| 引用本文:宋文华1，张孔雁2，张永强1，谭琪1，李振1，杨磊1，刘光军3.不同壮数温针灸联合祛风通痹汤对膝骨性关节炎患者关节腔积液的影响[J].世界中医药,2019,(04):. |
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| 不同壮数温针灸联合祛风通痹汤对膝骨性关节炎患者关节腔积液的影响 |
| Effects of Different Number of Cones Needle Warming Moxibustion Combined with Qufeng Tongbi Decoction on Arthroedema in Patients with Knee Osteoarthritis |
| 投稿时间：2018-12-21 |
| DOI：10.3969/j.issn.1673-7202.2019.04.050 |
| 中文关键词: 膝骨性关节炎 温针灸 壮数 祛风通痹汤 关节腔积液 膝关节功能 |
| English Keywords:Knee osteoarthritis Needle warming moxibustion Cones Qufeng Tongbi Decoction Arthroedema Knee joint function |
| 基金项目:承德市科学技术研究与发展计划项目(20151039) |
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| 中文摘要: |
| 目的:探讨不同壮数温针灸联合祛风通痹汤对膝骨性关节炎(KOA)患者关节腔积液的影响。方法:选取2015年3月至2018年4月潍坊医学院附属医院收治的KOA患者123例作为研究对象,根据温针灸壮数不同将患者分为A、B、C 3组,每组41例。3组患者均采用温针灸联合祛风通痹汤治疗,A组患者采用1壮温针灸,B组患者采用2壮温针灸,C组患者采用3壮温针灸,3组患者均连续温针灸治疗4周。比较3组患者治疗前后患膝关节腔积液深度及分级,评价治疗前后膝关节功能及功能障碍程度。结果:与治疗前比较,治疗后3组患者患膝关节腔积液深度均明显减小,且B、C组明显小于A组(P<0.05),B、C 2组间差异无统计学意义(P>0.05);治疗后B、C组患膝关节腔积液Ⅰ级患者比例及3组Ⅱ级患者比例均明显增加,且B、C组患膝关节腔积液Ⅰ级患者比例明显高于A组(P<0.05),B、C 2组间差异无统计学意义(P>0.05);3组Ⅲ级比例均明显降低(P<0.05),但3组间差异无统计学意义(P>0.05)。与治疗前比较,治疗后3组患者Lysholm及JOA各项评分均明显升高(P<0.05),且B、C组明显高于A组(P<0.05),B、C 2组间差异无统计学意义(P>0.05)。结论:温针灸联合祛风通痹汤可有效促进KOA患者关节腔内积液吸收,改善患者膝关节功能,但不同壮数温针灸临床疗效不同,二壮、三壮温针灸临床疗效明显优于一壮温针灸,根据最优化及节约成本原则,建议临床优选二壮作为施灸壮数。 |
| English Summary: |
| To explore the effects of different number of cones needle warming moxibustion combined with Qufeng Tongbi Decoction on arthroedema in patients with knee osteoarthritis (KOA).Methods:A total of 123 cases of KOA patients in Affiliated Hospital of Weifang Medical University from March 2015 to April 2018 were elected and divided into 3 groups of A，B，C，with 41 cases in each group.The patients of 3 groups were treated with needle warming moxibustion combined with Qufeng Tongbi Decoction.The patients in group A were treated with needle warming moxibustion with one cone，the patients in group B were treated with needle warming moxibustion with two cones，and the patients in group C were treated with needle warming moxibustion with three cones.The 3 groups of patients were continuously treated with needle warming moxibustion for 4 weeks.The depth and grade of arthroedema before and after treatment in 3 groups of patients were compared，and the knee joint function and the degree of dysfunction before and after treatment of 2 groups were evaluated.Results:Compared with before treatment，the depth of arthroedema significantly reduced in 3 groups after treatment，B,C groups was significantly smaller than group A (P<0.01)，and there was no statistical difference between group B and C (P>0.05); the proportion of patients with grade I of arthroedema of B,C groups and grade II of 3 groups significant increased after treatment，and the proportion of patients with grade I of arthroedema of B,C groups was significantly higher than that of group A (P<0.05 or P<0.01)，and there was no statistical difference between group B and C (P>0.05); the proportion of grade III in 3 groups significantly decreased (P<0.01)，but there was no statistical difference between 3 groups (P>0.05).Compared with before treatment，the scores of Lysholm and JOA in 3 groups after treatment significantly increased (P<0.01)，and the group B and group C were significantly higher than group A (P<0.05 or P<0.01).There was no statistical difference between group B and C (P>0.05).Conclusion:Needle warming moxibustion combined with Qufeng Tongbi Decoction can effectively promote absorption of arthroedema in patients with KOA，improve knee joint function.However，the efficacy of different number of cones needle warming moxibustion has different clinical effects，and the clinical efficacy of needle warming moxibustion with two and three cones are obviously superior to needle warming moxibustion with one cone.It is recommended to prefer two cones as giving moxibustion according to the principle of optimization and cost-saving. |
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