基于随机对照试验观察温针灸治疗肝肾亏虚型膝骨关节炎的临床效果研究  

Clinical study on the curative effect of warm acupuncture and moxibustion in the treatment of knee osteoarthritis of liver and kidney deficiency type based on randomized controlled trial

作　　者：车玲 于清鹏 CHE Ling;YU Qingpeng(Department of Rehabilitation,Maanshan Hospital of Traditional Chinese Medicine,Anhui,Maanshan 243000,China)

机构地区：[1]安徽省马鞍山市中医院康复科,安徽马鞍山243000

出　　处：《中国医药科学》2024年第19期89-93,共5页China Medicine And Pharmacy

基　　金：安徽省马鞍山市中医院院内科研项目(YN-2022-5)。

摘　　要：目的探讨温针灸治疗肝肾亏虚型膝骨关节炎的临床效果。方法选择2022年9月至2023年9月就诊于马鞍山市中医院康复科的肝肾亏虚型膝骨关节炎患者60例,依据随机数表法将其分为试验组与对照组,每组各30例。试验组采用温针灸治疗,对照组口服塞来昔布胶囊,两组均治疗4周。分别记录两组患者治疗前、治疗1个疗程和治疗2个疗程的视觉模拟评分法(VAS)、西大略和麦克马斯特大学骨关节炎指数(WOMAC)、Lysholm knee(Lysholm)膝关节评分及临床疗效。结果试验组总有效率为90.00%,高于对照组的80.00%,差异无统计学意义(P>0.05)。在治疗1个疗程和2个疗程时,试验组VAS、WOMAC和中医证候评分均低于对照组,差异有统计学意义(P<0.05);在治疗2个疗程时,试验组Lysholm膝关节评分高于对照组,差异有统计学意义(P<0.05)。结论温针灸能够有效地提高肝肾亏虚型膝骨关节炎患者的生活质量,改善其膝关节功能及疼痛等临床症状,且具有良好的安全性。Objective To explore the clinical effect of warm acupuncture and moxibustion on knee osteoarthritis with liver and kidney deficiency type.Methods A total of 60 patients with osteoarthritis of the knee with deficiency of liver and kidney who attended the Department of Rehabilitation of Maanshan Hospital of Traditional Chinese Medicine from September 2022 to September 2023 were selected,and were divided into the experimental group and the control group according to the method of randomized number table,with 30 cases in each group.The experimental group was treated with warm acupuncture and moxibustion,and the control group was orally administered celecoxib capsules.Both groups were treated for 4 weeks.The visual analogue scale(VAS),Western Ontario and McMaster Universities arthritis index(WOMAC),Lysholm knee(Lysholm)joint score and clinical efficacy of the two groups of patients were recorded respectively.Results The total effective rate of the test group was 90.00%,which was higher than the 80.00%of the control group,with no statistically significant difference(P>0.05).The VAS,WOMAC and traditional Chinese medicine syndrome scores of the test group were lower than those of the control group at one course and two courses of treatment,with statistically significant difference(P<0.05).The Lysholm knee joint score of the test group was higher than that of the control group at two courses of treatment,with statistically significant difference(P<0.05).Conclusion Warm acupuncture and moxibustion is used to treat patients with knee osteoarthritis of liver and kidney deficiency type,which can effectively improve the quality of life of patients,improve knee joint function and pain and other clinical symptoms of patients,and has good safety.

关 键 词：温针灸 膝骨关节炎 肝肾亏虚型 疼痛 生活质量 

分 类 号：R246.9[医药卫生—针灸推拿学]