髌五针加灸法治疗膝关节骨性关节炎的临床观察

Clinical observation on treating knee osteoarthritis by acupuncture and moxibustion at the Binwuzhen points

目的:观察髌五针加灸法治疗膝关节骨性关节炎的临床疗效。方法:将符合纳入标准的64例膝关节骨性关节炎患者随机分为观察组和对照组,各32例,观察组采用髌五针加灸法治疗,对照组采用普通温针治疗,根据疼痛视觉模拟评分法(Visual Analogue Scale,VAS)评分及国际骨关节炎评分标准Lequesne指数评分评价两组疗效。结果:与自身治疗前比,治疗3周后、治疗5周后两组患者VAS评分、Lequesne指数评分均明显下降,差异均有统计学意义(P <0.05);两组间VAS评分、Lequesne指数评分比较,观察组明显低于对照组,差异有统计学意义(P <0.05);观察组总有效率高于对照组,差异有统计学意义(P <0.05)。结论:髌五针加灸法治疗能明显降低膝关节骨性关节炎患者VAS评分、Lequesne指数评分,改善临床症状,其疗效优于对照组,值得临床推广应用。

Objective: To observe the clinical effect of acupuncture and moxibustion at the Binwuzhen points(髌五针穴) on knee osteoarthritis. Methods: 64 cases were randomly divided into the observation group and the control group, 32 cases in each. The observation group was treated by acupuncture and moxibustion at the Binwuzhen points. The control group was treated by ordinary warm acupuncture. Results: Compared with before treatment, in 3 weeks and 5 weeks, VAS scores and Lequesne index scores in the groups were decreased significantly, and in the observation group was significantly lower than the control group, P<0.05. The total efficiency in the observation group was significantly higher than the control group(P<0.05). Conclusion: Acupuncture plus moxibustion at the Binwuzhen points can significantly reduce the VAS and Lequesne index scores of patients with knee osteoarthritis, improve clinical symptoms. Its curative effect is better than the control group, and it is worthy of clinical application.