Liao Mo, Luo Ling, Ding Qi, Zuo Jia, Guo Ling-Ling, Gou Chun-Yan, Zhang Cai-Rong, Tang Yong, Yu Shu-Guang
School of Acupuncture-Moxibustion and Tuina, Chengdu University of TCM, Chengdu 610075, Sichuan Province, China.
Department of Acupuncture and Moxibustion, Luohe Hospital of TCM.
Zhongguo Zhen Jiu. 2020 Jun 12;40(6):623-8. doi: 10.13703/j.0255-2930.20200205-k0003.
OBJECTIVE: To explore the clinical therapeutic effect of light and heat of moxibustion for knee osteoarthritis (KOA). METHODS: A total of 216 patients with KOA were randomized into a traditional moxibustion group (72 cases, 8 cases dropped off), a moxibustion light group (72 cases, 9 cases dropped off) and a moxibustion heat group (72 cases, 10 cases dropped off).The special light-heat separation moxibustion cup was applied, the patients in the traditional moxibustion group received the treatment of moxibustion, the patients in the moxibustion light group received the treatment of moxibustion light and the patients in the moxibustion heat group received the treatment of moxibustion heat. The acupoint selection of the three groups was Neixiyan (EX-LE 4), Dubi (ST 35) and Zusanli (ST 36), the treatment was given 20 min each time, 3 times a week, 4 weeks were required totally, and the follow-up surveys were made 4 and 8 weeks after treatment. The scores of Western Ontario and McMaster University osteoarthritis index (WOMAC) and visual analogue scale (VAS) were observed before treatment, after 2 and 4 weeks of treatment, 4 and 8 weeks after treatment. The therapeutic effects were evaluated according to the criterion of patient global assessment (PGA) after 4 weeks of treatment and 8 weeks after treatment. RESULTS: Compared with before treatment, the pain scores, stiffness scores, physical function scores and total scores of WOMAC were reduced after 2, 4 weeks of treatment and 4 weeks after treatment in the three groups (<0.05). The pain scores, stiffness scores, physical function scores and total scores of WOMAC were reduced 8 weeks after treatment in the traditional moxibustion group and the moxibustion heat group (<0.05). The stiffness score, physical function score and total score of WOMAC were reduced 8 weeks after treatment in the moxibustion light group (<0.05). The pain score, physical function score and total score of WOMAC in the traditional moxibustion group after 4 weeks of treatment were lower than the moxibustion light group (<0.05). Compared with before treatment, the VAS scores were reduced after 2, 4 weeks of treatment and 4 , 8 weeks after treatment in the three groups (<0.05). The improvement rates in the traditional moxibustion group and the moxibustion heat group after 4 weeks of treatment and 8 weeks after treatment were superior to the moxibustion light group (<0.05). CONCLUSION: The light and heat of moxibustion have therapeutic effect for KOA, and the therapeutic effect of moxibustion heat is superior to moxibustion light.
目的：探讨艾灸温热对膝骨关节炎（KOA）的临床治疗效果。 方法：将216例KOA患者随机分为传统艾灸组（72例，脱落8例）、艾灸光组（72例，脱落9例）和艾灸热组（72例，脱落10例）。采用特制的光热分离艾灸杯，传统艾灸组患者接受艾灸治疗，艾灸光组患者接受艾灸光治疗，艾灸热组患者接受艾灸热治疗。三组穴位选择均为内膝眼（EX-LE 4）、犊鼻（ST 35）和足三里（ST 36），每次治疗20分钟，每周3次，共需治疗4周，并在治疗后4周和8周进行随访调查。观察治疗前、治疗2周和4周后、治疗后4周和8周的西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评分及视觉模拟量表（VAS）评分。根据治疗4周后和8周后的患者整体评估（PGA）标准评估治疗效果。 结果：与治疗前比较，三组治疗2周、4周后及治疗后4周时WOMAC疼痛评分、僵硬评分、身体功能评分及总分均降低（<0.05）。传统艾灸组和艾灸热组治疗后8周时WOMAC疼痛评分、僵硬评分、身体功能评分及总分降低（<0.05）。艾灸光组治疗后8周时WOMAC僵硬评分、身体功能评分及总分降低（<0.05）。传统艾灸组治疗4周时WOMAC疼痛评分、身体功能评分及总分低于艾灸光组（<0.05）。与治疗前比较，三组治疗2周、4周后及治疗后4周、8周时VAS评分均降低（<0.05）。传统艾灸组和艾灸热组治疗4周后及8周后的改善率优于艾灸光组（<0.05）。 结论：艾灸温热对KOA有治疗作用，且艾灸热的治疗效果优于艾灸光。
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