阳虚寒凝型膝骨性关节炎患者使用温针灸治疗的临床价值及可行性分析

Clinical value and feasibility analysis of warm acupuncture and moxibustion for patients with knee osteoarthritis of Yang deficiency and cold coagulation type

目的:分析阳虚寒凝型膝骨性关节炎患者使用温针灸治疗的临床价值及可行性。方法:选定湘乡市中医医院2018年6月-2020年6月住院治疗的92例阳虚寒凝型膝骨性关节炎患者,以双盲随机抽样法分组(每组样本容量总计46例),对照组采纳常规西医治疗,观察组采纳温针灸治疗,对比两组临床疗效、视觉模拟评分法评分、西安大略和麦克马斯特大学骨关节炎指数量表评分、血清炎症因子、不良反应发生率。结果:观察组临床总有效率高于对照组,观察组治疗后视觉模拟评分法评分、西安大略和麦克马斯特大学骨关节炎指数量表评分、血清超敏C反应蛋白、肿瘤坏死因子-α、白细胞介素-18因子均低于对照组,观察组不良反应发生率低于对照组(P <0.05)。结论:温针灸可有效减轻阳虚寒凝型膝骨性关节炎患者疼痛感及炎症反应且不良反应较少,值得借鉴。

Objective:To analyze the clinical value and feasibility of warm acupuncture in the treatment of knee osteoarthritis(KOA) of Yang deficiency(阳虚) and cold coagulation type.Methods:92 cases were divided into two groups,46 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated by warm acupuncture.Results:The clinical total efficiency in the observation group was higher than the control group.After treatment,the VAS score,WOMAC score,serum hs-CRP,TNF-α,IL-18 factors in the observation group were lower than the control group,and the incidence of adverse reactions in the observation group was lower than the control group(P<0.05).Conclusion:Warm acupuncture can effectively reduce the pain and inflammatory reaction of KOA patients with Yang deficiency and cold coagulation type,and the adverse reactions are fewer,which is worthy of reference.