摘要
目的观察热敏灸治疗急性膝关节痛患者的临床疗效,并初步探讨其作用机制。方法将144例急性膝关节痛患者随机分为热敏灸组、电针组及药物组。热敏灸组取热敏穴膝病点、委中穴,行悬灸治疗,每日1次,每次每穴15 min,共治疗15 d;电针组取内膝眼、犊鼻、血海、梁丘穴,行电针治疗,每日1次,每次30 min,共治疗15 d;药物组采用口服三七通舒胶囊,每日3次,每次1粒,共服用15 d。观察三组治疗后临床疗效及治疗前后血清超敏C-反应蛋白(HsCRP)含量变化情况。结果证实3种治疗方法对急性膝关节痛均有一定治疗作用,并能降低患者血清HsCRP含量(P<0.01,P<0.001)。结论热敏灸为治疗急性膝关节痛较理想的治疗方法,其机制可能与治疗后刺激血清HsCRP升高的病变部位炎症物质降低有关。
Objective To investigate the clinical efficacy of heat-sensitive point moxibustion in treating patients with acute knee arthralgia.Method One hundred and forty-four patients with acute knee arthralgia were randomly allocated to heat-sensitive point moxibustion,electroacupuncture and medication groups.The heat-sensitive point moxibustion group was treated by suspended moxibustion over heat-sensitive point for knee disease and point Weizhong（BL 40）,15 min each point,once daily,for a total of 15 days;the electroacupuncture group,by electroacupuncture at points medial Xiyan（Ex-LE 4）,Dubi（ST 35）,Xuehai（SP 10） and Liangqiu（ST 34）,30 min once daily,for a total of 15 days and the medication group,by oral administration of Sanqi Tongshu capsules,one capsule 3 times daily,for a total of 15 days.The therapeutic effect and a change in the hypersensitive C-reactive protein（Hs-CRP） content of serum were examined in the three groups after treatment.Result It was showed that all the three treatments had a certain effect on acute knee arthralgia and can reduce the Hs-CRP content of serum in the patients（P0.01,P0.001）.Conclusion Heat-sensitive point moxibustion is a more desirable way to treat acute knee arthralgia.The mechanism may be related to a post-treatment increase in serum Hs-CRP and decrease in inflammatory substances in the affected part.
出处
《上海针灸杂志》
2012年第2期114-115,共2页
Shanghai Journal of Acupuncture and Moxibustion
关键词
灸法
热敏灸
骨关节炎
膝关节
急性膝关节痛
C反应蛋白质
随机对照试验
HSCRP
Moxibustion
Heat-sensitive point moxibustion
Osteoarthritis
knee joint
Acute knee arthralgia
C-reactive protein
Randomized controlled trial
Hs-CRP
