温针灸治疗膝骨关节炎临床研究

Clinical Study on Warming-Needle Moxibustion for Knee Osteoarthrits

目的:观察温针灸治疗膝骨关节炎对缓解患者膝关节疼痛及膝关节活动能力的影响。方法:将113例膝骨关节炎患者按数字奇偶顺序法分为研究组57例与对照组56例,对照组给予扶他林治疗,研究组在对照组基础上给予温针灸治疗。比较2组治疗后临床疗效,并比较2组治疗前后膝关节疼痛、膝关节活动能力、骨关节炎指数及骨代谢指标。结果:研究组治疗后临床总有效率94.74%,高于对照组78.57%(P<0.05)。治疗前,2组VAS评分、Lyshlom评分比较,差异无统计学意义(P>0.05);治疗后,2组视觉模拟评分法(VAS)评分降低(P<0.05),Lyshlom评分升高(P<0.05),且研究组VAS评分低于对照组(P<0.05),Lyshlom评分高于对照组(P<0.05)。治疗前,2组西安大略和麦克马斯特大学骨关节炎指数(WOMAC)各项评分比较,差异无统计学意义(P>0.05);治疗后,2组WOMAC各项评分均降低(P<0.05),且研究组低于对照组(P<0.05)。治疗前,2组血清降钙素(CT)、骨钙蛋白(BGP)及骨保护蛋白(OPG)水平比较,差异无统计学意义(P>0.05);治疗后,2组CT、BGP、OPG水平均升高(P<0.05),且研究组高于对照组(P<0.05)。结论:温针灸治疗膝骨关节炎临床疗效显著,可有效缓解膝关节疼痛,提高膝关节活动能力及骨代谢水平,减轻膝骨关节炎严重程度。

Objective:To observe the effect of warming-needle moxibustion on relieving knee joint pain and knee joint activity in patients with knee osteoarthritis.Methods:A total of 113 cases of patients with knee osteoarthritis were divided into the study group(57 cases) and the control group(56 cases)according to the odd-even number grouping method.The control group was treated with Voltalin,and the study group was treated with Voltalin and warming-needle and moxibustion.Clinical effects were compared between the two groups.Before and after treatment,the knee joint pain,knee joint activity,osteoarthritis indexes and bone metabolism indexes in the two groups before and after treatment were compared.Results:The total clinical effective rate was 94.74% in the study group,higher than that of 78.57% in the control group(P0.05).After treatment,VAS scores in the two groups were decreased(P0.05).After treatment,each score of WOMAC in the two groups was decreased(P0.05).After treatment,levels of CT,BGP and OPG in the two groups were increased(P<0.05),and the levels in the study group were higher than those in the control group(P<0.05).Conclusion:Warming-needle and moxibustion has a significant clinical effect in treating knee osteoarthritis,which can effectively relieve knee joint pain,improve knee joint activity and bone metabolism,and reduce the severity of knee osteoarthritis.