隔物温和灸治疗膝骨关节炎临床观察  

Clinical observation on cake-separated mild-warm moxibustion for treatment of knee osteoarthritis

作　　者：李建武[1] 向诗余[1] 马志毅[1] 冯彦斌[1] 童惠云[1] 耿惠萍[1] 靳晶[1] 苏霞[1] 

机构地区：[1]武汉市中医医院针灸部,湖北430014

出　　处：《中国针灸》2008年第1期17-19,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的:采用隔附子饼温和灸足三里、膝眼的方法,观察其治疗膝骨关节炎患者的临床疗效。方法:隔物温和灸组用隔物温和灸治疗,穴取患膝犊鼻、内膝眼、足三里;药物组口服仙灵骨葆胶囊治疗。治疗4周后采用关节主症疼痛量表(VAS)、膝关节骨关节炎严重性指数(ISOA)量表评估临床疗效。结果:2组患者治疗后关节疼痛、严重性指数的改善都明显优于治疗前(P<0.01);治疗后隔物温和灸组止痛效果、病情严重性指数的变化均优于药物组(P<0.05)。隔物温和灸组基本临床痊愈率为80.0%,起效时间为(10.91±4.17)天,药物组为53.3%、(12.28±4.60)天,2组比较,差异有显著性意义(P<0.05)。结论:采用隔物温和灸治疗膝骨关节炎的临床疗效优于口服仙灵骨葆胶囊。Objective To observe clinical therapeutic effect of monkshood cake-separated mild-warm moxibustion at Zusanli （ST 36） and Xiyan （EX-LE 5） on knee osteoarthritis. Methods The patients of monkshood cake-separated mild-warm moxibustion group were treated with monkshood cake-separated mild-warm moxibustion at Dubi （ST 35）, Zusanli （ST 36） and Neixiyan （EX-LE 4） on the affected side, and the medication group with oral administration of Xianling Gubao Capsules. After treatment for 4 weeks, VAS and index of severity of osteoarthritis （ISOA scale） were used for assessment of clinical therapeutic effect. Results After treatment, the arthralgia and the index of severity significantly improved in the two groups （P〈0.01）, and the analgesic effect and improvement of ISOA in the monkshood cake-separated mild-warm moxibustion group were better than those in the medication group （P〈0.05）. The basic clinical cured rate was 80.0% and the effect-producing time was （10.91±4.17） days in the monkshood cake-separated mild-warm moxibustion group, and 53.3 % and （12.28 ±4.60） days in the medication group, respectively, with a significant difference between the two groups （P〈0.05）. Conclusion Therapeutic effect of monkshood cake-separated mild-warm moxibustion on knee osteoarthritis is better than that of oral administration of Xianling Gubao Capsules.

关 键 词：温灸器灸 间接灸 骨关节炎 膝/针灸疗法 

分 类 号：R246.2[医药卫生—针灸推拿学]