不同灸量温针治疗阳虚寒凝型膝骨性关节炎:镇痛及改善症状的比较  

Warming needle moxibustion with different moxibustion intensity in treating knee osteoarthritis with Yang deficiency and cold coagulation syndrome:Comparison of analgesia and semiotic improvement

作　　者：洪昆达[1,2] 万甜[2] 李俐[2] 吴明霞[2] 刘献祥[1] 

机构地区：[1]福建中医药大学骨伤系,福建省福州市350108 [2]福建中医药大学附属第二人民医院针灸科,福建省福州市350003

出　　处：《中国组织工程研究与临床康复》2010年第41期7748-7752,共5页Journal of Clinical Rehabilitative Tissue Engineering Research

基　　金：国家自然科学基金(30873277);福建省卫生厅青年科研基金(2009-2-55);福建省中西医结合老年性疾病重点实验室开放课题资助项目.陈可冀中西医结合发展基金(2008J1004-34.CKJ2008071)~~

摘　　要：背景:研究表明温针疗法对阳虚寒凝型膝骨性关节炎有很好的治疗效果,但灸量不同疗效也不同。目的:验证不同灸量温针治疗阳虚寒凝型膝骨性关节炎的疗效。方法:选择2009-01/12于福建中医药大学附属第二人民医院针灸科治疗的阳虚寒凝型膝骨性关节炎患者120例,按就诊时间分为施以温针艾灸弱、中、强刺激。经3个疗程治疗后,比较治疗效果。结果与结论:温针艾灸弱、中、强刺激的有效率分别为88%、95%和95%;中、强刺激组的症状积分,疼痛评分均优于弱刺激组(P<0.05),以强刺激组的效果最显著。说明温针艾灸中,强刺激具有良好的镇痛效果,可较好地改善患者的临床症状。BACKGROUND： Previous studies demonstrated that warming needle moxibustion had good effect on knee osteoarthritis with yang deficiency and cold coagulation syndrome, and the effect was different with different moxibustion intensity. OBJECTIVE： To discuss the curative effect of warming needle moxibustion with different moxibustion intensity on treating knee osteoarthritis with Yang deficiency and cold coagulation syndrome. METHODS： Totally 120 patients, who were treated at the Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine from January 2009 to December 2009, were enrolled. They were divided into three groups according to the visiting time, and received acupuncture and weak, moderate and strong stimulation with moxa-sticks. After 3 course of treatment, the curative effects were compared. RESULTS AND CONCLUSION： The effective rate was 88%, 95% and 95% in the weak, moderate and strong stimulation groups, respectively. The pain intensity score in moderate and strong stimulation groups was superior to that in the weak stimulation group （P0.05）, especially effectiveness in the strong stimulation group. The results demonstrated that acupuncture combined with strong stimulation with moxa-sticks have good effect on improving clinical symptoms of patients with knee osteoarthritis.

关 键 词：膝骨性关节炎 不同灸量 温针 阳虚寒凝型 艾灸 骨组织工程 

分 类 号：R318[医药卫生—生物医学工程]