Liu Jing-Wen, Tian Ning, Peng Yu-Ying, Ye Yan-Ying
Department of Preventive Treatment, Guangdong Provincial Traditional Chinese and Western Medicine Hospital, Foshan 528000, China.
Zhongguo Zhen Jiu. 2021 Oct 12;41(10):1063-8. doi: 10.13703/j.0255-2930.20200925-k0005.
To observe the moxibustion sensation and the clinical therapeutic effect of heat-sensitive moxibustion of two different suspension moxibustion methods and imitation moxibustion apparatus on mild to moderate knee osteoarthritis (KOA), and compare the therapeutic effect of different moxibustion methods.
A total of 90 patients with mild to moderate KOA were randomized into a hand-held group (30 cases, 1 case dropped off), an imitation moxibustion apparatus group (30 cases) and a moxibustion shelf group (30 cases, 1 case dropped off). point, Dubi (ST 35), Neixiyan (EX-LE 4), Yanglingquan (GB 34), Yinlingquan (SP 9), Liangqiu (ST 34) and Xuehai (SP 10) were selected as the frequent acupoint areas to explore and determine the heat-sensitive acupoints, after that, hand-held suspension moxibustion, suspension moxibustion with imitation moxibustion apparatus and suspension moxibustion with moxibustion shelf were adopted in the 3 groups respectively. The treatment was given once every 2 days, and totally 10-time treatment was required in the 3 groups. The moxibustion sensation (composition of moxibustion sensation, number of moxibustion sensation types in individuals and moxibustion sensation intensity) after each treatment, the visual analogue scale (VAS) score, the Lysholms knee function score and the depth of effusion and thickness of synovial hyperplasia of affected knee joint before and after treatment were observed, and the clinical therapeutic efficacy was compared in the 3 groups.
The compositions of moxibustion sensation and numbers of moxibustion sensation types in individuals in the hand-held group and the moxibustion shelf group were richer, the moxibustion sensation intensity was higher than that in the imitation moxibustion apparatus group (<0.01, <0.05). After treatment, the VAS scores were decreased, the Lysholms knee function scores were increased compared before treatment in the 3 groups (<0.01); the VAS score in the hand-held group was lower than the imitation moxibustion apparatus group (<0.05), the Lysholms knee function scores in the hand-held group and the moxibustion shelf group were higher than the imitation moxibustion apparatus group (<0.05). After treatment, the depth of effusion and thickness of synovial hyperplasia of affected knee joint were decreased compared before treatment in the 3 groups (<0.01), and those in the hand-held group and the moxibustion shelf group were lower than the imitation moxibustion apparatus group (<0.05). The cured and markedly effective rate in the hand-held group was 79.3% (23/29), which was better than 36.7% (11/30) in the imitation moxibuation apparatus group and 58.6% (17/29) in the moxibustion shelf group (<0.01, <0.05).
Heat-sensitive moxibustion can effectively treat knee osteoarthritis, while the different suspension moxibustion methods have an influence on clinical therapeutic effect, hand-held suspension moxibustion has the best efficacy.
观察两种不同悬灸方法及仿艾灸仪热敏灸治疗轻中度膝骨关节炎（KOA）的灸感及临床疗效，并比较不同灸法的治疗效果。
将90例轻中度KOA患者随机分为手持组（30例，脱落1例）、仿艾灸仪组（30例）和灸架组（30例，脱落1例）。选取犊鼻（ST 35）、内膝眼（EX-LE 4）、阳陵泉（GB 34）、阴陵泉（SP 9）、梁丘（ST 34）、血海（SP 10）等穴位所在的常灸部位进行探查，确定热敏穴位，之后3组分别采用手持悬灸、仿艾灸仪悬灸和灸架悬灸。治疗每2天进行1次，3组均需治疗10次。观察每次治疗后的灸感（灸感组成、个体灸感类型数量及灸感强度）、视觉模拟评分法（VAS）评分、Lysholm膝关节功能评分以及治疗前后患膝关节积液深度和滑膜增生厚度，并比较3组的临床治疗疗效。
手持组和灸架组的灸感组成及个体灸感类型数量更丰富，灸感强度高于仿艾灸仪组（<0.01，<0.05）。治疗后，3组VAS评分降低，Lysholm膝关节功能评分升高（<0.01）；手持组VAS评分低于仿艾灸仪组（<0.05），手持组和灸架组的Lysholm膝关节功能评分高于仿艾灸仪组（<0.05）。治疗后，3组患膝关节积液深度和滑膜增生厚度均较治疗前降低（<0.01），手持组和灸架组低于仿艾灸仪组（<0.05）。手持组的治愈显效率为79.3%（23/29），优于仿艾灸仪组的36.7%（11/30）和灸架组的58.6%（17/29）（<0.01，<0.05）。
热敏灸能有效治疗膝骨关节炎，不同悬灸方法对临床疗效有影响，手持悬灸疗效最佳。
