温针灸推拿辅以中药治疗膝骨性关节炎的临床疗效(1)
摘要目的：探讨温针灸推拿辅以中药治疗膝骨性关节炎(KOA)的临床疗效。方法：选取2016年1月至2016年12月北京市第一中西医结合医院收治膝骨性关节炎患者178例，以数字随机表法分为观察组和对照组，每组89例。2组均给予温针灸推拿，观察组在此基础上辅以中药热敷治疗。采用疗效标准、疼痛视觉模拟评分法(VAS)评分、Lequesne膝关节评分作为评价工具，观察2组不良反应发生情况。结果：观察组有效率显著高于对照组，差异有统计学意义(P<005)，2组不良反应发生率基本相同，差異无统计学意义(P>005)。基线期，2组VAS评分和Lequesne膝关节评分基本相同，差异无统计学意义(P>005)；治疗后，观察组VAS评分和Lequesne膝关节评分显著低于对照组，差异有统计学意义(P<005)。结论：温针灸推拿辅以中药热敷治疗膝骨性关节炎安全有效，值得临床推广应用。
关键词温针灸；推拿；中药热敷；膝骨性关节炎；中医学；随机对照研究；辨证论治
Analysis of Therapeutic Effects of Warming Needle Moxibustion and Tuina Combined with Herbal Fomentation in the Treatment of Patients with Knee Osteoarthritis
, 百拇医药
Liu Chunyu， Yang Juan
(Beijing First Hospital of Integrated Chinese and Western Medicine， Beijing 100026， China)
AbstractObjective：To discuss the therapeutic effects of warming needle moxibustion and tuina combined with herbal fomentation in the treatment of patients with knee osteoarthritis. Methods：One hundred and seventy eight patients with knee osteoarthritis selected from January 2016 to December 2016 in our hospital by the random indicator method were divided into the observation group and the control group， with 89 cases in each group. Two groups were received warming needle moxibustion and tuina treatment， and the observation group additionally received herbal fomentation treatment. Therapeutic effect criterion， visual analogue scale (VAS) and Lequesne index were used as an evaluation tool， and the incidence condition of adverse reaction in both groups were observed. Results：The effective rate of the observation group was higher than the control group， with statistical significant difference (P<005). And the adverse effects rate of both groups were basically the same， and there was no significant difference (P>005). Baseline phase， VAS score and Lequesne index of two groups was basically the same， and there was no significant difference (P>005)； Posttreatment， VAS score and Lequesne index of observation group was lower than the control group， with statistical significant difference (P<005). Conclusion：Warming needle moxibustion and tuina combined with herbal fomentation in the treatment of knee osteoarthritis is safe and effective， which is worthy of clinical application.
Key WordsWarming needle moxibustion； Tuina； Herbal fomentation； Knee osteoarthritis； Traditional Chinese medicine； Randomized controlled study； Treatment according to syndrome differentiation； Discussion on treatment
中图分类号：R245；R684文献标识码：Adoi：10.3969/j.issn.1673-7202.2018.08.042, 百拇医药(刘春雨 杨娟)
关键词温针灸；推拿；中药热敷；膝骨性关节炎；中医学；随机对照研究；辨证论治
Analysis of Therapeutic Effects of Warming Needle Moxibustion and Tuina Combined with Herbal Fomentation in the Treatment of Patients with Knee Osteoarthritis
, 百拇医药
Liu Chunyu， Yang Juan
(Beijing First Hospital of Integrated Chinese and Western Medicine， Beijing 100026， China)
AbstractObjective：To discuss the therapeutic effects of warming needle moxibustion and tuina combined with herbal fomentation in the treatment of patients with knee osteoarthritis. Methods：One hundred and seventy eight patients with knee osteoarthritis selected from January 2016 to December 2016 in our hospital by the random indicator method were divided into the observation group and the control group， with 89 cases in each group. Two groups were received warming needle moxibustion and tuina treatment， and the observation group additionally received herbal fomentation treatment. Therapeutic effect criterion， visual analogue scale (VAS) and Lequesne index were used as an evaluation tool， and the incidence condition of adverse reaction in both groups were observed. Results：The effective rate of the observation group was higher than the control group， with statistical significant difference (P<005). And the adverse effects rate of both groups were basically the same， and there was no significant difference (P>005). Baseline phase， VAS score and Lequesne index of two groups was basically the same， and there was no significant difference (P>005)； Posttreatment， VAS score and Lequesne index of observation group was lower than the control group， with statistical significant difference (P<005). Conclusion：Warming needle moxibustion and tuina combined with herbal fomentation in the treatment of knee osteoarthritis is safe and effective， which is worthy of clinical application.
Key WordsWarming needle moxibustion； Tuina； Herbal fomentation； Knee osteoarthritis； Traditional Chinese medicine； Randomized controlled study； Treatment according to syndrome differentiation； Discussion on treatment
中图分类号：R245；R684文献标识码：Adoi：10.3969/j.issn.1673-7202.2018.08.042, 百拇医药(刘春雨 杨娟)