温针灸结合中药汤剂内服外敷治疗风寒湿痹型膝骨性关节炎临床疗效

Curative Effect of Needle Warming Moxibustion Combined with Internal and External Traditional Chinese Medicine Decoction for Treating Wind Cold Dampness Arthralgia of Knee Osteoarthritis

目的：观察温针灸结合中药汤剂内服外敷治疗风寒湿痹型膝骨性关节炎的临床疗效。方法：选取2011年4月—2013年7月门诊就诊及住院的膝骨性关节炎患者,将纳入研究的134例患者随机分为两组,各67例。观察组采用温针灸结合中药汤剂内服外敷治疗,对照组采用单纯中药汤剂内服外敷治疗。治疗30 d后,观察两组患者的治疗效果,并评估症状积分减少情况与生化指标变化情况。结果：两组患者经30 d治疗,观察组有效率89.6%,对照组有效率71.4%,观察组疗效明显优于对照组,两组比较有显著性差异（P〈0.05）;30 d治疗后,观察组症状积分以及白细胞介素-1β、肿瘤坏死因子-α改善程度与对照组比较有显著性差异（P〈0.05）。结论：温针灸结合中药汤剂内服外敷治疗风寒湿痹型膝骨性关节炎的临床疗效优于单纯中药汤剂内服外敷治疗,可有效抑制炎性反应,改善患者临床症状,减轻其关节损伤。

Objective：To observe the curative effect of needle warming moxibustion combined with internal and external traditional Chinese medicine decoction for treating wind cold dampness arthralgia of knee osteoarthritis. Methods：134 cases of patients were randomly divided into two groups of 67 cases in each. The observation group was treated with needle warming moxibustion combined with internal and external traditional Chinese medicine decoction for treatment,the control group treated with decoction of Chinese medicine internal and external treatment. Treatment effects were observed after 30 days of treatment,and evaluate the symptom reduction. Results：The effective rate of the observation group was 89.6% after 30 days of treatment,significant better than 71.4% of the control group,the difference was statistically significant（P〈0.05）;After 30 days of treatment,the integral between the observation group and the control group was significantly different（P〈0.05）. Conclusion：Needle warming moxibustion combined with internal and external traditional Chinese medicine decoction has a better clinical efficacy than internal and external traditional Chinese medicine decoction.