艾灸治疗膝关节骨关节炎的疗效影响因素研究进展

Research progress on influencing factors affecting the efficacy of moxibustion in treating knee osteoarthritis

本文总结了影响艾灸治疗膝关节骨关节炎疗效的相关因素,主要包括艾叶产地及储存时间、灸时、壮数、灸温等。各影响因素中,艾叶属性以3年蕲春艾为佳,悬灸灸时以40 min左右为宜,热敏灸则以灸感消失为准,灸法及壮数以温针灸2壮效果最佳,但其中最佳艾灸时长仍待更多高质量研究明确结论。其他影响因素如悬灸方式、屈膝角度、治疗顺序、光因素与烟因素、灸法、疾病分期和类型等相关研究则较少,且各研究缺少中远期疗效对比、不同中医分型患者疗效对比、不同频次疗程疗效比较等研究内容,今后需要设计更多相关高质量临床试验完善循证方案,优化临床操作。

The article summarizes the relevant factors to the therapeutic effect of moxibustion on knee osteoarthritis,including the origin and storage time of moxa leaves,the time of moxibustion,the numbers of moxa cone,and the temperature when moxibustion is operated.Artemisia mugwort in Qichun county stored for over 3 years is the best regarding its property;and it is recommended for about 40 min in suspended moxibustion;and the heat-sensitive moxibustion is determined when the sensation of moxibustion disappears;and in terms of moxibustion techniques and the numbers of moxa cone,two moxa cones are optimal in warm needling,but the highly applicable duration of moxibustion needs to be confirmed through more high-quality studies.There are few studies on the other influencing factors,such as the specific operation of suspended moxibustion,the angle of knee flexion,treatment sequence,light and smoking factors,moxibustion method and disease staging and type;and the studies are limited in the comparison in terms of the middle-term and long-term efficacy,the comparison of the efficacy among different syndromes of traditional Chinese medicine in patients and the comparison among various frequencies and sessions of treatment.In future,more high-quality clinical trials should be designed to complete the evidence-based regimens and optimize clinical operations.