温和灸联合运动训练治疗膝骨关节炎临床研究

Clinical Study of Mild Moxibustion Combined with Sports Training for Knee Osteoarthritis

目的观察温和灸联合运动训练治疗膝骨关节炎(KOA)的临床疗效及其对KOA患者疼痛、僵硬和日常活动的影响。方法采用完全随机设计方法将100例KOA患者分为观察组和对照组,每组50例。对照组采用艾条温和灸,观察组在对照组治疗基础上联合运动训练,两组均治疗4周。观察两组治疗前后疼痛视觉模拟量表(VAS)和西安大略与麦克马斯特大学骨关节炎指数(WOMAC)的评分变化。比较两组临床疗效。结果治疗后,两组VAS评分及WOMAC总评分和各单项评分均较同组治疗前降低(P<0.01);且观察组治疗前后WOMAC总评分差值与对照组比较,差异有统计学意义(P<0.05)。观察组治疗前后WOMAC关节僵硬及日常活动困难单项评分差值与对照组比较,差异有统计学意义(P<0.05)。观察组临床总有效率优于对照组,差异具有统计学意义(P<0.05)。结论温和灸联合运动训练可缓解KOA患者关节疼痛和僵硬,可改善患者日常活动困难,疗效优于单纯温和灸。

Objective To observe the clinical efficacy of mild moxibustion plus sports training in treating knee osteoarthritis(KOA)and its impact on patients’pain,stiffness,and daily activities.Method A complete randomization design was adopted to divide 100 KOA patients into an observation group and a control group,with 50 cases in each group.The control group was offered moxa-stick mild moxibustion treatment,and the observation group was given additional sports training,lasting for four weeks.Before and after the treatment,the scores of visual analog scale(VAS)and Western Ontario and McMaster Universities osteoarthritis index(WOMAC)were observed for the two groups,and the clinical efficacy was compared.Result After the treatment,the VAS scores and WOMAC total and single scores dropped in both groups(P<0.01),and the post-treatment change in the WOMAC general score in the observation group was significantly different from that in the control group(P<0.05).There were significant differences between the two groups in the post-treatment changes in the scores of joint stiffness and difficulties in daily activities in WOMAC(P<0.05).The observation group had a higher clinical total effective rate compared with the control group,and the difference was statistically significant(P<0.05).Conclusion In treating patients with KOA,mild moxibustion plus sports training can alleviate joint pain and stiffness and improve the difficulties in daily activities,producing more significant efficacy than mild moxibustion alone.