[1]陆金金,欧阳八四.电针与温针灸治疗瘀血阻滞型膝骨关节炎的疗效比较[J].西部中医药,2014,27(04):119-121.
　LU Jinjin,OUYANG Basi.Comparison of Clinical Effects between Acusector and Warm Needling Moxibustion in Treating Knee Osteoarthritis of Blood Stasis Obstruction Pattern[J].Western Journal of Traditional Chinese Medicine,2014,27(04):119-121.
点击复制

电针与温针灸治疗瘀血阻滞型膝骨关节炎的疗效比较
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
27
期数:
2014年04期
页码:
119-121
栏目:
出版日期:
2014-04-15

文章信息/Info

Title:
Comparison of Clinical Effects between Acusector and Warm Needling Moxibustion in Treating Knee Osteoarthritis of Blood Stasis Obstruction Pattern
文章编号:
1004-6852(2014)04-0119-03
作者:
陆金金1，欧阳八四2
1 南京中医药大学第二临床医学院，江苏 南京 210029； 2 苏州市中医医院针灸科
Author(s):
LU Jinjin1, OUYANG Basi2
1 The Second Medical School of Nanjing University of Chinese Medicine, Nanjing 210029, China; 2 Department of Acupuncture of Suzhou Municipal TCM Hospital
关键词:
骨性关节炎; 膝; 瘀血阻滞; 电针; 温针灸
Keywords:
osteoarthritis;  knee;  blood stasis;  acusector;  warm needling moxibustion
分类号:
R684.3
文献标志码:
B
摘要:
目的：比较电针与温针灸治疗瘀血阻滞型膝关节骨性关节炎(knee osteoarthritis，KOA)的临床疗效。方法：将60例瘀血阻滞型KOA的患者随机分为电针组、温针灸组各30例，以局部选穴与辨证选穴相结合分别施行电针和温针灸，得气后温针组针尾以艾绒灸之，每次2壮；电针组选择病痛所在关节附近1组穴位，接通电针仪，连续波，调节电流量，以患者能耐受且有舒服感为度。2组治疗30分钟后取针。隔日1次，每周3次，4周为1个疗程，连续治疗2个疗程。结果：临床愈显率电针组为56.67%(17/30)，温针组为36.67%(11/30)，2组比较差异有统计学意义(P＜0.05)，但总有效率2组无明显差异(P＞0.05)。电针组对关节疼痛症状的缓解作用明显(P＜0.05)，温针组对患者关节僵硬症状的缓解较有优势(P＜0.05)；在恢复日常功能活动上，电针组优于温针组(P＜0.05)。结论：电针和温针灸均对瘀血阻滞型KOA有显著的临床疗效，电针在缓解疼痛时间上效果较佳，而温针灸在缓解关节僵硬上效果较佳，电针总体效果优于温针灸组。
Abstract:
Objective: To compare clinical effects of acusector and warm needling moxibustion in treating knee osteoarthritis (KOA) of blood stasis obstruction pattern. Methods: Sixty KOA patients were randomized into acusector group and warm needling moxibustion group, they received the therapy by local acupoint selection combined with the acupoints according to syndrome differentiation, warm needling moxibustion group accepted moxa moxibustion at the end of the needle when the patients obtained Qi, two cones each time; the points around the joints were chosen in the acusector group, and acusector instruments were connectted, continuous wave, electrical current flow was regulated, at the degrees of the patients could tolerate and feel comfortable. Both groups were removed the needles in 30 minutes after treating. Once every other day, three times each week, one course of the treatment was four weeks, and all the patients were treated for two consecutive courses of the treatment. Results: Markedly effective rate of acusector group was 56.67% (17/30), higher than 36.67% of warm needling moxibustion group (11/30), the difference showed statistical meaning (P＜0.05), but there was insignificant difference between both groups in total effective rate (P＞0.05). The pain of joint in acusector group was relieved remarkably (P＜0.05), the stiffness of joint in the patients of warm needling moxibustion group was alleviated better (P＜0.05); acusector group was superior to warm needling moxibustion group in the rehabilitation of daily functional activity (P＜0.05). Conclusion: Both acusector and warm needling moxibustion are effective in treating KOA, acusector is better in the time of relieving the pain, while warm needling moxibustion is more effective in alleviating joint stiffness, total effects of acusector are superior to these of warm needling moxibustion.

相似文献/References:

[1]王艳丽,庞颖.膝关节置换术的围手术期护理与预后分析[J].西部中医药,2013,26(06):117.
　WANG Yanli,PANG Ying.Perioperative Care and Prognosis of Knee Replacement[J].Western Journal of Traditional Chinese Medicine,2013,26(04):117.
[2]张建林.中药熏洗联合关节内注射玻璃酸钠治疗膝骨关节炎30例疗效观察[J].西部中医药,2012,25(09):80.
　ZHANG Jian-lin.Curative Observation on Fumigation with Herb and Intra-Articular Sodium Hyaluronate Injection in Treating 30 Cases of Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2012,25(04):80.
[3]王亚伟,张彦军.中西医综合治疗膝骨性关节炎疗效观察[J].西部中医药,2012,25(05):80.
　WANG Ya-wei,ZHANG Yan-jun.Observation on Comprehensive Treatment of Knee Osteoarthritis with Integrated Traditional Chinese and Western Medicine[J].Western Journal of Traditional Chinese Medicine,2012,25(04):80.
[4]尤从新.樊成虎教授治疗膝关节骨性关节炎经验[J].西部中医药,2014,27(12):33.
[5]李向军,王海东△.辨位定点针刀松解术治疗膝骨性关节炎162例[J].西部中医药,2015,28(06):118.[doi:2015/6/16 0:00:00]
[6]李宁,李应福,谢兴文,等.兰州地区膝关节骨性关节炎的中医证候分布特点[J].西部中医药,2016,29(02):95.
　LI Ning,LI Yingfu,XIE Xingwen,et al.Distribution Features of TCM Syndromes of Knee Osteoarthritis in Lanzhou City[J].Western Journal of Traditional Chinese Medicine,2016,29(04):95.
[7]姚兴璋,李兴勇,李喜香,等.骨痹止痛液对兔膝骨性关节炎软骨中相关因子表达影响的研究[J].西部中医药,2016,29(04):29.
　YAO Xingzhang,LI Xingyong,LI Xixiang,et al.Study on the Influence of GuBi ZhiTong Liquid on Cartilage-related Factors Expressions of the Rabbits with Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2016,29(04):29.
[8]李素明,杭柏亚△.痹痛合剂对OA大鼠关节软骨形态学变化及软骨细胞Bcl-2基因表达的影响[J].西部中医药,2016,29(05):18.
　LI Suming,HANG Baiya.The Influence of BiTong Mixture on the Expression of Cartilage Cells Bcl-2 and Articular Cartilage Morphological Changes of OA Rats[J].Western Journal of Traditional Chinese Medicine,2016,29(04):18.
[9]贾潇,尤从新,颜春鲁,等.祛寒逐风合剂对阳虚型膝骨性关节炎患者内源性透明质酸水平的影响[J].西部中医药,2016,29(05):79.
　JIA Xiao,YOU Congxin,YAN Chunlu,et al.The Influence of QuHan ZhuFeng Mixture on the Levels of Endogenous Hyaluronic Acid of the Patients with Knee Osteoarthritis of Yang Deficiency Pattern[J].Western Journal of Traditional Chinese Medicine,2016,29(04):79.
[10]陈小平,王志旺,刘彩民△,等.荣骨定痛膏对骨性关节炎大鼠IL-1β、NO及氧自由基代谢的影响[J].西部中医药,2016,29(07):23.
　CHEN Xiaoping,WANG Zhiwang,LIU Caimin,et al.The Influence of RongGu DingTong Ointments on IL-1β, NO and Oxygen Free Radical Metabolism of OA Rats[J].Western Journal of Traditional Chinese Medicine,2016,29(04):23.
[11]田雪梅,张丽君,柳树英.中医外治法辨证治疗膝骨性关节炎120例[J].西部中医药,2012,25(10):95.
　TIAN Xue-mei,ZHANG Li-jun,LIU Shu-ying.Syndrome Differentiation of TCM External Treatment for 120 Cases of Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2012,25(04):95.
[12]赵道洲,郑恒恒.手法配合陇中Ⅰ号汽雾透皮疗法治疗膝骨性关节炎的临床研究*[J].西部中医药,2013,26(04):36.
　ZHAO Daozhou,ZHENG Hengheng.Clinical Study on Manipulation and Gansu Mist Transdermal Therapy No.1 in Treating Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2013,26(04):36.
[13]李兴勇,徐霞,麻虎,等.中医药治疗膝关节骨性关节炎的现状[J].西部中医药,2013,26(12):144.
　LI Xingyong,XU Xia,MA Hu,et al.Progress of Treatment for Knee Osteoarthritis by TCM[J].Western Journal of Traditional Chinese Medicine,2013,26(04):144.
[14]李春娥,董建文,王文波.膝关节骨性关节炎熏洗方用药规律文献研究[J].西部中医药,2015,28(03):97.
[15]王想福,石瑞芳,武纪玲,等.玻璃酸钠单独使用与联合解毒消瘀膏治疗膝骨性关节炎疗效观察[J].西部中医药,2015,28(03):118.
[16]周天恒.针灸治疗膝骨性关节炎临床观察[J].西部中医药,2015,28(04):123.
[17]李莉红,孙士杰,张选平,等.耳针与灸法并用对膝骨性关节炎患者Lysholm评分及VAS积分的影响[J].西部中医药,2016,29(04):109.
　LI Lihong,SUN Shijie,ZHANG Xuanping,et al.Influence of Ear Acupuncture and Moxibustion on Lysholm Scales and VAS of the Patients with Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2016,29(04):109.
[18]刘明,指导：李兴勇.李兴勇教授治疗膝关节骨性关节炎经验小结[J].西部中医药,2017,30(04):42.
　LIU Ming,Director: LI Xingyong.Professor LI Xingyong′s Experience on the Treatment of Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2017,30(04):42.
[19]郝峰.中药提速透化结合点穴按摩治疗膝骨性关节炎90例[J].西部中医药,2017,30(10):105.
　HAO Feng.Herbs Accelerating Permeabilization Combined with Acupoint Massage in Treating 90 Cases of Knee Osteoarthritis[J].Western Journal of Traditional Chinese Medicine,2017,30(04):105.
[20]贾潇,尤从新,颜春鲁,等.祛寒逐风合剂对阳虚型膝骨性关节炎内源性透明质酸水平的影响[J].西部中医药,2018,31(02):85.
　JIA Xiao,YOU Congxin,YAN Chunlu,et al.The Influence of QuHan ZhuFeng Mixture on the Levels of Endogenous Hyaluronic Acid of the Patients with Knee Osteoarthritis of Yang Deficiency Pattern[J].Western Journal of Traditional Chinese Medicine,2018,31(04):85.

备注/Memo

备注/Memo:
收稿日期：2013-09-03作者简介：陆金金(1988—)，男，研究生。研究方向：常见病的针灸治疗。
更新日期/Last Update: 2014-04-15