虚寒型膝骨关节炎温针灸治疗效果分析

Analysis of Treatment Effect of Warming Needle Moxibustion on Knee Osteoarthritis of Deficiency Cold Type

目的 观察温针灸与针刺治疗虚寒型膝骨关节炎的实际临床效果,探讨治疗虚寒型膝骨关节炎的有效途径. 方法选取2010年5月~2014年4月笔者医院针灸科虚寒型膝骨关节炎患者83例,随机分成温针灸组（42例）和对照组（41例）,温针灸组给予温针灸方法治疗,对照组采用单纯的针刺治疗,治疗3个疗程,治疗期间密切观察两组患者治疗效果和依从性. 结果 治疗结束后,温针灸组和对照组的治疗有效率分别为95.0%和85.7%,两组比较差异有统计学意义（P〈0.05）;温针灸组和对照组的治疗依从率分别为95.2 %和85.4%,两组比较差异有统计学意义（ P〈0.05）;每个治疗疗程结束时,温针灸组患者关节疼痛的缓解程度均明显高于对照组（P〈0.05）;温针灸组患者关节疼痛程度比较前1个疗程结束时减轻,疗程前后疼痛程度比较差异有统计学意义（P〈0.05）. 结论 采用温针灸疗法治疗虚寒型膝骨关节炎的效果明显优于单纯针刺疗法,值得在临床上推广应用.

Objective To observe the clinical effect of warming needle moxibustion and acupuncture therapy for knee osteoarthritis of deficiency cold type , and explore effective ways to treat knee osteoarthritis of deficiency cold type .Methods Eighty three patients with cold knee osteoarthritis in our hospital from May 2010 to April 2014 type were randomly divided into warming acupuncture group （42 ca-ses） and control group （41 cases）.Patients in warming acupuncture group were given the treatment of warming needle moxibustion meth -od, and those in the control group were given the treatment of simple acupuncture .After three courses of treatment , the treatment effect and compliance of two groups during treatment was closely obserred .Results Efficiency of warming acupuncture group was 95.0%.It had significant difference compared with 85.7%in the control group （P〈0.05）.Treatment compliance rate of warming acupuncture was 95.2%, which was significantly higher than 85.4%of control group （P〈0.05）.At the end of each treatment period , Joint pain relief degree of warming acupuncture group patients were significantly higher than those in control group （P〈0.05）, and joint pain degree of warm acupuncture group reduced significantly after a course reduced compared with it before a course （P〈0.05）.Conclusion The cur-ative effect of warm acupuncture in the treatment on knee osteoarthritis of deficiency cold type is better than that of simple acupuncture therapy.It is worth in clinical application .