温和灸治疗膝关节骨性关节炎（肿胀型）不同灸感的临床疗效比较研究

摘要

Objective:To compare clinical effect of mild moxibustion with different moxibustion sensation in treating knee osteoarthritis . Methods:A total of 61 patients with knee osteoarthritis were selected to receive moxibustion on the acupoint of EX -LE4 and EX-LE5. They were divided into 2 groups, according to the penetrating of heat into the articular cavity , the heat-sensitive sensation group with 27 cases, and the ordinary sensation group with 34 cases.The treatment duration is 40 minutes, once a day, 30 days.The clinical effect was compared after treatment , and in a 3-month follow up.Results:The effective rate of the heat-sensitive sensation group was 85.19%,significantly better than 58.82%of the ordinary sensation group (P<0.05).The total scores of the symptom after 3months and the swelling disappearing degree of the sensitive group was significantly better than the ordinary group (P<0.05).Conclusion:Moxibustion can effectively relieve clinical symptoms of knee osteoarthritis .The clinical effect of both short term and long term are significantly better in patients with heat-sensitive sensation than patients with ordinary sensation .%目的：比较艾灸治疗膝关节骨性关节炎不同灸感的临床疗效差异，为临床辨敏施灸提供科学依据。方法：依据61例膝关节骨性关节炎患者在艾灸患侧内膝眼、外膝眼二穴治疗过程中有无热感透至膝关节腔内为标准，将患者分为热敏灸感组27例和普通灸感组34例，每次温和灸时间为40 min，每日施灸1次，共治疗30 d。治疗结束后及治疗结束后3个月进行疗效评价。结果：热敏灸感组总有效率为85.19％，明显优于普通灸感组的58.82％（P＜0.05），热敏灸感组治疗后3个月症状总积分及关节消肿程度亦明显优于普通灸感组（P＜0.05）。结论：艾灸治疗膝关节骨性关节炎能有效改善临床症状；艾灸治疗中出现热敏灸感的临床疗效明显优于普通灸感，且远期疗效更稳定。