悬灸得气治疗肿胀型膝关节骨性关节炎临床研究

目的 观察悬灸得气与否对膝关节骨性关节炎的疗效差异，为临床辨敏施灸提供科学依据。〖JP〗方法 纳入膝关节骨性关节炎（肿胀型）患者60例，依据在悬灸过程中患侧内、外膝眼穴有无得气现象（热感透至膝关节腔内）为标准，将患者分为得气组34例和非得气组26例，每日悬灸1次，每次悬灸时间为40 min，共治疗30 d。分别于治疗结束后即刻与治疗结束后3个月进行疗效评价。结果 治疗后即刻和治疗后3个月，两组患者关节周径和临床症状总积分均较治疗前明显减少（P<0.05），得气组关节周径和临床症状总积分均明显小于非得气组（P<0.05）；得气组临床疗效均明显优于非得气组（P<0.05)。结论 悬灸治疗肿胀型膝关节骨性关节炎能有效改善临床症状，悬灸得气者的即刻和远期临床疗效明显优于非得气者。

Clinical Effect of Suspended Moxibustion and Deqi in Treatment of Knee Osteoarthritis (Swelling Type)

Objective To investigate the difference in clinical efficacy of suspended moxibustion with or without deqi (arrival of qi) in the treatment of knee osteoarthritis, and to provide a scientific basis for clinical application of moxibustion according to different acupoints. Methods Sixty patients with knee osteoarthritis (swelling type) were included, and according to whether deqi occurred at Neixiyan and Waixiyan of the affected side (whether the sense of warmth penetrates the knee joint cavity), these patients were divided into deqi group with 34 cases and non-deqi group with 26 cases. The patients in both groups received moxibustion (40 min) once daily for 30 days. The clinical outcome was evaluated immediately and at three months after the treatment. Results Immediately and at three months after the treatment, both groups had significantly reduced joint circumference and total score for clinical symptoms (P<0.05); the deqi group had significantly lower joint circumference and total score for clinical symptoms than the non-deqi group (P<0.05); the clinical efficacy in deqi group was superior to that in non-deqi group (P<0.05). Conclusion As for the treatment of knee osteoarthritis (swelling type), suspended moxibustion can effectively improve the clinical symptoms. The immediate and long-term clinical outcomes of patients with deqi are significantly better than those of patients without deqi.