温针灸法结合运动疗法对退行性膝关节炎的疗效观察

Clinical observation on treating degenerative arthritis of knee joint by warming acupuncture and moxibustion plus exercise therapy

目的：观察温针灸法结合运动疗法对退行性膝关节炎的综合康复疗效.方法：收集96例退行性膝关节炎患者,随机分为观察组和对照组,每组48例.观察组采用温针灸法结合运动疗法,对照组采用普通针刺疗法.根据疼痛量表、关节活动度的改变情况对比分析两组疗效.结果：所有患者随访3～12个月,两组疗效经Ridit检验,观察组显效率（33.3%）和总有效率（95.8%）明显高于对照组（分别为25.0%、87.5%）,差异有统计学意义（P〈0.05）.结论：温针灸结合运动疗法能明显缓解膝关节疼痛和扩大膝关节活动度,值得临床推广应用.

Objective： To observe clinical comprehensive efficacy of warming acupuncture and moxibustion plus exercise therapy on degenerative arthritis of knee joint. Methods： 96 patients with degenerative arthritis of the knee were randomly divided into the observation group and the control group, 48 cases for each group. The observation group was given warming acupuncture and moxibustion plus exercise therapy; the control group was given ordinary acupuncture treatment. Clinical efficacy in two groups was compared by painscale and joint range of motion. Results： All patients were followed up 3～12 months, clinical efficacy in two groups was tested by Ridit.The markedly effective rate and total efficiency was 33.3% and 95.8% in the observation group, all those in control group was 25.0% and87.5%, differences were statistically significant （P〈0.05）. Conclusion： Warming acupuncture and moxibustion plus exercise therapy ondegenerative arthritis of knee joint could significantly relieve knee pain and improve knee movement, and are worthy of clinical application.