不同温针灸量配合中药离子透入治疗膝骨关节炎的疗效观察  

Observation on the Efficacy of Warm Needling Moxibustion with Different Doses of Moxa plus Chinese Herbal Medicine Iontophoresis in Treating Knee Osteoarthritis

作　　者：郑艳霞[1] 边东玲 李娴[1] 林清 杜宁[1] ZHENG Yan-xia;BIAN Dong-ling;LI Xian;LIN Qing;DU Ning(Tangshan Second Hospital,Tangshan 063000,China)

机构地区：[1]唐山市第二医院

出　　处：《上海针灸杂志》2019年第7期793-797,共5页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察不同温针灸量配合中药离子导入疗法治疗膝骨关节炎(KOA)的临床疗效。方法将100例KOA患者随机分为A组、B组、C组和D组,每组25例。A组、B组和C组均基于中药离子导入疗法,分别给予1、2、3壮艾条温针治疗;D组采用单纯中药离子导入疗法治疗。观察各组治疗前后Lysholm膝关节评分量表评分、VAS评分、血沉、CRP及IL-1水平的变化情况,并比较各组临床疗效。结果A组总有效率为80.0%,B组为88.0%,C组为92.0%,D组为64.0%,B组和C组总有效率与D组比较,差异均具有统计学意义(P<0.05)。4组治疗后Lysholm膝关节评分量表评分、VAS评分及血沉、CRP、IL-1水平与同组治疗前比较,差异均具有统计学意义(P<0.05)。A组、B组和C组治疗后Lysholm膝关节评分量表评分、VAS评分及血沉、CRP、IL-1水平与D组比较,差异均具有统计学意义(P<0.05)。B组和C组治疗后Lysholm膝关节评分量表评分、VAS评分及血沉、CRP、IL-1水平与A组比较,差异均具有统计学意义(P<0.05)。结论2壮或3壮温针灸量配合中药离子导入疗法可以更明显减轻KOA患者的疼痛症状,提高其膝关节功能,减轻炎症反应。Objective To investigate the clinical effect of warm needling moxibustion with different doses of moxa plus Chinese herbal medicine iontophoresis in treating knee osteoarthritis(KOA).Method One hundred patients with KOA were randomized to group A,group B,group C and group D,with 25 cases in each group.Group A,group B,group C were all intervened by warm needling moxibustion plus Chinese herbal medicine iontophoresis,1 moxa stick for group A,2 moxa sticks for group B,and 3 moxa sticks for group C.Group D was intervened by Chinese herbal medicine iontophoresis alone.Lysholm knee scale scores,visual analogue scale(VAS)scores,and the erythrocyte sedimentation rate(ESR),C-reactive protein(CRP)and interleukin-1(IL-1)contents in the four groups were observed before and at the end of treatment,and the clinical efficacies of the four groups were compared.Result The total effective rate was 80.0.4%in group A versus 88.0%in group B,92.0%in group C,and 64.0%in group D.There was a significant difference in the therapeutic efficacy among the four groups(P<0.05).The total effective rate in group B and group C were significantly different from that in group D(P<0.05).The Lysholm knee scale scores,VAS scores,and the ESR,CRP and IL-1 contents showed a significant change after the treatment in the four groups(P<0.05).After the treatment,the Lysholm knee scale scores,VAS scores,and the ESR,CRP and IL-1 contents in group A,group B and group C were significantly different from those in group D(P<0.05);the Lysholm knee scale scores,VAS scores,and the ESR,CRP and IL-1 contents in group B and group C were significantly different from those in group A(P<0.05).Conclusion Warm needling moxibustion with 2 or 3 moxa sticks plus Chinese herbal medicine iontophoresis can ease pain symptoms in patients with KOA,improve the knee joint function and reduce inflammation.

关 键 词：针灸疗法 骨关节炎 膝关节 中药离子透入 温针疗法 Lysholm膝关节评分量表 血沉 C反应蛋白 白细胞介素-1 

分 类 号：R246.2[医药卫生—针灸推拿学]