温针治疗膝骨关节炎的随机对照研究

[A randomized controlled study on warming needle moxibustion for treatment of knee osteoarthritis].

作者信息

Ding Ming-hui, Zhang Hong, Li Yan

机构信息

College of Acupuncture and Massage, Guangzhou University of TCM, Guangzhou, China.

出版信息

Zhongguo Zhen Jiu. 2009 Aug;29(8):603-7.

PMID:19947259

Abstract

OBJECTIVE

To assess the short-term and long-term therapeutic effect of warming needle moxibustion for treatment of knee osteoarthritis.

METHODS

Ninety cases were randomly divided into a warming needle moxibustion group, a western medicine group and a waiting group, 30 cases in each group. The warming needle moxibustion group was treated with warming needle moxibustion on Xuehai (SP 10), Dubi (ST 35) and Zusanli (ST 36), etc.; the western medicine group was treated with oral administration of Ibuprofen sustained release capsule; the waiting group did not receive any treatment. Western Ontario and McMaster University Osteoarthritis Index (WOMAC) and Chinese version of SF-16 were used to assess the therapeutic effect before treatment, after treatment and 10 weeks after treatment.

RESULTS

After treatment for 2 weeks, the total effective rate was 86.7% in the warming needle moxibustion group, 90.0% in the western medicine group, and 60.0% in the waiting group, both the warming needle moxibustion group and the western medicine group being significantly better than the waiting group (both P<0.05) and with no significant difference between the warming needle moxibustion group and the western medicine group (P>0.05); 10 weeks after treatment, the total effective rate of 83.3% in the warming needle moxibustion group was better than that of 60.0% in the western medicine group (P<0.05). There were no significant differences in comparison of WOMAC and SF-16 scores after treatment between the warming needle moxibustion group and the western medicine group, and the warming needle moxibustion group in improvement of these scores was superior to the western medicine group (P<0.01, P<0.05).

CONCLUSION

The therapy of warming needle moxibustion is effective for treatment of knee osteoarthritis, and the short-term therapeutic effect is same as that of oral administration of Ibuprofen and the long-term therapeutic effect is better than that of Ibuprofen.

摘要

目的

评估温针艾灸治疗膝关节骨性关节炎的短期和长期疗效。

方法

将90例患者随机分为温针艾灸组、西药组和等待组，每组30例。温针艾灸组取血海（SP 10）、犊鼻（ST 35）、足三里（ST 36）等穴位进行温针艾灸治疗；西药组口服布洛芬缓释胶囊；等待组不接受任何治疗。采用西安大略和麦克马斯特大学骨关节炎指数（WOMAC）及中文版SF - 16在治疗前、治疗后及治疗后10周评估疗效。

结果

治疗2周后，温针艾灸组总有效率为86.7%，西药组为90.0%，等待组为60.0%，温针艾灸组和西药组均显著优于等待组（均P<0.05），且温针艾灸组与西药组之间无显著差异（P>0.05）；治疗10周后，温针艾灸组总有效率83.3%优于西药组的60.0%（P<0.05）。温针艾灸组与西药组治疗后WOMAC和SF - 16评分比较无显著差异，但温针艾灸组在这些评分的改善方面优于西药组（P<0.01，P<0.05）。