不同壮数温针灸对阳虚寒凝型膝骨性关节炎的疗效比较

Comparison of the Effects of Different Strong Temperature Acupuncture and Moxibustion on YIN Deficiency and Cold Coagulation Knee Osteoarthritis

目的比较不同壮数温针灸对阳虚寒凝型膝骨性关节炎的临床疗效。方法便利选择2016年3月—2018年6月就诊于该院针灸科的80例阳虚寒凝型膝骨性关节炎患者,按照就诊顺序编号随机分为两组,每组40例,均实施温针灸治疗,甲组、乙组各施灸1壮、2壮,对比两组治疗效果。结果治疗前甲组(15.30±2.21)分、乙组症状积分(15.72±2.18)分相似,差异无统计学意义(t=0.013,P>0.05),经过治疗后,两组症状积分均有所下降,乙组症状积分(3.22±1.60)分明显低于甲组(7.51±2.84)分,差异有统计学意义(t=14.854,P<0.05);治疗前甲组(6.91±1.85)分、乙组膝关节疼痛评分(7.11±1.65)分相似,差异无统计学意义(t=0.498,P>0.05),经过治疗后,两组疼痛评分均有所下降,乙组疼痛评分(2.91±1.22)分明显低于甲组(4.29±1.50)分,差异有统计学意义(t=11.370,P<0.05);两组治疗期间均未出现严重不适症状或不良反应。结论不同壮数温针灸对阳虚寒凝型膝骨性关节炎均有一定疗效,但2壮在疗效上更为突出,优势显著。

Objective To compare the clinical effects of different strong temperature acupuncture and moxibustion on yang deficiency and cold coagulation knee osteoarthritis.Methods Convenient select eighty patients with yang deficiency and phlegm-type knee osteoarthritis who were admitted to the acupuncture department of the hospital from March 2016 to June 2018 were randomly divided into two groups according to the order of the treatment,40 cases in each group.Warm acupuncture treatment,group A,group B each moxibustion 1 gel,2 gel,contrast treatment effect.Results Before treatment,group A(15.30±2.21)points and group B symptom scores(15.72±2.18)points were similar,the difference was not statistically significant(t=0.013,P>0.05).After treatment,the two groups Symptom scores were decreased.Group B symptom scores(3.22±1.60)points were significantly lower than group A(7.51±2.84)points,the difference was statistically significant(t=14.854,P<0.05);before treatment Group A(6.91±1.85)points and group B knee pain scores(7.11±1.65)points were similar,the difference was not statistically significant(t=0.498,P>0.05).After treatment,the pain scores of the two groups.The pain scores in group B(2.91±1.22)points were significantly lower than those in group A(4.29±1.50)points,the difference was statistically significant(t=11.370,P<0.05);No serious discomfort or adverse reactions occurred.Conclusion Different acupuncture and moxibustion have certain curative effect on yang deficiency and cold coagulation knee osteoarthritis,but 2 gel in effect is more prominent and has obvious advantages.