Clinical study on mild moxibustion for knee osteoarthritis
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To observe the clinical effect of mild moxibustion for knee osteoarthritis (KOA) and to explore the role of mild moxibustion in relieving pain, reducing stiffness and improving joint dysfunction in patients with KOA.
Eighty patients with KOA were randomly allocated into either a moxibustion group or a medication group by the random number table, with 40 cases in each group. The moxibustion group used mild moxibustion at Neixiyan (EX-LE 5), Dubi (ST 35), Xuehai (SP 10) and Liangqiu (ST 34), 30 min each time, 3 times a week; the medication group was given celecoxib capsule (celebrex), 0.2 g each time, once a day. Both groups were treated for 4 weeks. The visual analog scale (VAS) and Western Ontario and McMaster Universities osteoarthritis index (WOMAC) scores were evaluated before and after treatment. The efficacy of the two groups was compared after treatment.
After treatment, the overall efficacy of the moxibustion group was significantly different from that of the medication group (P<0.05). The VAS and WOMAC scores of the two groups were lower than those before treatment (both P<0.01). The changes in the VAS and WOMAC scores after treatment in the moxibustion group were significantly different from those in the medication group (both P<0.05). After treatment, in single item of WOMAC, the changes in pain and joint dysfunction in the moxibustion group were more statistically significant than those in the medication group (both P<0.05).
Mild moxibustion and oral celebrex can reduce the VAS and WOMAC scores of patients with KOA. Mild moxibustion is superior to oral celebrex in relieving pain and improving joint function.
KeywordsMoxibustion Therapy Moxa Stick Moxibustion Osteoarthritis Knee Pain Measurement Visual Analog Scale Quality of Life
观察温和灸治疗膝骨关节炎(KOA)的临床疗效, 探讨温和灸在减轻KOA患者疼痛、 僵硬及改善关节功能障碍方面的作用。
将80例KOA患者采用随机数字表法分为艾灸组和药物组, 每组40例。 艾灸组采用艾条温和灸内膝眼、 犊鼻、 血海和梁丘, 每次30 min, 每周3次; 药物组口服塞来昔布胶囊(西乐葆), 每次0.2 g, 每日1次。 两组均治疗4周。 治疗前后进行视觉模拟量表(VAS)和西安大略与麦克马斯特大学骨关节炎指数(WOMAC)评分。 治疗后比较两组疗效。
治疗后, 艾灸组整体疗效与药物组差异有统计学意义(P<0.05); 两组VAS及 WOMAC评分均较治疗前下降(均P<0.01), 艾灸组VAS、 WOMAC治疗前后评分差值与药物组有统计学差异 (均P<0.05)。 治疗后, 在WOMAC单项评分方面, 艾灸组疼痛及关节功能障碍治疗前后评分差值与药物组比较有统计学差异(均P<0.05)。
温和灸及口服西乐葆均能降低KOA患者的VAS及WOMAC评分, 温和灸在减轻疼痛、 改善关节功能方面优于口服西乐葆。
关键词灸法 艾条灸 骨关节炎 膝 疼痛测评 视觉模拟量表 生活质量
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This work was supported by Service Capacity Construction Project of Appropriate Technology of Traditional Chinese Medicine in the Community of Shanghai (上海市基层中医药适宜技术服务能力建设项目, No. LH02.045).
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