督脉扶阳灸联合温针灸治疗阳虚寒凝证膝骨性关节炎的临床研究

Clinical study on Dumai Fuyang moxibustion combined with warm acupuncture in the treatment of knee osteoarthritis of Yang deficiency and cold coagulation type

目的:探讨督脉扶阳灸联合温针灸治疗膝骨性关节炎(KOA)的疗效及对血清C反应蛋白(CRP)、红细胞沉降率(ESR)水平的影响。方法:选取72例KOA患者为研究对象,按照针灸治疗方式不同分为对照组和观察组,每组各36例。对照组患者予以温针灸治疗;观察组患者予以督脉扶阳灸联合温针灸治疗,疗程均为14 d。比较两组患者临床疗效、中医证候积分(TCMSS)、关节功能(WOMAC评分)、关节腔内积液厚度、滑膜厚度、血清CRP及ESR水平。结果:观察组治疗总有效率高于对照组(94.44%vs.77.78%,P<0.05)。治疗后,观察组患者TCMSS、WOMAC评分、膝关节关节腔内积液厚度、滑膜厚度、血清CRP及ESR水平均低于对照组(P<0.05)。结论:在温针灸基础上增加督脉扶阳灸治疗KOA,可提高临床疗效,缓解疼痛、僵硬症状,提高膝关节功能,减少关节腔内积液,改善滑膜炎性病变,降低血清CRP、ESR水平。

Objective:To explore the curative effect of Dumai Fuyang moxibustion combined with warming acupuncture on knee osteoarthritis(KOA)and its effect on serum C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR)levels.Methods:72 patients with KOA were selected and divided into control group and observation group according to different treatment methods of acupuncture and moxibustion,with 36 cases in each group.The control group was treated with warming acupuncture,the observation group was treated with Dumai Fuyang moxibustion and warming acupuncture.The treatment period was 14 days.The clinical efficacy,TCM syndrome scores(TCMSS),Joint Function(WOMAC score),joint cavity effusion thickness and synovial thickness,serum CRP and ESR levels were compared between the two groups.Results:The total effective rate of the observation group was higher than that of the control group(94.44%vs.77.78%,P<0.05).After treatment,the TCMSS,WOMAC scores,thickness of knee joint effusion,synovial thickness,serum CRP and ESR levels of the observation group were lower than those of the control group(P<0.05).Conclusion:On the basis of warming acupuncture in the treatment of KOA,the addition of Dumai Fuyang moxibustion can significantly improve the clinical efficacy,relieve pain and stiffness symptoms,improve knee joint function,reduce intra-articular effusion,improve synovial inflammatory lesions,and reduce serum CRP and ESR levels.