摘要
目的观察针刺联合中药泥灸治疗寒湿痹阻型膝骨关节炎(KOA)的临床疗效。方法将120例寒湿痹阻型KOA患者按照随机数字表法分为3组,针刺组40例予针刺治疗,中药组40例予中药泥灸治疗,联合组40例予针刺联合中药泥灸治疗。3组均治疗3周后统计疗效,比较3组治疗前后疼痛视觉模拟评分(VAS)及西安大略和麦克马斯特大学(WOMAC)骨关节炎指数(包括关节疼痛、关节僵硬及日常活动能力)评分变化情况。结果联合组总有效率95.0%(38/40),针刺组82.5%(33/40),中药组77.5%(31/40),联合组疗效优于针刺组和中药组(P<0.05)。3组治疗后疼痛VAS与本组治疗前比较均降低(P<0.05),且联合组治疗后疼痛VAS低于针刺组和中药组。3组治疗后WOMAC骨关节炎指数关节疼痛、关节僵硬、日常活动能力评分及总分与本组治疗前比较均降低(P<0.05),且联合组治疗后WOMAC骨关节炎指数各项评分及总分均低于针刺组和中药组(P<0.05)。结论针刺联合中药泥灸治疗寒湿痹阻型KOA疗效确切,可明显缓解患者疼痛症状,改善膝关节功能,较单纯应用针刺或中药泥灸效果更佳。
Objective To observe the clinical effect of acupuncture combined with traditional Chinese medicine(TCM)moxibustion mud for knee osteoarthritis(KOA)(cold-dampness obstruction).Methods Totally 120 patients with KOA(cold-dampness obstruction)were randomly divided into acupuncture group(n=40,given acupuncture treatment),TCM group(n=40,given TCM moxibustion mud),and combination group(n=40,given acupuncture combined with TCM moxibustion mud).Treated for 3 weeks,aiming to compare visual analogue score of pain(VAS),and Western Ontario and McMaster University Osteoarthritis Index(WOMAC)(articular pain,joint stiffness,activity of daily living);the curative effect was counted.Results The total effective rates in combination group were better than those in acupuncture group and TCM group[95%(28/40)vs 82.5%(33/40)or 77.5%(31/40),(P<0.05),respectively].Compared with before treatment,VAS of pain in groups was decreased(P<0.05),which was significantly lower in combination group than in other two groups;WOMAC scores(articular pain,joint stiffness,activity of daily living)in groups were decreased(P<0.05),improvement of which in combination group were the best.Conclusion For patients with KOA(cold-dampness obstruction),acupuncture combined with TCM moxibustion mud has definite curative effect,can effectively relieve pain symptoms,improve knee joint function,which is better than simple acupuncture or TCM moxibustion mud,and can further improve the clinical efficacy.
作者
张晓寒
张丽华
毕春露
段红梅
侯若楠
王文娟
ZHANG Xiaohan;ZHANG Lihua;BI Chunlu;DUAN Hongmei;HOU Ruonan;WANG Wenjuan(Department of Rehabilitation,East Branch,Cangzhou Hospital of Integrated TCM-WM·Hebei,Cangzhou,Hebei 061001)
出处
《河北中医》
2021年第6期996-999,1037,共5页
Hebei Journal of Traditional Chinese Medicine
基金
河北省中医药管理局2020年度中医药类科研计划课题(编号:2020485)。
关键词
针刺疗法
中药疗法
骨关节炎
膝
Acupuncture
Traditional Chinese medicine moxibustion mud
Knee osteoarthritis
