电针与温针灸治疗肾虚髓亏型膝骨关节炎疗效比较  

Comparison of the clinical therapeutic effects between electroacupuncture and warming needle moxibustion for knee osteoarthritis of kidney deficiency and marrow insufficiency pattern/syndrome

作　　者：高洁[1] 欧阳八四[1] 张音[1] 李俊[1] 杨海洲[1] 吉玲玲[2] 吴元建[1] 王卫[1] 

机构地区：[1]苏州市中医医院针灸科,江苏苏州215009 [2]南京中医药大学第二临床医学院

出　　处：《中国针灸》2012年第5期395-398,共4页Chinese Acupuncture & Moxibustion

基　　金：江苏省中医管理局中医药科技项目立项计划项目:LB 09106

摘　　要：目的:探讨电针与温针灸对肾虚髓亏型膝骨关节炎(KOA)的作用效能,比较两种方法的临床效果。方法:将74例KOA患者随机分为电针组与温针组,每组37例。均穴取犊鼻、内膝眼、血海、足三里、阳陵泉等,电针组行电针治疗,频率5Hz,连续波;温针组行温针灸治疗,每次每穴2壮,每周治疗3次,4周为一疗程。运用骨关节炎指数(WOMAC)评分、病情严重指数及综合疗效等指标,于治疗前、1疗程后和2疗程后进行疗效评估。结果:两组治疗措施均有效,电针组的临床愈显率为64.7%(22/34),温针组为40.0%(14/35),两者之间差异有统计学意义(P<0.05),但两者总有效率差异不大(P>0.05)。电针组对关节疼痛症状的缓解作用明显(P<0.01),温针组对患者关节僵硬症状的缓解较有优势(P<0.01),两组患者平均治愈时间相当(P>0.05)。结论:电针和温针灸对肾虚髓亏型KOA的治疗各有侧重,电针偏向于镇痛,温针偏向于缓解关节僵硬,电针总体疗效优于温针灸。Objective To explore the actions of electroacupuncture（EA） and the warming needle moxibustion on knee osteoarthritis（KOA） of kidney deficiency and marrow insufficiency pattern/syndrome and compare the clinical effects between these two therapies.Methods Seventy-four cases of KOA were randomly divided into an electroacupuncture（EA） group and a warming needle moxibustion（WNM） group,37 cases in each one.The acupoints were Dubi（ST 35）,Neixiyan（EX-LE 4）,Xuehai（SP 10）,Zusanli（ST 36）,Yanglingquan（GB 34）,etc.In EA group,electric stimulation was given,5 Hz,continuous wave.In the WNM group,warm needling technique was applied,2 moxa cones on each acupoint in each time,three treatments a week.Totally,4 weeks of treatment were required.The indicaices such as WOMAC score,illness severity index and systematic efficacy were adopted to evaluate the efficacy before treatment,1 session and 2 sessions after treatment separately.Results The treatment in either group achieved the effectiveness.The cured and markedly effective rate was 64.7%（22/34） in EA group and was 40.0%（14/35） in WNM group,presenting statistically significant difference in comparison（P0.05）.But the total effective rate did not indicate significance（P0.05）.In EA group,the releasing effect of joint pain was obvious（P0.01）.In the WNM group,the treatment was more advantageous at relieving joint stiffness（P0.01）.There was no difference in the mean curative time between two groups（P0.05）.Conclusion Electroacupuncture and the warming needle moxibustion have their own advantages in the treatment of KOA of kidney deficiency and marrow insufficiency pattern/syndrome.Electroacupuncture is advantageous at analgesia and the warming needle moxibustion is at relieving joint stiffness.The total efficacy of electroacupuncture is superior to that of the warming needle moxibustion.

关 键 词：骨性关节炎 膝 肾虚髓亏证 电针 温针疗法 

分 类 号：R246.2[医药卫生—针灸推拿学]