【摘要】 目的:探讨温针灸疗法治疗膝关节骨性关节炎(OA)的临床疗效,评估温针灸疗法治疗膝关节OA的临床效果。方法:将90例符合纳入标准的患者随机分为3组,治疗组予以温针灸治疗,对照组Ⅰ予以口服布洛芬缓释胶囊,对照组Ⅱ为等待组,2周内不接受任何针灸,2周后进行温针灸治疗。运用患者自评量表(WOMAC)及中文版简明健康状况调查表(SF-36)在疗程0周、2周时进行评估。结果:3组治疗措施均有效,治疗组2周后总有效率为86.67%,对照组Ⅰ总有效率为90.00%,对照组Ⅱ总有效率为60.00%。治疗组与对照组I后2周治疗后WOMAC和SF-36评分与治疗前比较均有显著性差异(P<0.05);除对照组Ⅱ精神健康无显著性差异外,2周治疗后WOMAC与SF-36评分与治疗前比较均有显著差异(P<0.05)。治疗组与对照组Ⅰ在2周治疗后WOMAC和SF-36评分比较无显著性差异(P>0.05),两组分别与对照组Ⅱ比较有显著性差异(P<0.05)。结论:通过应用温针灸治疗膝关节OA,确实能起到温补阳气、祛风除湿、消肿止痛、改善关节功能的作用。更多还原

【Abstract】 Objective:To investigate the effect of warm acupancture-moxibustion in patients with osteoarthritis(OA) of knee. Method:Patients with OA of knee were randomly assigned to warm acupuncture-moxibustion group(n=30) ,drug treatment group(n=30) and waiting control group(n=30) . Warm acupuncture-moxibustion or Ibuprofen was applied to the corresponding group respectively in 10 sessions over 2 weeks.The patieuts in waiting control group didn′t receive any acupuncture at the first 2 weeks,but 2 weeks later received warm acupuncture-moxibustion treatment for 2 weeks. Patients completed standard questionnaires at baseline and after 2 weeks. The Western Ontario and McMaster Universities Osteoarthritis(WOMAC) and SF-36 index were used to evaluate the outcome at the end of week 0 and 2. Result:Significant differences on WOMAC and SF-36 scores were found between before and after 2-week treatment in warm acupuncture-moxibustion group and drug treatment group(P<0.05) . There were no difference between warm acupuncture-moxibustion group and drug treatment group after 2-week treatment(P>0.05) . Conclusion:The results suggested that warm acupuncture-moxibustion is an effective and safe therapy to patients with OA of knee.更多还原