Acupuncture combined with moxibustion and Chinese medicine hot compress in the treatment of knee osteoarthritis of cold-damp obstruction syndrome

LI Jinniu; HUO Sukun; REN Zhenjia; LI Jia; ZHU Guixia; LIU Yuan; LIU Chen; ZHANG Yuting

doi:10.16025/j.1674-1307.2024.06.010

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Acupuncture combined with moxibustion and Chinese medicine hot compress in the treatment of knee osteoarthritis of cold-damp obstruction syndrome

更新时间：2024-07-29

- Acupuncture combined with moxibustion and Chinese medicine hot compress in the treatment of knee osteoarthritis of cold-damp obstruction syndrome
- Beijing Journal of Traditional Chinese Medicine Vol. 43, Issue 6, Pages: 622-626(2024)
- 作者机构：
  
  1.北京市中关村医院中医综合科,北京 100190
  2.北京市昌平区龙泽园社区卫生服务中心,北京 102200
  3.北京市海淀区北下关社区卫生服务中心,北京 100081
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2024.06.010
  CLC：
- Published：25 June 2024，
  
  Received：19 September 2023，
- 稿件说明：
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李金牛，霍素坤，任振家，等.针刺结合艾灸、中药热敷治疗膝骨关节炎寒湿痹阻证的临床疗效观察［J］.北京中医药，2024，43（6）：622-626.

LI Jinniu,HUO Sukun,REN Zhenjia,et al.Acupuncture combined with moxibustion and Chinese medicine hot compress in the treatment of knee osteoarthritis of cold-damp obstruction syndrome[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(06):622-626.
李金牛，霍素坤，任振家，等.针刺结合艾灸、中药热敷治疗膝骨关节炎寒湿痹阻证的临床疗效观察［J］.北京中医药，2024，43（6）：622-626. DOI： 10.16025/j.1674-1307.2024.06.010.

LI Jinniu,HUO Sukun,REN Zhenjia,et al.Acupuncture combined with moxibustion and Chinese medicine hot compress in the treatment of knee osteoarthritis of cold-damp obstruction syndrome[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(06):622-626. DOI： 10.16025/j.1674-1307.2024.06.010.

摘要

目的

比较针刺、中药热敷、针刺结合艾灸、针刺结合中药热敷治疗寒湿痹阻证膝骨关节炎（KOA）的临床疗效。

方法

选择2020年12月—2022年10月北京市中关村医院、北京市昌平区回龙观社区卫生服务中心、北京市海淀区北下关社区卫生服务中心招募的KOA患者236例，采用区组随机分组、对照、非盲法按1∶1∶1∶1比例分为针刺组、中药热敷组、针刺结合艾灸组、针刺结合中药热敷组，每组59例。每组接受相应治疗，1次/d，5次/周，10次为1个疗程，共治疗2个疗程。对比4组治疗前，第1、第2疗程结束后，治疗结束后第1、2、3个月随访时的西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评分、视觉模拟评分（VAS）、疗效、安全性。

结果

4组第1、2疗程后及3次随访WOMAC评分、VAS评分均较治疗前降低（

0.05）。第1疗程后，针刺结合中药热敷组WOMAC评分低于针刺组（

0.05）；第2疗程后及3次随访，针刺结合中药热敷组WOMAC评分均低于针刺组、中药热敷组（

0.05）。第1疗程后，针刺结合艾灸组与针刺结合中药热敷组VAS均低于针刺组（

0.05）；第2疗程后，针刺结合中药热敷组VAS均低于针刺组、中药热敷组（

0.05）；3次随访，针刺结合艾灸组与针刺结合中药热敷组VAS均低于针刺组、中药热敷组（

0.05）。针刺结合中药热敷组临床疗效高于针刺组、中药热敷组及针刺结合艾灸组（

0.05）。中药热敷组有1例发生轻度过敏反应，未经处理自愈。

结论

针刺、中药热敷、针刺结合艾灸、针刺结合中药热敷治疗寒湿痹阻证KOA有效，针刺与艾灸或中药热敷联合应用效果优于单一疗法，其中针刺结合中药热敷更具优势。

Abstract

Objective

To compare the clinical efficacy of acupuncture， Chinese medicine hot compress， acunpuncture combined with moxibustion， acupuncture combined with Chinese medicine hot compress in the treatment of patients with knee osteoarthritis （KOA） of cold-damp obstruction syndrome.

Methods

A total of 236 patients with KOA recruited from the Beijing Zhongguancun Hospital， Longzeyuan Community Health Service Center， Changping District of Beijing，Beixiaguan Community Health Service Center， Haidian District of Beijing from December 2020 to October 2022 were divided into acupuncture group， Chinese medicine hot compress group， acupuncture combined with moxibustion group， and acupuncture combined with Chinese medicine hot compress group according to randomly grouping， control and non-blind method in the proportion of 1∶1∶1∶1 with 59 cases in each group. The intervention of each group was delivered once daily，5 times a week， and one course of treatments was 10 times， 2 courses were required. The scores of WOMAC and VAS were compared among the 4 groups before treatment， after the first and second courses of treatment， and after follow-up for 1， 2， and 3 months， and the clinical efficacy and safety were evaluated.

Results

WOMAC score and VAS score of the 4 groups at each time point after treatment were decreased compared with those before treatment（

0.05）. After the first course of treatment，WOMAC score of acupuncture combined with Chinese medicine hot compress group was lower than that of the acupuncture group （

0.05）； after the second course of treatment and the third follow-up visit，WOMAC score of the acupuncture combined with Chinese medicine hot compress group was lower than that of the acupuncture group and Chinese medicine hot compress group（

0.05）. After the first course of treatment，VAS score of both the acupuncture combined with moxibustion group and the acupuncture combined with Chinese medicine hot compress group were lower than that of the acupuncture group（

0.05）； after the second course of treatment， VAS score of the acupuncture combined with Chinese medicine hot compress group was lower than that of the acupuncture group and Chinese medicine hot compress group（

0.05）； Three follow-up visits showed VAS score of the acupuncture combined with moxibustion group and acupuncture combined with Chinese medicine hot compress group were lower than that of the acupuncture group and Chinese medicine hot compress group （

0.05）. The clinical effect of the acupuncture combined with Chinese medicine hot compress group was superior to the other t

hree groups（

0.05）. In the Chinese medicine hot compress group， 1 case had mild allergic reaction and was healed without any treatment.

Conclusion

Acupuncture， Chinese medicine hot compress， acupuncture combined with moxibustion， acupuncture combined with Chinese medicine hot compress can all achieve clinical effects in the treatment of knee osteoarthritis of cold-damp obstruction syndrome. The combination of acupuncture， moxibustion， and Chinese medicine hot compress is superior to the single therapy， and the combination of acupuncture but Chinese medicine hot compress group has more advantages.

关键词

膝骨关节炎寒湿痹阻证针刺艾灸中药热敷

Keywords

Knee osteoarthritiscold-damp obstruction syndromeacupuncturemoxibustionChinese medicine hot compress

references

章晓云, 曾浩, 孟林. 膝骨关节炎疼痛机制及治疗研究进展[J]. 中国疼痛医学杂志,2023,29(1):50-58.

王斌, 邢丹, 董圣杰,等. 中国膝骨关节炎流行病学和疾病负担的系统评价[J]. 中国循证医学杂志,2018,18(2):134-142.

李雪松, 蔡春江, 马虹宇,等. 影响膝骨关节炎病情进展的危险因素分析[J]. 风湿病与关节炎,2023,12(6):31-33,49.

陈卫衡.膝骨关节炎中医诊疗指南(2020年版)[J].中医正骨,2020,32(10):1-14.

郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:352-353.

王坤正.骨关节炎诊疗指南(2018年版)[J].中华骨科杂志,2018,38(12):705-715.

RECHT MP, KRAMER J, MARCELIS S, et al. Abnormalities of articular cartilage in the knee: analysis of available MR techniques[J]. Radiology, 1993,187(2):473-478.

MCCONNELL S, KOLOPACK P, DAVIS AM. The Western Ontario and McMaster Universities osteoarthritis index(WOMAC): a review of its utility and measurement prop erties[J]. Arthritis Rheum, 2001,45(5):453-461.

赵嫣然, 李艳慧, 马巧琳,等. 针刺治疗膝骨关节炎临床疗效评价量表的应用进展[J]. 针刺研究,2022,47(8):734-737,743.

JENSEN MP, KAROLY P, BRAVER S. The measurement of clinical pain intensity: a comparison of six methods[J]. Pain, 1986,27(1):117-126.

陈海,冯康虎,陈志伟,等.基于中医肝肾二脏的膝骨关节炎研究述评[J].中国中医药信息杂志,2021,28(1):142-144.

靳宜, 黄明华, 李春根,等. 骨科洗药治疗膝骨关节炎风湿瘀阻证临床观察[J]. 北京中医药,2020,39(8):866-869.

陈卫衡,刘献祥,童培建,等.膝骨关节炎中医诊疗专家共识(2015年版)[J].中医正骨,2015,27(7):4-5.

屠建锋, 王丽琼, 石广霞,等. 针刺对膝骨关节炎患者膝关节损伤与骨关节炎评分的影响[J]. 中国针灸,2021,41(1):27-30.

王浩,马英姿.悬灸配合针刺治疗膝骨关节炎疗效观察[J].北京中医药,2021,40(2):136-139.

赵永钦.伤筋痹痛散热敷联合针刀疗法治疗寒湿痹阻型膝骨关节炎[J].实用中西医结合临床,2020,20(10):67-68.

王卓慧,胡婷.龙虎交战针法结合桂樟伤痛热敷剂治疗膝骨关节炎30例[J].湖南中医杂志,2021,37(1):70-72.

吕娜,程鹏,夏继秀,等.针刺联合艾灸对膝骨关节炎患者血清基质金属蛋白酶及其抑制物的影响[J].针刺研究,2022,47(3):262-267.

俞洁,虞旻珍,求晓恩.温针灸联合中药热敷对膝骨关节炎患者缺氧诱导因子-1α、成纤维细胞生长因子-2水平的影响[J].新中医,2022,54(23):177-182.

林楠.穴位贴敷联合中药熏蒸治疗阳虚寒凝型膝骨性关节炎的意义分析[J].中国现代药物应用,2023,17(10):143-145.

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