Effect of moxibustion plus Duhuo Jisheng decoction on hs-CRP, IL-1β and TNF-α levels in middle-aged and elderly patients with knee osteoarthritis
10.1007/s11726-017-1013-z
- VernacularTitle:艾灸加独活寄生汤对中老年膝关节炎患者hs-CRP、IL-1β和TNF-α的影响
- Author:
Xiangang NONG
;
Weiping CHENG
;
Linjie ZENG
;
Yifan JIA
- Keywords:
Moxibustion Therapy;
Osteoarthritis;
Knee;
C-reactive Protein;
Interleukin-1beta;
Tumor Necrosis Factor-alpha
- From:
Journal of Acupuncture and Tuina Science
2017;15(4):277-280
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To observe the clinical effect of moxibustion combined with Duhuo Jisheng decoction for middle-aged and elderly patients with knee osteoarthritis (KOA) and its impact on serum high sensitive C-reactive protein (hs-CRP), interleukin-1β (IL-1β) and tumor necrosis factor-α (TNF-α) levels. Methods: A total of 90 eligible KOA patients were randomized into an observation group (n=45) and a control group (n=45). Cases in the observation group received moxibustion plus oral administration Duhuo Jisheng decoction, while cases in the control group received Duhuo Jisheng decoction. Then the hs-CRP, IL-1β and TNF-α levels were examined and the clinical effect was evaluated. Results: Before treatment, the hs-CRP, IL-1β and TNF-α levels showed no between-group statistical differences (all P>0.05). After 8 weeks of treatment, the hs-CRP, IL-1β and TNF-α levels all dropped significantly in both groups (P<0.01 or P<0.05), and the treatment group showed more substantial changes than the control group (all P<0.05). The total effective rate was 97.8% in the treatment group, versus 86.7% in the control group, showing a statistical difference (P<0.05). Conclusion: Moxibustion plus Duhuo Jisheng decoction has a good clinical effect for middle-aged and elderly KOA patients, and the effect may relate to the decreased hs-CRP, IL-1β and TNF-α levels.