不同针灸方法干预鹤顶穴对阳虚寒凝型膝骨关节炎的临床疗效观察

发布时间：2018-12-07 12:16

【摘要】：目的:观察在针刺基础上对患侧鹤顶穴行针刺加隔姜灸与单纯针刺和单纯隔姜灸干预阳虚寒凝型膝骨关节炎(knee osteoarthritis,KOA)的临床疗效差异。方法:将90例阳虚寒凝型KOA患者随机分为针刺组、隔姜灸组和针刺加隔姜灸组,每组30例。3组患者均针刺双侧梁丘、血海及患侧犊鼻、内膝眼、阳陵泉、足三里、阴陵泉、三阴交、悬钟、太冲。针刺组针刺患侧鹤顶穴;隔姜灸组对患侧鹤顶穴行隔姜灸;针刺加隔姜灸组对患侧鹤顶穴行针刺后再隔姜灸。3组均每日治疗1次,10 d为一疗程,疗程间休息2 d,共治疗2个疗程。对比3组治疗前后膝关节功能评分、视觉模拟量表(visual analogue scale,VAS)评分、现有疼痛强度(present pain intensity,PPI)评分变化,并评价临床疗效。结果:3组治疗后膝关节功能评分均高于治疗前(均P0.05),VAS、PPI评分均低于治疗前(均P0.05),且针刺加隔姜灸组治疗前后膝关节功能、VAS、PPI评分差值均高于其他两组(均P0.05),针刺组上述差值均高于隔姜灸组(均P0.05)。治疗后针刺加隔姜灸组愈显率为73.3%(22/30),明显高于针刺组的46.7%(14/30)和隔姜灸组的20.0%(6/30,均P0.05),且针刺组愈显率高于隔姜灸组(P0.05)。结论:在针刺基础上,对患侧鹤顶穴行针刺加隔姜灸干预阳虚寒凝型KOA的临床疗效明显优于单纯针刺和单纯隔姜灸。
[Abstract]:Objective: to observe the clinical efficacy of acupuncture plus ginger separated moxibustion on the basis of acupuncture in treating knee osteoarthritis (knee osteoarthritis,KOA) with yang deficiency and cold coagulation type. Methods: 90 cases of KOA patients with yang deficiency and cold coagulation were randomly divided into acupuncture group, ginger separated moxibustion group and acupuncture plus ginger separated moxibustion group with 30 cases in each group. All patients in 3 groups were treated with acupuncture on bilateral Liang Qiu, Xue Hai and affected side calf nose, inner knee eye, Yanglingquan, Zusanli, Yin Lingquan. Sanyinjiao, hung bell, too Chong. Acupuncture group was treated with Acupuncture and Ginger separated moxibustion group with Ginger separated moxibustion. Acupuncture plus ginger-separated moxibustion group were treated with acupuncture and then ginger separated moxibustion. The 3 groups were treated once a day, 10 days as a course of treatment, rest for 2 days during the course of treatment and 2 courses of treatment. The scores of knee joint function, visual analogue scale (visual analogue scale,VAS) and existing pain intensity (present pain intensity,PPI) were compared before and after treatment, and the clinical efficacy was evaluated. Results: after treatment, the knee joint function scores of the three groups were higher than those before treatment (P0.05), the VAS,PPI scores were lower than those before and after treatment (P0.05), and the knee joint function, VAS, of acupuncture plus ginger separated moxibustion group before and after treatment were lower than those before and after treatment (P0.05). The difference of PPI score was higher than that of other two groups (P0.05), and that of acupuncture group was higher than that of ginger-separated moxibustion group (P0.05). After treatment, the effective rate of acupuncture plus ginger separated moxibustion group was 73.3% (22 / 30), which was significantly higher than that of acupuncture group (46.7%) and ginger separated moxibustion group (20.0%) (6 / 30, P0.05). The effective rate of acupuncture group was higher than that of ginger-separated moxibustion group (P0.05). Conclusion: on the basis of acupuncture, the clinical efficacy of acupuncture plus ginger separated moxibustion in treating KOA with Yang deficiency and cold coagulation is better than that of simple acupuncture and ginger separated moxibustion.
【作者单位】：江西中医药大学研究生院;江西中医药大学网络与现代教育技术中心;江西中医药大学附属医院针灸科;
【分类号】：R246.9

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