温针灸曲池(对侧)为主治疗退行性膝关节炎的疗效观察  

The Clinical Observation of Knee Osteoarthritis Treated by Acupuncture Plus Moxibustion on "Quchi (LI 11)" (Contralateral)

作　　者：杨银凯[1] 屈玉明 路晓红[3] 张天生[3] 郝重耀[3] YANG Yin-kai QU Yu-ming LU Xiao-hong ZHANG Tian-sheng HAO Chong-yao(Shanxi University of Traditional Chinese Medicine, Taiyuan Shanxi 030024, China Shanxi Workers Medical College, Taiyuan Shanxi 030012, China The Third Hospital of Shanxi University of Traditional Chinese Medicine, Taiyuan Shanxi 030006, China)

机构地区：[1]山西中医学院,山西太原030024 [2]山西职工医学院,山西太原030012 [3]山西中医学院第三中医院,山西太原030006

出　　处：《中医药导报》2017年第19期63-64,66,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：山西中医学院第三中医院院内课题(201512);山西省特色重点学科--中医学;项目名称:中医学优势治疗技术创新研究

摘　　要：目的:观察温针灸曲池穴(对侧)以及膝周穴位治疗退行性膝关节炎的临床疗效。方法:将60例退行性膝关节炎患者随机分为治疗组[温针灸曲池穴(对侧)和膝周穴位]和对照组(单纯温针灸膝周穴位),各30例。对照组予单纯温针灸膝周(内外膝眼、鹤顶、委中、阳陵泉、阴陵泉)治疗,治疗组在对照组的基础上加上温针灸曲池穴(对侧)辅助治疗。以疼痛视觉模拟评分(visual analog scale,VAS)和日本骨科学会(JOA)评分表作为观察指标。结果:经过5个疗程的治疗后,治疗组总有效率为93.3%,高于对照组的70.0%,治疗组疗效优于对照组(P<0.01)。治疗后两组VAS评分较治疗前均降低,差异均有统计学意义(P<0.01),且治疗组治疗后VAS评分低于对照组(P<0.05)。治疗后两组JOA评分较治疗前均升高,差异均有统计学意义(P<0.01),且治疗组治疗后JOA评分高于对照组(P<0.05)。结论:温针灸曲池(对侧)以及膝周穴位治疗退行性膝关节炎临床疗效显著,可改善患者的临床症状,提高疗效。Objective： TO observe the clinical efficacy in the treatment of degenerative gonarthritis by acupuncture plus moxibustion on ＂Quchi （L1 11）＂ （contralateral） and acupuncture points round knees. Methods： The 60 patients with degenerative gonarthritis through the picking method were randomly divided into treatment group [acupuncture plus moxibustion on ＂Quchi （LI 11）＂ （contralateral） and （acupuncture points round knees] and control group （ordinary acupuncture points round knees）, 30 cases in each group. Control group were given the treatment of ordinary acupuncture points round knees [＂Neixiyan （EX-LE4） Waixiyan （EX-LE5） Heding （EX-LE2） （Weizhong BIAO） Yanglingquan GB34 Yinlingquan （sPg）＂], and on the basis, the treatment group were given the treatment of acupuncture plus moxibustion on ＂Quchi （LI 11）＂ （contralateral） as an adju- vant therapy. Visual Analog pain score （VAS） and Japanese Orthopaedic Association Scores （JOA） were as the observation indexes. Results： After five courses of treatment, the total efficiency was 93.3% in the treatment group and 70.0% in control group; the treatment group showed better efficacy than the control group （P〈O.01）. The VAS scores significantly reduced in the two groups （P〈0.01）, and the treatment group showed lower VAS scores than control group after treatment （P〈O.05）. The JOAscores significantly increased in the two groups （P〈 0.01）, and the treatment group showed higher JOA scores than control group after treatment （P〈0.05）. Conclusion： The clinical efficacy in the treatment of degenerative gonarthritis by acupuncture plus moxibustion on ＂Quchi （LI 11）＂ （contralateral） and acupuncture points round knees was significant. It can improve the patient＇s clinical symptoms, improved curative effect, and was worth applying clinically.

关 键 词：退行性膝关节炎 温针灸 曲池 

分 类 号：R255.6[医药卫生—中医内科学]