膝关节骨性关节炎患者不同敏化类型针灸刺激的临床疗效观察  

Clinical effect of acupuncture and heat-sensitive moxibustion on knee osteoarthritis patients

作　　者：付勇[1] 章海凤[1] 张波[1] 梅鸥[1] 康明非[1] 何立东[1] 

机构地区：[1]江西中医药大学附属医院,南昌330006

出　　处：《中华中医药杂志》2016年第3期899-902,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：江西省青年科学基金项目(No.20114BAB215049)~~

摘　　要：目的:比较热敏灸及针刺治疗膝关节骨性关节炎(KOA)患者的不同临床疗效。方法:78例KOA患者随机分为热敏腧穴艾灸(A)组20例、热敏腧穴针刺(B)组19例、力敏腧穴针刺(C)组19例、力敏腧穴艾灸(D)组20例,每天治疗1次,10次为1个疗程。记录患者治疗前后关节疼痛、肿胀、僵硬、步行能力积分变化。结果:A、B、C、D组治疗前后关节疼痛、肿胀、僵硬、步行能力等症状积分比较,差异有统计学意义(P<0.05,P<0.01),B、D组治疗前后肿胀、僵硬及步行能力积分比较有明显差异(P<0.05,P<0.01)。经过1个疗程治疗后,与B、D组相比,A组关节疼痛、肿胀、僵硬、步行能力积分比较,差异有统计学意义(P<0.05,P<0.01),与D组相比,C组关节疼痛、肿胀、僵硬、步行能力积分比较,差异有统计学意义(P<0.05,P<0.01)。结论:针刺与艾灸敏化腧穴均能改善KOA患者膝关节功能,不同类型针灸刺激临床疗效不同,热敏腧穴适宜艾灸,力敏腧穴适宜针刺。Objective： To compare the curative effect of heat-sensitive moxibustion and acupuncture on knee osteoarthritis（KOA） patients. Methods： Seventy-eight KOA patients were randomly divided into moxibustion on heat-sensitive acupoints group（group A, 20 cases）, acupuncture in heat-sensitive acupoints group（group B, 19 cases）, acupuncture on forcesensitive acupoints group（group C, 19 cases）, and moxibustion on force-sensitive acupoints group（group D, 20 cases）. Patients in treatment groups were treated once a day and lasted for 10 days. The scores of arthralgia, arthrocele, ankylosis and walking ability of patients before and after treatment were recorded. Results： The difference in symptom scores of arthralgia, arthrocele, ankylosis and walking ability of patients in group A, B, C and D between treatment before and after was significant（P0.05, P0.01）, and the difference in scores of arthrocele, ankylosis and walking ability of patients in group B and D between treatment before and after was also significant（P0.05, P0.01）. After treating for a treatment course, the difference in scores of arthralgia, arthrocele, ankylosis and walking ability of patients between group A and B, D was significant（P0.05, P0.01）, and the difference in scores of arthralgia, arthrocele, ankylosis and walking ability of patients between group D and C was also significant（P0.05, P0.01）. Conclusion： Both acupuncture and moxibustion on sensitive acupoints could improve the knee joint function in patients with KOA. The clinical curative effects of different types of acupuncture and moxibustion stimulations are also different. The heatsensitive acupoints are suitable for moxibustion, and the force-sensitive acupoints are suitable for acupuncture.

关 键 词：膝关节骨性关节炎 敏化腧穴 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]