Clinical Observation of Warming-Needle Moxibustion Combined with Cross Acupoint Selection Method in Treating Knee Osteoarthritis
10.13359/j.cnki.gzxbtcm.2024.12.017
- VernacularTitle:温针灸联合交叉取穴法治疗膝关节骨性关节炎的临床观察
- Author:
Wan-Ling WU
1
;
Ke ZHOU
;
Fen WU
;
Qin LU
;
Jun-Ye LIANG
;
Ao-Yang LONG
;
Xiang-Yu LONG
Author Information
1. 广州中医药大学针灸康复临床医学院,广东广州 510006
- Keywords:
warming-needle moxibustion;
knee osteoarthritis;
cross acupoint selection;
gait period;
kinematic parameters
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(12):3198-3203
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of warming-needle moxibustion combined with cross acupoint selection method in the treatment of knee osteoarthritis(KOA).Methods Fifty patients with KOA were randomly divided into observation group and control group,25 patients in each group.The control group was treated with warming-needle moxibustion on local of the knee joint,and the observation group was treated with elbow cross acupoint selection on the basis of the treatment of the control group.The course of treatment covered five days,with an interval of one day between courses of treatment,and a total of two courses of treatment.After two courses of treatment,the changes in Visual Analogue Scale(VAS)scores and Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)scores in the two groups before and after treatment were observed.Changes in step frequency,step speed,step length,stride,and gait period between the two groups of patients before and after treatment were compared.Results(1)During the research,there was one case in the observation group and four cases in the control group lost to follow-up.Finally,24 cases in the observation group and 21 cases in the control group were included in the efficacy statistics.(2)After treatment,the scores of VAS and WOMAC of patients in the two groups decreased significantly(P＜0.01),and the improvement in the observation group was significantly superior to that in the control group,and the differences were statistically significant(P＜0.05).(3)After treatment,the step frequency and step speed of patients in the two groups were significantly improved compared with those before treatment,and the difference was statistically significant(P＜0.05),and the parameters of step length and stride were slightly improved compared with those before treatment,but the difference was not statistically significant(P＞0.05).After treatment,the observation group was slightly superior to that in the control group in improving the patients'step frequency,step length,step speed and stride,but the difference was not statistically significant(P＞0.05).(4)After treatment,the gait period of patients in both groups were improved significantly(P＜0.05),and the improvement in the observation group was significantly superior to that in the control group,but the difference was not statistically significant(P＞0.05).Conclusion The efficacy of warming-needle moxibustion combined with cross acupoint selection method in the treatment of KOA is precise,with good analgesic effect,moreover,it can significantly improve the daily joint function of the patients,and improve the step frequency and step speed of patients with KOA and shorten the gait period,so as to improve the quality of life of patients,with remarkable therapeutic effect.
