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附子饼隔灸治疗肝肾亏虚型原发性膝骨关节炎的临床观察

[Clinical observation on treatment of primary knee osteoarthritis of liver and kidney deficiency type with Aconite cake-separated moxibustion].

作者信息

Sun Kui, Yang Jun, Shen De-Kai

机构信息

Acupuncture-Moxibustion Hospital Affiliated to Anhui College of TCM, Hefei 230061, China.

出版信息

Zhongguo Zhen Jiu. 2008 Feb;28(2):87-90.

Abstract

OBJECTIVE

To observe the effect of Aconite cake-separated moxibustion on primary knee osteoarthritis of liver and kidney deficiency type.

METHODS

Fifty-six cases of such disease (80 knees) were randomly divided into a cake-separated moxibustion group (41 knees) with Neixiyan (EX-LE 5), Dubi (ST 35), Yinlingquan (SP 9) etc. selected, and a western medicine group (39 knees) were treated with oral administration of Sodium Diclofenate Slow-released Tablet.

RESULTS

The cumulative score for symptoms and signs was (37.41 +/- 6.61) points before treatment and (9.37 +/- 8.15) points after treatment in the cake-separated moxibustion group and (37.64 - 6.00) points before treatment and (12.05 +/- 8.83) points after treatment in the western medicine group, with a very significant difference before and after treatment in the two groups (P < 0.01); two months after treatment, it was (11.71 +/- 8.69) points in the cake-separated moxibustion group and (15.95 +/- 9.96) points in the western medicine group, the former being better than the latter (P < 0.05). After the end of treatment, there was no significant difference in the comprehensive therapeutic effect between the two groups (P > 0.05), the cured and markedly effective rate was 63.4% in the cake-separated moxibustion group and 48.7% in the western medicine group, but two months after treatment, the cured and markedly effective rate of 56.1% in the cake-separated moxibustion group was better than 33.3% in the western medicine group (P < 0.05).

CONCLUSION

Aconite cake-separated moxibustion has an ideal therapeutic effect on primary knee osteoarthritis of liver and kidney deficiency type, and the therapeutic effect at anaphase is better than that of Sodium Diclofenate Slow-released Tablet.

摘要

目的

观察隔附子饼灸对肝肾亏虚型原发性膝骨关节炎的疗效。

方法

将56例该疾病患者(80膝)随机分为隔饼灸组(41膝),选取内膝眼(EX-LE 5)、犊鼻(ST 35)、阴陵泉(SP 9)等穴位进行治疗;西药组(39膝)口服双氯芬酸钠缓释片进行治疗。

结果

隔饼灸组治疗前症状体征累计评分为(37.41±6.61)分,治疗后为(9.37±8.15)分;西药组治疗前为(37.64±6.00)分,治疗后为(12.05±8.83)分,两组治疗前后比较差异有统计学意义(P<0.01);治疗2个月后,隔饼灸组为(11.71±8.69)分,西药组为(15.95±9.96)分,隔饼灸组优于西药组(P<0.05)。治疗结束后,两组综合疗效比较差异无统计学意义(P>0.05),隔饼灸组痊愈显效率为63.4%,西药组为48.7%;但治疗2个月后,隔饼灸组痊愈显效率为56.1%,优于西药组的33.3%(P<0.05)。

结论

隔附子饼灸对肝肾亏虚型原发性膝骨关节炎有理想的治疗效果,后期疗效优于双氯芬酸钠缓释片。

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