Heat-sensitive moxibustion of different suspension moxibustion methods and imitation moxibustion apparatus on moxibustion sensation and clinical efficacy in knee osteoarthritis

doi:10.13703/j.0255-2930.20200925-k0005

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Heat-sensitive moxibustion of different suspension moxibustion methods and imitation moxibustion apparatus on moxibustion sensation and clinical efficacy in knee osteoarthritis

更新时间：2023-05-10

- Heat-sensitive moxibustion of different suspension moxibustion methods and imitation moxibustion apparatus on moxibustion sensation and clinical efficacy in knee osteoarthritis
- Chinese Acupuncture and Moxibustion Vol. 41, Issue 10, Pages: 1063-1068(2021)
- 作者机构：
  
  广东省中西医结合医院治未病科
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20200925-k0005
  CLC：
- Published：2021
- 稿件说明：
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Heat-sensitive moxibustion of different suspension moxibustion methods and imitation moxibustion apparatus on moxibustion sensation and clinical efficacy in knee osteoarthritis[J]. Chinese Acupuncture and Moxibustion, 2021, 41(10): 1063-1068.
DOI：

Heat-sensitive moxibustion of different suspension moxibustion methods and imitation moxibustion apparatus on moxibustion sensation and clinical efficacy in knee osteoarthritis[J]. Chinese Acupuncture and Moxibustion, 2021, 41(10): 1063-1068. DOI： 10.13703/j.0255-2930.20200925-k0005.

摘要

目的:观察热敏灸两种不同悬灸方式及仿灸仪治疗轻中度膝关节骨关节炎(KOA)的灸感和临床疗效

探讨不同施灸方式的疗效差异。方法:将90例轻中度KOA患者随机分为手持组(30例

脱落1例)、仿灸仪组(30例)和灸架组(30例

脱落1例)。各组患者均以阿是穴、犊鼻、内膝眼、阳陵泉、阴陵泉、梁丘、血海为高发穴区探寻和确定热敏穴后

分别予以手持悬起灸、仿灸仪悬起灸、灸架悬起灸为主要施灸方式的热敏灸治疗

隔天治疗1次

共治疗10次。分别于每次治疗后评价各组患者的灸感情况(灸感类型构成、个体灸感种类数和灸感强度)

比较各组患者治疗前后视觉模拟量表(VAS)评分、Lysholms膝关节功能评分、患侧膝关节积液量及滑膜增生厚度

并比较各组患者的临床疗效。结果:手持组、灸架组的灸感类型和个体灸感种类数均较仿灸仪组丰富、灸感强度均高于仿灸仪组(P<0.01

P<0.05)。治疗后

各组患者VAS评分均较治疗前降低、Lysholms膝关节功能评分均较治疗前升高(P<0.01);且手持组VAS评分低于仿灸仪组(P<0.05)

手持组、灸架组Lysholms膝关节功能评分高于仿灸仪组(P<0.05)。治疗后

各组患者患侧膝关节积液量、滑膜增生厚度均较治疗前降低(P<0.01)

且手持组、灸架组低于仿灸仪组(P<0.05)。手持组的愈显率为79.3%(23/29)

高于仿灸仪组的36.7%(11/30)和灸架组的58.6%(17/29

P<0.01

P<0.05)。结论:热敏灸治疗KOA疗效较好

但不同的悬灸方式对热敏灸的临床疗效有一定的影响

其中以手持悬起灸最佳。

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