温针灸治疗膝骨关节炎临床研究进展  

Clinical research progress of warm acupuncture and moxibustion treatment of knee osteoarthritis

作　　者：任桂珍 田雪秋[2] 常露 

机构地区：[1]长春中医药大学,吉林长春130021 [2]吉林省中医药科学院,吉林长春130021

出　　处：《中医临床研究》2024年第27期81-85,共5页Clinical Journal Of Chinese Medicine

基　　金：吉林省中医药科技项目:基于温通理论热敏灸疗法对早中期寒湿痹阻型膝骨关节炎的临床随机对照研究(2020114);吉林省卫生健康适宜技术项目:热敏灸配合康复锻炼治疗膝骨关节炎技术推广(2019FP031)。

摘　　要：膝骨关节炎(Keen Osteoarthritis,KOA)是一种以关节软骨损害为主,累积整个关节组织的最常见的关节疾病,表现为关节的疼痛、僵硬、活动受限,最终导致关节软骨的退变,断裂或整个关节面的损害。随着人口老龄化问题日益突出,KOA的患病率逐渐上升,以中老年人多发,给人们的正常生活带来很大影响。温针灸对KOA具有较好的疗效,通过检索近10年温针灸治疗KOA的相关文献,将温针灸治疗KOA的作用机制概括为调控炎性因子表达、改善软骨细胞状态、调节制痛因素和促进血液循环4个方面,从单纯温针灸、温针灸联合独活寄生汤、温针灸联合拔罐、温针灸联合中药贴敷、温针灸联合西药、温针灸联合关节腔注射6个方面对其治疗进展进行总结。发现温针灸可以减少患者关节腔积液,有效降低滑膜厚度,疏通经络,祛瘀消肿,增加局部血液流速,促进营养物质的吸收与新陈代谢,有利于关节软骨的再生恢复,促进体内释放内源性镇痛物质,提高痛阈值,促进关节软骨基质的合成及受损组织的修复,缓解膝关节疼痛程度,恢复膝关节功能,为温针灸治疗KOA提供参考。knee osteoarthritis is the most common joint cartilage damage characterized by damage to the joint cartilage and Kaffecting the entire joint tissue.It is characterized by pain,stiffness,and limited mobility in the joint,ultimately leading to degeneration,fracture,or damage to the entire joint surface.With the increasingly prominent problem of aging population,the incidence of knee osteoarthritis has been rising,affecting mostly middle-aged and elderly people,and causing significant impact on people’s daily lives.Studies have found that warm acupuncture and moxibustion has a good effect on knee osteoarthritis.Through searching the relevant literature on warm acupuncture and moxibustion in the treatment of knee osteoarthritis in the past 10 years,the mechanism of warm acupuncture and moxibustion in the treatment of knee osteoarthritis is summarized into four aspects:regulating the expression of inflammatory factors,improving the status of chondrocytes,regulating pain control factors,and promoting blood circulation.The treatment progress of warm acupuncture and moxibustion is summarized from six aspects:simple warm acupuncture and moxibustion,warm acupuncture and moxibustion combined with Duhuo Jisheng decoction(独活寄生汤),warm acupuncture and moxibustion combined with cupping,warm acupuncture and moxibustion combined with Chinese medicine application,warm acupuncture and moxibustion combined with western medicine,warm acupuncture and moxibustion combined with joint cavity injection.It is found that warm acupuncture and moxibustion can reduce joint effusion,effectively reduce synovial thickness,dredge meridians,remove blood stasis and reduce swelling,increase local bloodflow rate,promote nutrient absorption and metabolism,facilitate the regeneration and recovery of articular cartilage,promote the release of endogenous analgesic substances in the body,raise pain threshold,promote the synthesis of articular cartilage matrix and repair of damaged tissues,alleviate knee pain,restore knee function,which provid

关 键 词：温针灸 膝骨关节炎 机制 治疗进展 

分 类 号：R684.3[医药卫生—骨科学]