摘要
目的:观察温针灸、毫火针联合乌头汤治疗阳虚寒凝型膝骨关节炎患者膝功能的疗效。方法:选择2014年1月—2017年6月三亚市人民医院70例阳虚寒凝型膝骨关节炎患者,随机分成两组,分别接受温针灸和毫火针治疗,同时均内服中药乌头汤。观察两组患者疗效,并结合治疗后2周、4周VAS疼痛评分及JOA膝关节功能评价两组治疗效果。结果:两组患者治疗4周后,总体疗效经比较差异无统计学意义(P>0.05);毫火针组疼痛VAS评分低于温针灸组(P<0.05)。治疗后2周,两组间JOA膝关节功能评分无显著性差异(P>0.05);治疗4周后,温针灸组JOA膝关节功能评分显著高于毫火针组(P<0.05)。结论:毫火针镇痛效果优于温针灸,毫火针与温针灸短期内(2周)改善患者膝关节功能效果相当,而长期(4周)则温针灸效果较优。
Objective: To compare the effect of milli-fire needling combined with Wutou Decoction and needle- warming moxibustion combined with Wutou Decoction on knee osteoarthritis(KOA) of yang-deficiency with cold congealing. Methods: 70 KOA patients who met the inclusion criteria were randomized into the milli- fire needling group and the needle-warming moxibustion group. The two groups were also treated with Wutou Decoction at the same time. The curative effect of the two groups was observed, the VAS scores of pain and JOA scores of knee function were compared after 2 weeks and 4 weeks of treatment between the two groups. Results: After 4 weeks of treatment, there was no statistical difference in overall efficacy between the two groups( P >0.05);the VAS scores of the milli-fire needling group was lower than that of the needle-warming moxibustion group( P <0.05). After 2 weeks of treatment, there were no statistical differences in JOA scores between the two groups( P >0.05). After 4 weeks of treatment, the JOA scores of the needle-warming moxibustion group were significantly higher than those of the milli-fire needling group( P <0.05). Conclusion: The analgesic effect of milli-fire needling is better than that of needle-warming moxibustion. The short-term(2 weeks) improvement of knee joint function is similar in the two groups, but the long-term(4 weeks) improvement is more significant treated by needle-warming moxibustion.
作者
王玮莉
孙恒聪
黄金波
方斌
WANG Weili;SUN Hengcong;HUANG Jinbo;FANG Bin(Sanya People's Hospital, Sanya 572000, China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China)
出处
《针灸临床杂志》
2019年第9期30-33,共4页
Journal of Clinical Acupuncture and Moxibustion
基金
广东省自然科学基金,编号:2015A030313361
关键词
膝骨关节炎
阳虚寒凝型
温针灸
毫火针
乌头汤
Knee osteoarthritis
Syndrome of yang-deficiency with cold congealing
Needle-warming moxibustion
Milli-fire needling
Wutou Decoction
