Abstract：Objective: To explore the clinical efficacy of traditional Chinese medicine moxibustion combined with electroacupuncture in the treatment of KOA. Methods: 78 KOA patients who met the corresponding criteria were enrolled in the combined group and the basic group, 39 cases in each group. The patients in the basic group were treated with simple comprehensive conservative therapy of Western medicine, and the patients in the combined group were treated with sea mud moxibustion and electro-acupuncture besides the basic group. Both groups were treated for 10 days as a course of treatment, with three courses of treatment. Results: After treatment, the level of inflammatory factors in knee joint fluid of the two groups decreased only to a certain extent in the basic group (P < 0.05), while that in the combined group decreased significantly (P < 0.01), and the reduction in the combined group was more obvious than that in the basic group (P < 0.05). In terms of KOA severity score, both groups decreased after treatment (P < 0.05), and compared with the basic group, the combined group decreased more significantly (P < 0.01). The scores of knee joint motor function in both groups decreased after treatment (P < 0.05), and the reduction of joint group was more obvious than that of basic group (P < 0.05). The total effective rate of the combined group was higher than that of the basic group (P < 0.05), and the recovery rate of the combined group was higher than that of the basic group (P < 0.01). Conclusion: The clinical effect of traditional Chinese medicine moxibustion and external application combined with electro-acupuncture on KOA is remarkable.
[1] Andriacchi T P,Favre J,Erharthledik J C,et al.A systems view of risk factors for knee osteoarthritis reveals insights into the pathogenesis of the disease[J].Ann Biomed Eng,2015,43(2):376~387. [2] 张师侥,关雪峰.中医外治法治疗膝骨性关节炎最新进展[J].中国骨质疏松杂志,2016,22(7):907~911. [3] 中华医学会骨科学分会.骨关节炎诊治指南(2007年版)[J].中华骨科杂志,2007,27(10):793~796. [4] 张伯礼,吴勉华.中医内科学[M].新4版.北京.中国中医药出版社,2016.463~472. [5] 张栋,王庆甫,石鑫超,等.膝骨关节炎肌骨超声与X线片表现的比较与分析[J].中国骨伤,2016,29(5):429~433. [6] 庞坚,曹月龙,陈博,等.基于WOMAC与AIMS2-SF评分的膝骨关节炎主症与生存质量的多元线性回归分析[J].中国中医骨伤科杂志,2013,21(9):13~14. [7] 严广斌.视觉模拟评分法[J].中华关节外科杂志(电子版),2014,8(2):273. [8] 刚嘉鸿,宓轶群,王华敏.电针与美洛昔康治疗早中期膝骨关节炎临床疗效比较:随机对照研究[J].中国针灸,2016,36(5):467~470
2019, Vol. 25 
冀公网安备13080202000677号