温针灸合三色敷药治疗膝骨关节炎疗效观察

Observations on the Efficacy of Warm Needling Moxibustion plus Tricolor Medicinal Paste in Treating Knee Osteoarthritis

目的评价温针灸配合三色敷药治疗膝骨关节炎的临床疗效。方法将91例符合诊断标准的患者随机分为治疗组(45例)、对照组(46例),治疗组予温针灸配合三色敷药治疗,对照组给予温针灸治疗。观察两组临床疗效及WOMAC评分,评价治疗前后患者膝骨关节炎症状改善情况。结果两组治疗前后疼痛、日常活动及WOMAC总分均有显著差异(P<0.05),但晨僵改善不明显(P>0.05)。两组组间比较中,日常活动及WOMAC总分比较有明显差异(P<0.05),疼痛及晨僵评分无明显差异(P>0.05)。结论研究表明温针灸合用三色敷药外敷对于改善膝关节炎患者的疼痛、肿胀及生理功能有显著作用,进一步提高下肢的日常活动功能,可获得满意而稳定的疗效。

Objective To investigate the clinical efficacy of warm needling moxibustion plus tricolor medicinal paste in treating knee osteoarthritis. Method Ninety-one patients meeting the diagnostic criteria were randomly allocated to a treatment group（45 cases） and a control group（46 cases）. The treatment group was given warm needling moxibustion plus tricolor medicinal paste and the control group, warm needling moxibustion alone. The clinical therapeutic effect and the WOMAC score were observed in the two groups. An improvement in the symptoms of knee osteoarthritis was assessed in the patients after treatment. Result In both groups, there were statistically significant pre-/post-treatment differences in the pain and daily activity scores and the WOMAC total score（P〈0.05） but not in the morning stiffness score（P〉0.05）. There were statistically significant differences in the daily activity score and the WOMAC total score（P〈0.05） but not in the pain and morning stiffness scores（P〉0.05） between the two groups. Conclusion The study shows that warm needling moxibustion plus external application of tricolor medicinal paste has a marked improving effect on the pain, swelling and physiological functions in patients with knee osteoarthritis. Improving lower limb function further in daily activities can produce a satisfactory and stable therapeutic effect.