隔药灸结合电针治疗寒湿型膝骨性关节炎的疗效观察

目的:观察隔药灸结合电针对寒湿型膝骨性关节炎的疗效。方法:将124例患者按随机数字表分为隔药灸结合电针组和西药组各62例。隔药灸结合电针组采用神阙穴隔药灸9壮,梁丘、鹤顶、内外膝眼等穴用电针,疏密波,频率4Hz/20Hz,强度1～2mA,电针30min;每日1次,每周治疗5次,治疗4周。西药组口服英太青胶囊,每次50mg,每日2次,4周后统计疗效。结果:隔药灸结合电针组在降低关节疼痛积分、改善膝骨关节病情严重指数方面均优于西药组(P0.05)。隔药灸结合电针组临床控制8例,显效21例,有效27例,无效6例,总有效率90.3%;西药组临床控制3例,显效16例,有效31例,无效12例,总有效率80.6%。隔药灸结合电针组优于西药组(P0.05)。治疗后10周随访时隔药灸结合电针组总有效率87.1%(54/62),优于西药组67.7%(42/62,P0.01)。隔药灸结合电针组较西药组不良反应发生率低(P0.01)。结论:隔药灸神阙穴配合电针治疗寒湿型膝骨性关节炎的临床疗效佳,且副反应低。

Clinical observation on the therapeutic effect of drugs-paste separated moxibustion combined with electroacupunture for knee osteoarthritis patients of cold-damp type

Objective To observe the curative effect of Chinese drugs-paste separated moxibustion combined with electroacupuncture (EA) for knee osteoarthritis (KOA). Methods A total of 124 cases of KOA patients were randomly and equally divided into moxibustion plus electroacupunture (M+EA) group and medication group by using a random table. Chinese drugs-paste separated moxibustion was applied to Shenque (CV 8) for 9 moxa-cones,combined with EA (4 Hz/20 Hz,1-2 mA) of Liangqiu (ST 34),Heding (EX-LE 2),Neixiyan (EX-LE 4),etc. for 30 min,once daily,5 sessions a week. Patients of medication group were treated by oral administration of Antine Capsule (diclofenac sodium,50 mg,twice daily). After 4 weeks of treatment,the therapeutic effect was evaluated. Results Compared with pre-treatment,the knee-joint pain scores and the indexex of severity of osteoarthritis of both M+EA and medication groups decreased significantly after termination of the treatment and 10 weeks after the treatment ( P<0.01 ),and those of M+EA group were markedly lower than those of medication group ( P<0.05 ). After the treatment,of the two 62 cases in medication and M+EA groups,3 (4.8%) and 8 (12.9%) were under control in their symptoms,16 (25.8%) and 21 (33.9%) had remarkable improvement,31 (50.0%) and 27 (43.5%) were effective,12 (19.4%) and 6 (9.7%) failed in the treatment,with the effective rates being 80.6% and 90.3% respectively. Ten weeks after the treatment,of the two 62 cases in medication and M+EA groups,1 (1.6%) and 7 (11.3%) were under control,10 (16.1%) and 19 (30.6%) had marked improvement,31 (50.0%) and 28 (45.2%) were effective,20 (32.3%) and 8 (12.9%) failed in the treatment,with the effective rates being 67.7% and 87.1%,respectively.The curative effect of M+EA group was significantly superior to that of medication group (P<0.05,P<0.01). Conclusion Chinese drugs-paste-separated moxibustion combined with EA is effective in the treatment of KOA of cold-damp type.