不同留针时间对温针灸治疗膝骨关节炎疗效的影响  

Influence of Different Needle Retention Time on the Efficacy of Warm Needling Moxibustion for Knee Osteoarthritis

作　　者：林怡哲 吴悦 李璐[2] 田鸿芳[2] 张奇文 陈晓军[1,2] LIN Yizhe;WU Yue;LI Lu;TIAN Hongfang;ZHANG Qiwen;CHEN Xiaojun(Zhejiang University of Traditional Chinese Medicine Third School of Clinical Medicine,Hangzhou 310053,China;Zhejiang University of Traditional Chinese Medicine Third Hospital,Hangzhou 310005,China)

机构地区：[1]浙江中医药大学第三临床医学院,杭州310053 [2]浙江中医药大学附属第三医院,杭州310005

出　　处：《上海针灸杂志》2022年第2期149-153,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省中医药科技计划项目(2019ZB059)。

摘　　要：目的观察不同留针时间对温针灸治疗膝骨关节炎临床疗效的影响。方法将90例膝骨关节炎患者随机分为15 min组、30 min组和1 h组,每组30例。3组均采用相同的针灸处方并于内膝眼和犊鼻穴行温针灸,但留针时间不同,分别为15 min、30 min和1 h。比较3组治疗前后西安大略与麦克马斯特大学骨关节炎指数(WOMAC)各单项评分(疼痛、僵硬和功能障碍)及总分、疼痛视觉模拟量表(VAS)评分。比较两组临床疗效及治疗后3个月的VAS评分。结果治疗后,3组WOMAC各单项评分和总分、VAS评分均低于同组治疗前(P<0.01);治疗后3个月,3组VAS评分均低于治疗前(P<0.01)。治疗后,3组WOMAC疼痛和功能障碍单项评分以及总分、VAS评分比较,差异均有统计学意义(P<0.01);且30 min组和1 h组以上评分均低于15 min组(P<0.01),而30 min组与1 h组以上评分比较,差异均无统计学意义(P>0.05)。治疗后3个月,3组VAS评分比较,差异有统计学意义(P<0.01);且30 min组和1 h组VAS评分均低于15 min组(P<0.01);30 min组与1 h相比较,差异无统计学意义(P>0.05)。治疗后,3组总有效率比较,差异具有统计学意义(P<0.01);30 min组和1 h组总有效率均优于15 min组(P<0.05);30 min组与1 h组比较,差异无统计学意义(P>0.05)。结论温针灸治疗膝骨关节炎可改善临床症状,减轻疼痛,留针30 min和1 h的疗效均优于留针15 min,但留针30 min和留针1 h疗效相当,留针30 min更节约时间成本。Objective To observe the influence of different needle retention time on the clinical efficacy of warm needling moxibustion for knee osteoarthritis.Method Ninety patients with knee osteoarthritis were randomized to 15 min,30 min and 1 h groups,with 30 cases in each group.All groups were given the same acupuncture prescription and warm needling moxibustion at Neixiyan(EX-LE4)and Dubi(ST35)for different needle retention time,including 15 min,30 min and 1 h respectively.The Western Ontario and McMaster Universities(WOMAC)osteo-arthritis index item(pain,stiffness and dysfunction)scores and total scores and the pain visual analogue scale(VAS)scores were compared between the three groups before and after treatment.The clinical therapeutic effects and the VAS scores three months after treatment were compared between the two groups.Result After treatment,the WOMAC item scores and total score and the VAS score decreased in the three groups compared with before(P<0.01).At three months after treatment,the VAS score decreased in the three groups compared with before(P<0.01).After treatment,the WOMAC pain and dysfunction scores and total score and the VAS score had statistically significant differences among the three groups(P<0.01),were lower in the 30 min and 1 h groups than in the 15 min group(P<0.01)and had no statistically significant differences between the 30 min and 1 h groups(P>0.05).At three months after treatment,the VAS score had a statistically significant difference among the three groups(P<0.01),was lower in the 30 min and 1 h groups than in the 15 min group(P<0.01)and had no statistically significant difference between the 30 min and 1 h groups(P>0.05).After treatment,the total efficacy rate had a statistically significant difference among the three groups(P<0.01),was higher in the 30 min and 1 h groups than in the 15 min group(P<0.01)and had no statistically significant difference between the 30 min and 1 h groups(P>0.05).Conclusion Warm needling moxi-bustion can relieve the clinical symptoms and pain in trea

关 键 词：针灸疗法 温针疗法 留针 骨关节炎 膝 疼痛 视觉模拟量表 功能障碍 

分 类 号：R246.2[医药卫生—针灸推拿学]