艾灸联合常规疗法治疗寒湿痹阻型缓解期膝骨性关节炎临床研究

Clinical Study on Moxibustion Combined with Routine Therapy for Knee Osteoarthritis of Cold-dampness Obstruction Type in Remission Stage

目的:观察在常规疗法基础上加用艾灸治疗寒湿痹阻型缓解期膝骨性关节炎的近期效果。方法:将110例寒湿痹阻型缓解期膝骨性关节炎患者分为对照组和观察组各55例。2组均予盐酸氨基葡萄糖胶囊、复方硫酸软骨素片口服,并给予健康教育和关节功能训练,观察组给予艾灸。2组均连续治疗4周。治疗前后采用视觉模拟评分法(VAS)评价疼痛程度,以麦马斯特大学骨关节炎指数可视化量表(WOMAC)评价膝关节功能,关节炎生活质量测量量表(AIMS2-SF)和关节炎自我效能量表(ASES-8)分别评价患者的生活质量和自我效能感。结果:治疗后,观察组疼痛、僵硬、关节功能评分和WOMAC总分均低于对照组(P <0.01),VAS评分低于对照组(P <0.01),AIMS2-SF和ASES-8评分均高于对照组(P <0.01)。结论:在常规疗法基础上加用艾灸治疗寒湿痹阻型缓解期膝骨性关节炎能更为有效地减轻疼痛,促进膝关节功能恢复,提高患者的生活质量和自我效能感,有较好的近期效果。

Objective:To observe the near-term clinical effect of moxibustion based on routine therapy for knee osteoarthritis of cold-dampness obstruction type in remission stage.Methods:Divided 110 cases of patients with knee osteoarthritis of cold-dampness obstruction type in remission stage into the control group and the observation group,55 cases in each group.Both groups received the oral administration of glucosamine hydrochloride capsules and compound chondroitin sulfate tablets,health education and joint function training,while the observation group additionally received moxibustion.The treatment of both groups lasted for 4 weeks continuously.Before and after treatment,evaluated the degree of pain via visual analogue scale(VAS),assessed the knee joint function via the western Ontario and Mcmaster universities osteoarthritis index(WOMAC),and respectively evaluated the quality of life and self-efficacy of patients via arthritis impact measurement scales 2-short form(AIMS2-SF)and arthritis self-efficacy scale-8(ASES-8).Results:After treatment,the scores of pain,stiffness and joint function and the total score of WOMAC in the observation group were all lower than those in the control group(P<0.01),the scores of VAS were lower than those in the control group(P<0.01),and the scores of AIMS2-SF and ASES-8 were higher than those in the control group(P<0.01).Conclusion:The additional application of moxibustion based on routine therapy for knee osteoarthritis of cold-dampness obstruction type in remission stage can more effectively alleviate pain,promote the recovery of knee joint function and improve the quality of life and self-efficacy of patients,which has relatively good near-term effect.