平衡针结合灸法治疗肝肾亏虚型膝骨性关节炎的临床效果

Clinical efficacy of balance acupuncture combined with moxibustion for treating knee osteoarthritis of liver and kidney deficiency

目的观察平衡针结合灸法治疗肝肾亏虚型膝骨性关节炎(KOA)的临床效果。方法将60例KOA患者随机分为观察组与对照组,每组30例。观察组采用平衡针结合灸法治疗,对照组给予塞来昔布胶囊口服。于治疗前以及治疗后5 min、30 min、1周、2周、4周及3个月,采用视觉模拟量表(VAS)和西安大略与麦克马斯特大学(WOMAC)骨性关节炎指数分别评估患者膝关节疼痛及功能状况。比较两组治疗总有效率、治疗期间不良反应发生情况及治疗后3个月的复发情况。结果治疗后各时点,观察组VAS评分及WOMAC各项目得分均较治疗前降低,且除治疗后1周外评分均低于对照组;除治疗后5min外,对照组治疗后各时点上述指标均较治疗前降低(均P<0.05)。观察组总有效率高于对照组,而复发率低于对照组(均P<0.05)。观察组未出现不良反应。结论平衡针结合灸法治疗肝肾亏虚型KOA具有明确的即刻镇痛效应,在远期疗效上亦表现出一定的优势。

Objective To observe the clinical efficacy of balance acupuncture combined with moxibustion for treating knee osteoarthritis(KOA) of liver and kidney deficiency.Methods Sixty patients with KOA were randomly divided into observation group and control group,with 30 cases in each group.The observation group was treated with balance acupuncture combined with moxibustion,whereas the control group was orally administered Celecoxib Capsule.Before treatment and 5 minutes,30 minutes,1 week,2 weeks,4 weeks and 3 months after treatment,Visual Analogue Scale(VAS) and Western Ontario and McMaster Universities(WOMAC) were employed to assess knee joint pain and function of the patients,respectively.The total therapeutic effective rate,the incidence of adverse reactions during the treatment and the recurrence at 3 months after treatment were compared.Results At various time points after treatment,the observation group had lower VAS scores and lower scores for various WOMAC items in comparison with before treatment,and the control group(except for 1 week after treatment);except the scores at 5 minutes after treatment,the above mentioned indicators of various time points after treatment in the control group were decreased in comparison with before treatment(all P<0.05).The observation group obtained a higher total effective rate and a lower recurrence rate compared to the control group(all P<0.05).No adverse reactions occurred in the observation group.Conclusion balance acupuncture combined with moxibustion exerts a definite immediate analgesic efficacy for treating KOA of liver and kidney deficiency,and also exhibits advantages in long-term efficacy.