内热针治疗早期膝骨性关节炎有效性与安全性的随机对照研究  

A Randomized Controlled Study on Efficacy and Safety of Internal-Heat Needling in Treatment of Early-Stage KOA

作　　者：张芬 聂焱[2] 何庆建[2] 郑雪峰[1] ZHANG Fen;NIE Yan;HE Qingjian;ZHENG Xuefeng(Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;Fuzhou Hospital of Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350001,China)

机构地区：[1]福建中医药大学,福建福州350122 [2]福建中医药大学附属福州市中医院,福建福州350001

出　　处：《针灸临床杂志》2023年第5期41-45,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：福建中医药大学校管课题,编号:X2020003-重点。

摘　　要：目的:评价内热针治疗早期膝骨性关节炎的有效性与安全性。方法:60例早期KOA患者随机分为对照组30例、观察组30例,对照组给予温针灸治疗,观察组给予内热针治疗。治疗4周后,对比两组患者的疼痛数字评分法(NRS)评分、膝骨性关节炎指数(WOMAC)评分、皮肤损伤发生率、生命体征、治疗环境满意度与临床疗效。比较及评价内热针与温针灸的有效性与安全性。结果:两组治疗后NRS评分、WOMAC评分与治疗前比较均显著降低,且观察组明显优于对照组(P<0.05)。在皮肤损伤发生率方面,观察组明显低于对照组(P<0.05)。治疗环境满意度观察组明显高于对照组(P<0.05)。治疗后,观察组和对照组总有效率分别为93.33%(28/30)、76.67%(23/30),观察组明显高于对照组(P<0.05)。结论:内热针治疗早期膝骨性关节炎疗效显著,在有效性与安全性方面均优于温针灸,临床值得推广。Objective:To evaluate efficacy and safety of internal-heat needling in treatment of early-stage knee osteoarthritis(KOA).Methods:60 patients with early-stage KOA were randomly divided into the control group(n=30)and the observation group(n=30).The control group was treated with needle-warming moxibustion and the observation group was treated with internal-heat needling.After 4 weeks of treatment,NRS score,WOMAC score,skin injury incidence,vital signs,treatment environment satisfaction,and total effective rate were compared between the two groups.Efficacy and safety were evaluated and compared between the two groups.Results:The NRS score and the WOMAC score were significantly decreased after the treatment compared with those before the treatment in the two groups(P<0.05),of which the decreases were more significant in the observation group(P<0.05).The incidence of skin injury was significantly lower in the observation group than that in the control group(P<0.05).The treatment environment satisfaction rate was significantly higher in the observation group than that in the control group(P<0.05).The total effective rate of the observation group was 93.33%(28/30),which was significantly higher than 76.67%(22/30)of the control group(P<0.05).Conclusion:The therapeutic effect of internal-heat needling is significant in treatment of early-stage KOA,which is superior to needle-warming moxibustion in terms of efficacy and safety,and is worthy of clinical promotion.

关 键 词：膝骨性关节炎 内热针 温针灸 有效性 安全性 

分 类 号：R246.2[医药卫生—针灸推拿学]