Hu Qu, Zeng Zhen, Hu Guang-Yun, Dai Xue-Mei, Gu Ying-Xuan, Zhang Yang-Yue, Quan Xiao-Ming
First Clinical Medical School, Guangzhou University of CM, Guangzhou 510405, Guangdong Province, China.
Derpartment of Nursing, Guangdong Second TCM Hospital.
Zhongguo Zhen Jiu. 2019 Aug 12;39(8):804-8. doi: 10.13703/j.0255-2930.2019.08.002.
To compare the therapeutic effect between thunder-fire moxibustion combined with external applicaion of powder and thunder-fire moxibustion alone for mild and moderate knee osteoarthritis.
A total of 70 patients with mild and moderate knee osteoarthritis were randomly divided into an observation group and a control group, 35 cases in each group. In the observation group, thunder-fire moxibustion combined with external applicaion of powder were applied, Thunder-fire moxibustion was applied at Xuehai (SP 10), Liangqiu (ST 34), Neixiyan (EX-LE 4), Yanglingquan (GB 34) and point, external applicaion of powder was given to the affected knee after the treatment of thunder-fire moxibustion. Simple thunder-fire moxibustion was given in the control group. All patients in the two groups were treated once a day, 7 days as one course and the consecutive 4 courses were required, with an interval of 1 day between courses. Before and after treatment, the visual analogue scale (VAS) score and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score were used to assessed knee pain, stiffness and physical function in the two groups. In addition, the efficacy was evaluated.
Compared before treatment, the VAS scores, total scores of WOMAC, pain scores, stiffness scores and physical function scores were reduced after treatment in the two groups (<0.01), and the scores in the observation group were significantly lower than those in the control group (<0.01, <0.05). The total effective rate was 97.0% (32/33) in the observation group, which was superior to 91.2% (31/34) in the control group (<0.05).
Thunder-fire moxibustion combined with external applicaion of powder are superior to simple thunder-fire moxibustion in improving the symptoms and delaying the development of the disease for mild and moderate knee osteoarthritis.
比较雷火灸联合散剂外敷与单纯雷火灸治疗轻中度膝骨关节炎的疗效。
将70例轻中度膝骨关节炎患者随机分为观察组和对照组，每组35例。观察组采用雷火灸联合散剂外敷，取血海（SP 10）、梁丘（ST 34）、内膝眼（EX-LE 4）、阳陵泉（GB 34）及阿是穴行雷火灸，雷火灸治疗后对患膝给予散剂外敷。对照组采用单纯雷火灸。两组患者均每日治疗1次，7天为1个疗程，连续治疗4个疗程，疗程间间隔1天。治疗前后采用视觉模拟评分法（VAS）评分及西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评分评估两组患者膝关节疼痛、僵硬及躯体功能情况。此外，对疗效进行评价。
与治疗前比较，两组治疗后VAS评分、WOMAC总分、疼痛评分、僵硬评分及躯体功能评分均降低（<0.01），且观察组评分显著低于对照组（<0.01，<0.05）。观察组总有效率为97.0%（32/33），优于对照组的91.2%（31/34）（<0.05）。
对于轻中度膝骨关节炎，雷火灸联合散剂外敷在改善症状及延缓病情发展方面优于单纯雷火灸。
