温针灸配合推拿治疗膝骨关节炎临床研究  

Clinical Study on Warming-Needle Moxibustion Combined with Tuina for Knee Osteoarthritis

作　　者：陈广升[1] 占桂平[1] 吴彬彬 CHEN Guangsheng;ZHAN Guiping;WU Binbin

机构地区：[1]丽水市中医院推拿科,浙江丽水323000

出　　处：《新中医》2023年第9期183-186,共4页New Chinese Medicine

摘　　要：目的:观察温针灸配合推拿治疗膝骨关节炎(KOA)的临床疗效及对血清骨保护素(OPG)、骨钙素(BGP)水平的影响。方法:将128例KOA患者按随机数字表法分为对照组及观察组各64例。对照组采用双氯芬酸钠治疗,观察组在对照组的基础上采用温针灸配合推拿治疗。比较2组临床疗效及治疗前后膝骨性关节炎功能指数(Lequesne)评分,血清OPG、BGP水平的变化。结果:治疗前,2组Lequesne疼痛与不适、行走能力、生活能力评分比较,差异无统计学意义(P>0.05);治疗后,2组上述评分均降低(P<0.05),且观察低于对照组(P<0.05)。治疗前,2组血清OPG、BGP水平比较,差异无统计学意义(P>0.05);治疗后,2组血清OPG、BGP水平均升高(P<0.05),且观察组高于对照组(P<0.05)。治疗后,观察组治疗总有效率93.75%,高于对照组82.81%(P<0.05)。结论:温针灸配合推拿治疗膝骨关节炎,可有效升高患者血清OPG、BGP水平,改善临床症状,提高临床疗效。Objective:To observe the clinical effect of warming-needle moxibustion combined with tuina for knee osteoarthritis(KOA)and its effect on levels of osteoprotegerin(OPG)and osteocalcin(BGP)in serum.Methods:A total of 128 cases of KOA patients were divided into the control group and the observation group according to the random number table method,with 64 cases in each group.The control group was treated with Diclofenac Sodium,and the observation group was additionally treated with warming-needle moxibustion combined with tuina based on the treatment of the control group.Lequesne indexes,levels of OPG and BGP in serum before and after treatment as well as clinical effects in the two groups were compared.Results:Before treatment,there was no significant difference being found in the comparison of Lequesne indexes of pain and discomfort,walking ability and activities of daily living between the two groups(P>0.05);after treatment,the above scores in the two groups were decreased(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).Before treatment,there was no significant difference being found in the comparison of the levels of OPG and BGP in serum between the two groups(P>0.05);after treatment,the levels of OPG and BGP in serum between the two groups were increased(P<0.05),and the levels in the observation group were higher than those in the control group(P<0.05).After treatment,the total effective rate was 93.75%in the observation group,significantly higher than that of 82.81%in the control group(P<0.05).Conclusion:Warming-needle moxibustion combined with tuina for KOA can effectively increase the levels of OPG and BGP in serum,improve clinical symptoms and enhance clinical effects.

关 键 词：膝骨关节炎 温针灸 推拿 骨保护素 骨钙素 

分 类 号：R246.9[医药卫生—针灸推拿学]