火针、温针灸联合治疗膝关节骨性关节炎患者效果

Curative effects of fire needle combined with warming acupuncture through moxibustion in treatment of patients with knee osteoarthritis

目的探讨火针联合温针灸治疗膝关节骨性关节炎的临床效果。方法选择2015年10月~2017年1月本院收治的膝骨性关节炎患者80例,按照随机数字表法分为两组,每组均为40例。对照组行药物及理疗联合治疗,观察组在对照组基础上行火针联合温针灸治疗,随访6个月,比较干预后6个月两组ROM角度与Lysholm评分变化情况,治疗结束时两组炎症相关因子(TNF-α、hs-CRP及IL-1)变化情况,治疗后不同时间(治疗前、治疗后1周、治疗后1月及治疗后3月)膝关节疼痛VAS评分,统计两组临床治疗效果。结果随访6个月发现,观察组ROM角度大于对照组(P<0.05),Lysholm评分高于对照组(P<0.05),治疗结束时,观察组TNF-α、hs-CRP及IL-1均明显低于对照组(P<0.05),治疗后1周、治疗后1月及治疗后3月,观察组膝关节疼痛VAS评分低于同期对照组(P<0.05),观察组治疗后优良率高于对照组(P<0.05)。结论火针、温针灸联合治疗膝关节骨性关节炎,能显著提高膝关节运动能力,减轻炎症及疼痛反应,提高整体临床治疗效果。

Objective To explore clinical curative effects of fire needle combined with warming acupuncture through moxibustion in treatment of patients with knee osteoarthritis. Methods 80 patients with knee osteoarthritis who were admitted and treated in our hospital from October 2015 to January 2017 were selected and they were divided into two groups according to the random number table method, with 40 cases in each group. The control group was given drugs and physiotherapy while the observation group was given fire needle combined with warming acupuncture through moxibustion on basis of the control group. They were followed up for 6 months. The changes of ROM angle and Lysholm score were compared between the two groups at 6 months after intervention. Changes in inflammationrelated factors (TNF-α, hs-CRP, and IL-1) between the two groups at the end of treatment were compared. The VAS scores of knee pain were compared at different times after treatment (pre-treatment, 1 week after treatment, 1 month after treatment, and 3 months after treatment). The clinical curative effects of the two groups were statistically analyzed. Results After 6 months of follow-up, the ROM angle of the observation group was greater than that of the control group (P < 0.05). Lysholm score was higher than that of the control group (P < 0.05). At the end of treatment, TNF-α, hs-CRP and IL-1 were significantly lower in the observation group than those in the control group (P < 0.05). On one week after treatment, one month after treatment and three months after treatment, the VAS score of knee joint pain in the observation group was lower than that of the control group (P < 0.05). The excellent and good rate of the observation group was higher than that of the control group (P < 0.05). Conclusion Fire needle combined with warming acupuncture through moxibustion in treatment of patients with knee osteoarthritis can improve the knee joint motor ability, reduce inflammation and pain reactions and improve the overall clinical curative effects.