摘要
目的:观察隔盐灸治疗膝骨关节炎的临床疗效。方法:70例膝骨关节炎患者,随机分为西药治疗组及隔盐灸组,每组35例,分别在治疗2周及治疗4周后比较二者WOMAC及进行总疗效评定。结果:1两组治疗后WOMAC-疼痛评分比较与治疗前比较,两组患者在治疗2周及4周后疼痛较治疗前减轻(P<0.01),两组间比较,治疗4周后隔盐灸组疼痛较西药组有所减轻(P<0.05);2两组患者治疗后WOMAC-僵硬评分与治疗前比较,西药组在治疗4周后僵硬较治疗前减轻(P<0.05),而隔盐灸组在治疗2周及4周后僵硬程度均较前减轻(P<0.05),两组间比较,治疗2周、4周后隔盐灸组僵硬较西药组减轻(P<0.05);3两组患者治疗后WOMAC-日常活动度评分与治疗前比较,两组在治疗2周、4周后的日常活动度较治疗前有所改善(P<0.05),两组间比较,治疗4周后隔盐灸组日常活动度较西药组有所好转(P<0.05);4两组患者治疗后WOMAC总积分与治疗前比较,西药组在治疗4周后总积分低于治疗前(P<0.05),隔盐灸组在治疗2周后、4周后的总积分均低于治疗前(P<0.05);5总疗效比较西药组总有效率为74.29%,隔盐灸组总有效率91.43%,两组比较P<0.05,有统计学意义。结论:隔盐灸组临床疗效优于西药组,隔盐灸是治疗膝骨关节炎的一种行之有效的方法。
Objective： To observe the clinical efficacy of salt insulation moxibustion in the treatment of knee osteoarthritis. Methods： 70 patients with knee osteoarthritis were randomly divided into a western medicine group and a salt moxibustion group,with 35 cases in each group. After 2 weeks＇ and 4 week＇ treatments respectively analyze the WOMAC and evaluate the total curative effect. Results：（ 1） The WOMAC- pain score,compared with that before treatment,in the two groups of patients after 2 weeks and 4 weeks the pain was reduced（ P〈0. 01）. The comparison between two groups,after 4 weeks treatment in the salt moxibustion group the pain relief was more obvious than that in the western medicine group（ P〈0. 05）;（ 2） the WOMAC- stiff score,stiffness in the western medicine group was reduced（ P〈0. 05） after 4 week＇ treatment,while stiffness in the salt moxibustion group was reduced after both 2 weeks＇ and 4 weeks＇ treatments（ P〈0. 05）. The comparison between two groups,stiffness in the salt insulation moxibustion group after 2 weeks＇ and 4 weeks＇ treatments reduced more obviously than that in the western medicine group（ P〈0. 05）;（ 3） the WOMAC- daily activity score,compared with that before treatment,the daily activity in the two groups after 2 weeks＇ and 4 weeks＇ treatments was improved compared with that before treatment（ P〈0. 05）. The comparison between two groups,4 weeks ＇ after treatment in the salt moxibustion group the daily activity improved more obviously than that in the western medicine group（ P〈0. 05）;（ 4） the WOMAC total integral,compared with that before treatment,the total score in the western medicine group after 4 weeks＇ treatment was lower than that before treatment（ P〈0. 05）,and in the salt insulation moxibustion group after 2 weeks＇ and 4 weeks＇ treatments,the total integral was lower than that before treatment（ P〈0. 05）;（ 5） the evaluation of total curative effect,in the western medicine group the total effectiveness was 74. 29% and in the salt moxibustion group the total effective rate was 91. 43%. Compared between two groups,there was a statistical significance（ P〈0. 05）. Conclusion： Clinically curative effect in the salt moxibustion group is superior to that in the western medicine group,and the salt moxibustion is a kind of effective methods in the treatment of knee osteoarthritis.
出处
《针灸临床杂志》
2015年第3期14-17,共4页
Journal of Clinical Acupuncture and Moxibustion
关键词
针灸
隔盐灸
膝骨关节炎
Acupuncture
Salt insulation moxibustion
Knee osteoarthritis
