摘要
目的:观察不同时间温和灸治疗膝骨关节炎的临床康复疗效。方法:将148例膝骨关节炎患者随机分为灸Ⅰ组(艾灸10 min)、灸Ⅱ组(艾灸15 min)、灸Ⅲ组(艾灸20 min)、灸Ⅳ组(艾灸25 min),每组37例,均取穴足三里、曲泉、内膝眼、外膝眼。1个月为1个疗程,治疗2个疗程后,以膝骨关节炎治疗效果判定标准量表(JOA)和AIMS2-SF关节炎生活质量量表为观察指标,比较各组的康复疗效。结果:在JOA评分和AIMS2-SF评分方面,4组干预前后比较,差异有统计学意义(P<0.05);干预后,灸Ⅱ组、灸Ⅲ组、灸Ⅳ组均高于灸Ⅰ组(P<0.05);灸Ⅲ组、灸Ⅳ组均高于灸Ⅱ组(P<0.05),灸Ⅲ组与灸Ⅳ组比较,差异无统计学意义(P>0.05)。结论:艾条温和灸能够提高膝骨关节炎疗效和患者生活质量,以艾灸20 min为理想时间。
Objective：To observe the therapeutic effect of mild moxibustion with different length of time on knee osteoarthritis.Methods：One hundred and forty eight cases of knee osteoarthritis were randomly divided into Group I （ 10 min of moxibustion ） ,Group Ⅱ （ 15 min of moxibustion ） ,Group Ⅲ（ 20 min of moxibustion ） ,and Group IV （ 25 rain of moxibustion ） ,37 cases in each group.The acupoints chosen for them were Zusanli （ ST36 ） ,Ququan （ LR8 ） ,Neixiyan （ EX-LE4 ） and Waixiyan （ ST35 ） .One month is a course. After two courses of treatment,the rehabilitation efficacy of these groups was compared according to JOA （rating scales of the treatment effectiveness for knee osteoarthritis ） and AIMS2-SF （ rating scales of life quality for knee osteoarthritis patients ） .Results：On the JOA score and AIMS2-SF score,the differences between the four groups before and after the intervention were statistically significant （ P 〈 0.05 ） .After intervention,the scores of the other three groups were higher than that of Group Ⅰ （ P 〈 0.05 ） ;the score of Group Ⅲ and Group IV were higher than that of Group Ⅱ（ P 〈 0.05 ） ;and the difference between Group Ⅲ and Group IV had no statistically significant difference （ P 〉 0.05 ） .Conclusion：Mild moxibustion can improve the efficacy and quality of life of patients with knee osteoarthritis,with 20 min being the ideal one.
出处
《风湿病与关节炎》
2016年第12期15-18,共4页
Rheumatism and Arthritis
基金
福建省自然科学基金(2016J01779)
关键词
骨关节炎
膝
温和灸
不同时间
康复疗效
osteoarthritis,knee
mild moxibustion
different length of time
rehabilitation effect
