温针灸加电针治疗退行性膝关节炎的临床分析.pdfVIP

成都中医药大学硕士论文 摘 要 目的 观察温针灸加电针治疗退行性膝关节炎的临床疗效。 方法 按随机、对照原则将80 例病人分为治疗组和对照组各40 例，研究中脱落1 例，剔除1 例。符合疗效分析者78 例，治疗组38 例，对照组40 例。治疗组为 电针加温针灸治疗组，选取主穴：血海、膝髎（梁丘下一寸）、内、外膝眼、足 三里、阴陵泉。配穴：辩证取穴，风邪偏盛者取风市、风池；热邪偏盛者取曲池、 合谷；寒邪偏盛者取肾俞、关元；湿邪偏盛者加丰隆、三阴交。进针得气后在主 穴上接电针仪，并施予温针灸，然后使用TDP 对患膝进行照射。对照组为电针组， 除无温针灸治疗外，其余皆同治疗组。7 天为一个疗程，治疗 3 个疗程 。选取 症状、体征及心理社会适应三项为指标，观察治疗前后的变化，并以此为依据判 定疗效。 结果 治疗组显效率 47.37％、有效率86.84％，对照组显效率 25.00％、有效率 77.50％，两组疗效相比较，经Mann-Whitney U 检验，P0.05，组间对比有明显 差异，提示温针灸加电针治疗退行性膝关节炎疗效优于单纯电针治疗。 结论 电针加温针灸治疗退行性膝关节炎，可显著改善关节僵硬、关节不稳的状况, 并能减轻疼痛，提高膝关节日常活动能力，较单纯电针治疗有显著优势，故电针 加温针灸治疗退行性膝关节炎为临床上疗效确切的治疗方法。 关键词：退行性膝关节炎 电针 温针灸 临床研究 1 成都中医药大学硕士论文 ABSTRACT [objective]:This topic to the patients of knee osteoarthritisas as the research object, these patients were treated by electroacupuncture and moxa needl therapy, and then reviewed respectively before and after treatment, they were observed in pain, joint mobility, function and myodynamia,and we decide its curative effect, in order to provide a safe and effective method for the treatment of knee osteoarthritisas. [methods]:A total of 80cases of the knee osteoarthritisas were studied. The major acupoints punctured were : a sea of blood 、xiliao （an inch under LiangQiu）,inside and outside knee eyes, Yinlingquan, zusanli. For the patients of treatment group, acuesthesia after needle retention, pick electroacupunctured treatment device ，using dilatational wave ，the intensity of patients could tolerate,in addition , make sure a litten moxa cone of 2cm puted into the top of the needle handle every other day,treatment time 20 minutes, meanwhile,accompanied TDP once a day,7 days for a period of treatment and for a maximum of 3 weeks.The control group were only be treated by electroacupuncture ,all the others were the