不同温针灸量治疗膝骨关节炎的疗效对比研究

Comparative Study on Different Doses of Warm Needling for Knee Osteoarthritis

目的观察不同温针灸量治疗膝骨关节炎的临床疗效。方法将67例膝骨关节炎患者随机分为A组16例,B组17例,C组18例和D组16例。A组、B组和C组采用温针治疗,其中A组艾灸1壮,B组艾灸2壮,C组艾灸3壮。D组采用关节腔内注射玻璃酸钠治疗。观察各组治疗前后疼痛视觉模拟评分(VAS)及Lysholm膝关节评分量表评分变化情况。结果 4组治疗后VAS评分和Lysholm膝关节评分量表评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。B组和C组治疗后VAS评分和Lysholm膝关节评分量表评分与A组比较,差异均具有统计学意义(P<0.05,P<0.01)。B组和C组治疗后VAS评分和Lysholm膝关节评分量表评分与D组比较,差异均具有统计学意义(P<0.05,P<0.01)。结论温针疗法是一种治疗膝骨关节炎的有效方法,其中艾灸2壮效果最佳。

Objective To observe the clinical efficacy of different doses of warm needling in treating knee osteoarthritis（KOA）. Method Sixty-seven KOA patients were randomized into group A of 16 cases, group B of 17 cases, group C of 18 cases, and group D of 16 cases. Group A, B, and C were intervened by warm needling, 1 moxa cone for group A, 2 cones for group B, and 3 cones for group C. Group D was intervened by intra-articular injection with Sodium hyaluronate. The Visual Analogue Scale（VAS） and Lysholm Knee Scoring Scale（LKSS） were evaluated before and after intervention. Result The VAS and LKSS scores were significantly changed in the four groups after intervention（p〈0.01）. After intervention, the VAS and LKSS scores in group B and C were significantly different from that in group A（p〈0.05,p〈0.01）. After intervention, the VAS and LKSS scores in group B and C were significantly different from that in group D（p〈0.05,p〈0.01）. Conclusion Warm needling is an effective method in treating KOA, and warm needling with 2 moxa cones can produce the best effect.