarthritis.