雷火灸联合双柏散外敷治疗轻中度膝骨关节炎疗效观察

Efficacy of thunder-fire moxibustion combined with external applicaion of Shuangbai powder for mild and moderate knee osteoarthritis

目的:比较雷火灸联合双柏散外敷与单纯雷火灸治疗轻中度膝骨关节炎的疗效。方法:将70例轻中度膝骨关节炎患者随机分为观察组与对照组,每组35例。观察组采用雷火灸联合双柏散外敷治疗,雷火灸取穴为血海、梁丘、内膝眼、阳陵泉及阿是穴,在雷火灸治疗完成后对患膝行双柏散外敷;对照组采用单纯雷火灸治疗,均每日1次,7 d为一疗程,疗程间休息1 d,连续观察4个疗程。采用疼痛视觉模拟量表(VAS)评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)量表评分对两组患者治疗前后膝关节疼痛、僵硬、日常活动功能进行评价,并评定两组疗效。结果:两组治疗后VAS评分、WOMAC总分及疼痛、僵硬、日常活动功能各分项评分均较治疗前下降(均P<0.01);治疗后观察组以上各项评分均低于对照组(P<0.01,P<0.05);观察组总有效率为97.0%(32/33),优于对照组的91.2%(31/34,P<0.05)。结论:雷火灸联合双柏散外敷在改善轻中度膝骨关节炎患者症状及延缓病情发展方面效果优于单纯雷火灸治疗。

Objective To compare the therapeutic effect between thunder-fire moxibustion combined with external applicaion of Shuangbai powder and thunder-fire moxibustion alone for mild and moderate knee osteoarthritis. Methods A total of 70 patients with mild and moderate knee osteoarthritis were randomly divided into an observation group and a control group, 35 cases in each group. In the observation group, thunder-fire moxibustion combined with external applicaion of Shuangbai powder were applied, Thunder-fire moxibustion was applied at Xuehai(SP 10), Liangqiu(ST 34), Neixiyan(EX-LE 4), Yanglingquan(GB 34) and ashi point, external applicaion of Shuangbai powder was given to the affected knee after the treatment of thunder-fire moxibustion. Simple thunder-fire moxibustion was given in the control group. All patients in the two groups were treated once a day, 7 days as one course and the consecutive 4 courses were required, with an interval of 1 day between courses. Before and after treatment, the visual analogue scale(VAS) score and Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC) score were used to assessed knee pain, stiffness and physical function in the two groups. In addition, the efficacy was evaluated. Results Compared before treatment, the VAS scores, total scores of WOMAC, pain scores, stiffness scores and physical function scores were reduced after treatment in the two groups(P<0.01), and the scores in the observation group were significantly lower than those in the control group(P<0.01, P<0.05). The total effective rate was 97.0%(32/33) in the observation group, which was superior to 91.2%(31/34) in the control group(P<0.05). Conclusion Thunder-fire moxibustion combined with external applicaion of Shuangbai powder are superior to simple thunder-fire moxibustion in improving the symptoms and delaying the development of the disease for mild and moderate knee osteoarthritis.