Randomized Controlled Clinical Trials of Treatment of Knee Osteoarthritis of Yang-deficiency Pattern by Acupuncture Plus Moxibustion

L Jian-jun; YANG Xiao-cheng; JI Ting-ting; XUE Ming-xin

doi:10.13702/j.1000-0607.170789

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Randomized Controlled Clinical Trials of Treatment of Knee Osteoarthritis of Yang-deficiency Pattern by Acupuncture Plus Moxibustion

更新时间：2023-08-10

- Randomized Controlled Clinical Trials of Treatment of Knee Osteoarthritis of Yang-deficiency Pattern by Acupuncture Plus Moxibustion
- Acupuncture Research Vol. 43, Issue 10, Pages: 661-665(2018)
- 作者机构：
  
  1. 南京中医药大学研究生院
  2. 南京中医药大学沭阳附属医院针灸推拿科
  3. 南京中医药大学第一临床医学院
  4. 江苏省人民医院针灸科
- 作者简介：
- 基金信息：
- DOI：10.13702/j.1000-0607.170789
  CLC：
- Published：2018
- 稿件说明：
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L Jian-jun, YANG Xiao-cheng, JI Ting-ting, et al. Randomized Controlled Clinical Trials of Treatment of Knee Osteoarthritis of Yang-deficiency Pattern by Acupuncture Plus Moxibustion[J]. Acupuncture research, 2018, 43(10): 661-665.
DOI：

L Jian-jun, YANG Xiao-cheng, JI Ting-ting, et al. Randomized Controlled Clinical Trials of Treatment of Knee Osteoarthritis of Yang-deficiency Pattern by Acupuncture Plus Moxibustion[J]. Acupuncture research, 2018, 43(10): 661-665. DOI： 10.13702/j.1000-0607.170789.

摘要

目的:比较针刺加麦粒灸疗法与针刺疗法治疗阳虚寒凝型膝关节骨性关节炎(KOA)的疗效差异。方法:KOA患者随机分为针刺加麦粒灸组30例和针刺组28例

针刺组取患侧内膝眼、犊鼻、梁丘、鹤顶、血海、阳陵泉

采用捻转补法为主

针刺加麦粒灸组针刺方法及取穴与针刺组相同

针刺结束1h内行麦粒灸治疗

两组治疗均每日1次

10次为1个疗程

共治疗2个疗程。观察两组治疗前后及1个月随访时视觉模拟量尺(VAS)评分、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)量表中3个维度(疼痛、僵硬、关节活动)的积分变化

并进行综合临床疗效比较。结果:与治疗前比较

治疗后各时点两组患者VAS、WOMAC评分均明显降低

差异均有统计学意义(P<0.01);针刺加麦粒灸组低于针刺组

差异有统计学意义(P<0.01

P<0.05);随访1个月后两组患者VAS、WOMAC评分与治疗后比较

均未见明显升高

差异均无统计学意义(P>0.05)。针刺加麦粒灸组总有效率为93.33%(28/30)

针刺组总有效率为67.86%(19/28)

针刺加麦粒灸组临床疗效高于针刺组(P<0.05)。结论:针刺加麦粒灸治疗阳虚寒凝型KOA临床疗效明显优于单纯针刺

具有很好的短期和长期疗效。

Abstract

Objective To compare the therapeutic effect of acupuncture plus moxibustion and simple acupuncture in the treatment of patients with knee osteoarthritis(KOA)of yang-deficiency syndrome.Methods Fifty-eight KOA patients with yang-deficiency syndrome were chosen and randomly divided into acupuncture plus moxibustion group(n=30)and acupuncture group(n=28).Neixiyan(EX-LE 4)

Dubi(ST 35)

Liangqiu(ST 34)

Heding(EX-LE 2)

Xuehai(SP 10)

Yanglingquan(GB34)on the affected side of the body were punctured with filiform needles or/and stimulated with moxibustion using seed-sized moxa cones.The treatment was conducted once daily for 10 days

followed with another 10 days after 2 days interval.The pain severity was evaluated by using visual analogue scale(VAS)

and the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)scores were used to measure the KOA pain

stiffness and function before and after the treatment

and 1 month after the treatment.The therapeutic effect was also evaluated according to the"Standards for Diagnosis and Therapeutic Effect Evaluation of Diseases/Syndromes of Traditional Chinese Medicine"(issued by the State Administration of Traditional Chinese Medicine of China in 1994).Results Twenty days and 1 month after the treatment

the scores of VAS

and KOA pain

stiffness and motor function of WOMAC were significantly decreased in both groups in comparison with their own pre-treatment(P<0.01)

and were obviously lower in the acupuncture plus moxibustion group than in the acupuncture group(P<0.05

P<0.01).Of the 28 and30 cases in the acupuncture and acupuncture plus moxibustion groups

7 and 12 experienced marked improvement

12 and 16 were effective

9 and 2 ineffective

with the therapeutic effect being 67.86% and 93.33%

respectively.The therapeutic effect of acupuncture plus moxibustion was apparently superior to that of simple acupuncture(P<0.05).Conclusion Acupuncture plus moxibustion is significantly superior to simple acupuncture therapy in relieving symptoms of KOA patients

and also has a better post-effect.

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