Objective: To observe the clinical effect of moxibustion combined with Duhuo Jisheng decoction for middle-aged and elderly patients with knee osteoarthritis(KOA) and its impact on serum high sensitive C-reactive pr...Objective: To observe the clinical effect of moxibustion combined with Duhuo Jisheng decoction for middle-aged and elderly patients with knee osteoarthritis(KOA) and its impact on serum high sensitive C-reactive protein(hs-CRP),interleukin-1β(IL-1β) and tumor necrosis factor-α(TNF-α) levels.Methods: A total of 90 eligible KOA patients were randomized into an observation group(n=45) and a control group(n=45).Cases in the observation group received moxibustion plus oral administration Duhuo Jisheng decoction, while cases in the control group received Duhuo Jisheng decoction. Then the hs-CRP, IL-1β and TNF-α levels were examined and the clinical effect was evaluated.Results: Before treatment, the hs-CRP, IL-1β and TNF-α levels showed no between-group statistical differences(all P〉0.05). After 8 weeks of treatment, the hs-CRP, IL-1β and TNF-α levels all dropped significantly in both groups(P〈0.01 or P〈0.05), and the treatment group showed more substantial changes than the control group(all P〈0.05). The total effective rate was 97.8% in the treatment group, versus 86.7% in the control group, showing a statistical difference(P〈0.05).Conclusion: Moxibustion plus Duhuo Jisheng decoction has a good clinical effect for middle-aged and elderly KOA patients,and the effect may relate to the decreased hs-CRP, IL-1β and TNF-α levels.展开更多
文摘Objective: To observe the clinical effect of moxibustion combined with Duhuo Jisheng decoction for middle-aged and elderly patients with knee osteoarthritis(KOA) and its impact on serum high sensitive C-reactive protein(hs-CRP),interleukin-1β(IL-1β) and tumor necrosis factor-α(TNF-α) levels.Methods: A total of 90 eligible KOA patients were randomized into an observation group(n=45) and a control group(n=45).Cases in the observation group received moxibustion plus oral administration Duhuo Jisheng decoction, while cases in the control group received Duhuo Jisheng decoction. Then the hs-CRP, IL-1β and TNF-α levels were examined and the clinical effect was evaluated.Results: Before treatment, the hs-CRP, IL-1β and TNF-α levels showed no between-group statistical differences(all P〉0.05). After 8 weeks of treatment, the hs-CRP, IL-1β and TNF-α levels all dropped significantly in both groups(P〈0.01 or P〈0.05), and the treatment group showed more substantial changes than the control group(all P〈0.05). The total effective rate was 97.8% in the treatment group, versus 86.7% in the control group, showing a statistical difference(P〈0.05).Conclusion: Moxibustion plus Duhuo Jisheng decoction has a good clinical effect for middle-aged and elderly KOA patients,and the effect may relate to the decreased hs-CRP, IL-1β and TNF-α levels.