温针灸治疗阳虚寒凝型膝骨性关节炎32例临床观察

Clinical observation on warm needling with moxibustion in treating knee osteoarthritis due to yang-insufficiency and cold-congelation

目的观察温针灸治疗阳虚寒凝型膝骨性关节炎的临床疗效。方法将64例膝骨性关节炎患者按照随机数字表法分为温针组和针刺组,各32例。温针组给予针刺"髌九针"结合艾灸治疗,针刺组单纯给予针刺"髌九针"治疗。7 d为1个疗程,治疗6个疗程后比较2组的临床疗效、视觉模拟评分法(VAS)评分、骨关节炎指数(WOMAC)症状评分。结果温针组总有效率为93.75%,针刺组为84.38%,2组比较差异有统计意义(P<0.05);2组治疗后疼痛、晨僵、日常活动、总体症状、VAS评分均明显降低,且温针组降低更显著,差异均有统计意义(P<0.05或P<0.01)。结论温针灸治疗阳虚寒凝型膝骨性关节炎具有较好的临床疗效,优于单纯针刺治疗。

Objective To observe the curative effect of warm needling with moxibustion in treating knee o steoarthritis（ KOA）. Methods 64 cases of KOA were divided into warming-needle group and acupuncture group,32 cases in each. Warming-needle group was given acupuncture on nine acupoints of patella combined with moxibustion therapy; acupuncture group was only given acupuncture treatment on nine acupoints of patella,7 days as one course. VAS,WOMAC and clinical curative effects were compared after 6 courses. Results The total effective rate of warming-needle group was 93.75%,while that of acupuncture group was 84.38%,the difference was significant（ P〈0.05）. Scores of pain,morning stiffness,daily activities,general symptoms were all improved in two groups while changed more in warming-needle group,the difference has a statistic significance（ P〈0.05 or P〈0.01）.Conclusion The combined therapy has good clinical efficiency and advantage over acupuncture alone.