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作 者:徐福[1] 宣丽华[1] 周海江[1] 陈飞宇[2] 莫晓枫[1] 虞彬艳[1]
机构地区:[1]浙江中医药大学附属第一医院,杭州310006 [2]浙江中医药大学第一临床医学院
出 处:《浙江中医药大学学报》2016年第2期103-107,共5页Journal of Zhejiang Chinese Medical University
基 金:浙江省中医药管理局研究课题(2013ZB057)~~
摘 要:[目的]通过3种不同温针灸量和随访的比较,为临床应用温针灸治疗膝关节骨关节炎(OA)找到较为有效且有一定优越性的刺激量。[方法]选用146例膝OA患者,随机分为温针灸一壮组、温针灸二壮组、温针灸三壮组和玻璃酸钠组,以疼痛标尺评分和Lysholm膝关节评分量表为观察指标,对各组疗效及随访疗效进行分析。[结果]在缓解疼痛和改善膝关节功能方面,温针灸二壮组和三壮组均优于温针灸一壮组和玻璃酸钠组,差异有统计学意义(P<0.05);温针灸二壮组和三壮组以及温针灸一壮组和玻璃酸钠组比较差异均无统计学意义(P>0.05);1个月后随访示温针灸一、二、三壮组均优于玻璃酸钠组,温针灸二壮组和三壮组比较差异无统计学意义(P>0.05),但这两组均优于温针灸一壮组。[结论]从疗效和经济、治疗时间等角度看,艾灸二壮量是温针灸治疗膝OA的较佳灸量。[Objective] Through the comparison of three different quantity of wanning acupuncture, finding a more effective and certain superiority amount of stimulation for clinical application that apply wanning acupuncture to treat knee osteearthritis(OA). [Methods] Warm acupuncture with moxa one cone group, two cones group, three cones group and the sodium hyaluronate group were performed randomly on 146 patients with osteoarthritis of the knee, and the Visual Analog Scale(VAS) pain scores and Lysholm evaluation standard of knee osteoarthritis were used to analyze the curative effect of each group and follow-up analysis. [Results] In terms of relieving pain and improving the function of knee joint, warm acupuncture with moxa two cones and three cones group were superior to that of one cone group and sodium hyaluronate group(P〈0.05); Syndrome of warming acupuncture with moxa two cones group was not significantly different compared with three cones group, and syndrome of one cone group was not significantly different compared with syndrome of sodium hyaluronate group(P〉0.05).One month follow-up showed one or two, three strong wanning acupuncture groups were better than the sodium hyaluronate group, acupuncture and moxibustion of Zhuang two and three groups were not significantly different, but the two groups were better than the acupuncture and moxlbustion strong group. [Conclusion] Evaluated from the perspective of the curative effect and the economy and the treatment time, two cones was the best quantity of warming acupuncture to treat knee osteoarthritis(OA).
关 键 词:膝关节骨关节炎 针刺疗法 温针 针灸量 疗效 随访
分 类 号:R245.9[医药卫生—针灸推拿学]
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