世界中医药

作者	单位
陈日新1 张波1 蔡加2	1 江西中医药大学附属医院，南昌，330006； 2 江西省赣州市中医院针灸科，赣州，341000

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中文摘要:

目的：比较艾灸治疗膝关节骨性关节炎不同灸感的临床疗效差异，为临床辨敏施灸提供科学依据。方法：依据61例膝关节骨性关节炎患者在艾灸患侧内膝眼、外膝眼二穴治疗过程中有无热感透至膝关节腔内为标准，将患者分为热敏灸感组27例和普通灸感组34例，每次温和灸时间为40 min，每日施灸1次，共治疗30 d。治疗结束后及治疗结束后3个月进行疗效评价。结果：热敏灸感组总有效率为85.19%，明显优于普通灸感组的58.82%(P<0.05)，热敏灸感组治疗后3个月症状总积分及关节消肿程度亦明显优于普通灸感组(P<0.05)。结论：艾灸治疗膝关节骨性关节炎能有效改善临床症状；艾灸治疗中出现热敏灸感的临床疗效明显优于普通灸感，且远期疗效更稳定。

English Summary:

To compare clinical effect of mild moxibustion with different moxibustion sensation in treating knee osteoarthritis.Methods:A total of 61 patients with knee osteoarthritis were selected to receive moxibustion on the acupoint of EX-LE4 and EX-LE5. They were divided into 2 groups， according to the penetrating of heat into the articular cavity， the heat-sensitive sensation group with 27 cases， and the ordinary sensation group with 34 cases. The treatment duration is 40 minutes， once a day， 30 days. The clinical effect was compared after treatment， and in a 3-month follow up.Results:The effective rate of the heat-sensitive sensation group was 85.19 %，significantly better than 58.82% of the ordinary sensation group (P<0.05). The total scores of the symptom after 3months and the swelling disappearing degree of the sensitive group was significantly better than the ordinary group(P<0.05).Conclusion:Moxibustion can effectively relieve clinical symptoms of knee osteoarthritis. The clinical effect of both short term and long term are significantly better in patients with heat-sensitive sensation than patients with ordinary sensation.

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