Zhang Huajun, Xu Haidong, Liu Tingting, Li Peifa
263 Clinical Department, the Army General Hospital of the Chinese People's Liberation Army, Beijing 101100, China.
Zhongguo Zhen Jiu. 2016 Dec 12;36(12):1266-1270. doi: 10.13703/j.0255-2930.2016.12.011.
To observe the clinical effect of early degenerative knee osteoarthritis with cold-damp stagnation treated with electroacupuncture (EA) combined with thunder-fire moxibustion and simple EA.
Eighty cases were randomly assigned into a combination group and an EA group,40 cases in each one. Twenty-five min EA was used in the EA group mainly at points,Neixiyan(EX-LE 4),Zusanli(ST 36),Dubi(ST 35),Yanglingquan(GB 34),Yinlingquan(SP 9) and Liangqiu(ST 34) after ( arrival),once a day. Based on EA at the same acupoints as the EA group,thunder-fire moxibustion was applied at points,Dubi(ST 35)and Liangqiu(ST 34) by means of 20-minute suspended moxibustion,once a day. Ten-day treatment was seen as one course,and continuous 2 courses were applied. The indices were observed before and after treatment including visual analogue scale(VAS) score,Lequesne index score,Lysholm score of knee joint,serum C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR). Clinical effects were also evaluated and 6-month follow-up was implemented to show the recurrence rate.
After treatment the total effective rate of the combination group was 95.0%(38/40),which was better than 82.5%(33/40) of the EA group(<0.05).The Lequesne index score,VAS score,serum CRP and ESR apparently decreased compared with those before treatment in the two groups(all <0.05),and the four indices in the combination group were obviously lower than those in the EA group(all <0.05). As for the Lysholm knee joint score,the good rates of the two groups enhanced after treatment(both <0.05),and the result of the combination group was superior to that of the EA group[87.5%(35/40) vs 72.5%(29/40),<0.05]. At 6-month follow-up,the recurrence rate of the combination group was lower than that of the EA group[26.7%(4/15) vs 100.0%(9/9),<0.05].
EA combined with thunder-fire moxibustion achieve good effect for degenerative knee osteoarthritis with cold-damp stagnation. The combination therapy have advantages in effect duration compared with simple EA.
观察电针结合雷火灸与单纯电针治疗寒湿痹阻型早中期退行性膝骨关节炎的临床疗效。
将80例患者随机分为联合组和电针组，每组40例。电针组于留针（进针后）25分钟，主要针刺内膝眼（EX-LE 4）、足三里（ST 36）、犊鼻（ST 35）、阳陵泉（GB 34）、阴陵泉（SP 9）、梁丘（ST 34）等穴位，每日1次。联合组在与电针组相同穴位行电针治疗的基础上，加用雷火灸，于犊鼻（ST 35）、梁丘（ST 34）穴位行悬灸20分钟，每日1次。10天为1个疗程，连续治疗2个疗程。观察两组患者治疗前后的视觉模拟评分（VAS）、Lequesne指数评分、膝关节Lysholm评分、血清C反应蛋白（CRP）及红细胞沉降率（ESR）。评价临床疗效，并进行6个月随访观察复发率。
治疗后联合组总有效率为95.0%（38/40），优于电针组的82.5%（33/40）（P<0.05）。两组治疗后Lequesne指数评分、VAS评分、血清CRP及ESR均较治疗前明显降低（均P<0.05），且联合组上述4项指标均明显低于电针组（均P<0.05）。膝关节Lysholm评分方面，两组治疗后优良率均提高（均P<0.05），联合组结果优于电针组[87.5%（35/40）比72.5%（29/40），P<0.05]。6个月随访时，联合组复发率低于电针组[26.7%（4/15）比100.0%（9/9），P<0.05]。
电针结合雷火灸治疗寒湿痹阻型退行性膝骨关节炎疗效良好，与单纯电针相比，联合疗法在疗效维持方面具有优势。
Zotero 插件