温针灸与隔盐灸治疗膝骨关节炎疗效对比研究

Comparative Study of the Efficacies of Warm Needling Versus Salt Moxibustion in Treating Knee Osteoarthritis

目的比较温针灸与隔盐灸治疗膝骨关节炎的临床疗效。方法将120例膝骨关节炎患者随机分为治疗1组、治疗2组和对照组,每组40例。治疗1组采用隔盐灸治疗,治疗2组采用温针灸治疗,对照组采用常规药物治疗。治疗4星期后,比较3组Lysholm膝关节评分、VAS评分、生存质量评分及临床疗效。结果 3组治疗后Lysholm膝关节评分、VAS评分及生存质量评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗1组和治疗2组治疗后Lysholm膝关节评分及VAS评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗1组总有效率为90.0%,治疗2组为87.5%,对照组为70.0%,治疗1组和治疗2组总有效率与对照组比较,差异均具有统计学意义(P<0.05)。结论温针灸与隔盐灸均是治疗膝骨关节炎的有效方法 ,两者疗效相当。

Objective To compare the clinical efficacies of warm needling versus salt moxibustion in treating knee osteoarthritis. Methods One hundred and twenty patients with knee osteoarthritis were randomly allocated to groups Ⅰ and Ⅱ, and control group, 40 cases each. Group Ⅰ received salt moxibustion; group Ⅱ, warm needling; the control group, routine medication. After 4 weeks of treatment, the Lysholm Knee Scoring Scale scores, the VAS scores, the quality of life scores and the clinical therapeutic effects were compared between the three groups. Results There were statistically significant pre-/post-treatment differences in the Lysholm Knee Scoring Scale scores, the VAS scores and the quality of life scores in the three groups （P〈0.05）. There were statistically significant post-treatment differences in the Lysholm Knee Scoring Scale scores and the VAS scores between group Ⅰ or II and the control group （P〈0.05）. The total efficacy rate was 90.0% in group Ⅰ, 87.5% in group Ⅱ and 70.0% in the control group. There was a statistically significant difference in total efficacy rate between group Ⅰ or Ⅱ and the control group （P〈0.05）. Conclusions Warm needling and salt moxibustion are both effective way to treat knee osteoarthritis and have equal therapeutic effects.