隔物温和灸配合普通针刺治疗膝骨关节炎60例临床观察

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1、湖北中医药大学硕士学位论文隔物温和灸配合普通针刺治疗膝骨关节炎60例临床观察姓名：曾超申请学位级别：硕士专业：针灸推拿学指导教师：李建武20120520摘要目的：比较隔物温和灸配合普通针刺对膝骨关节炎的症状、体征的影响，为中医临床提供依据，为治疗该病种拓展思路。方法：将2011年3月至2012年3月期间入住武汉市中医医院风湿疼痛科的60例符合膝骨关节炎诊断标准的患者，选用随机数字表，按入院时间先后顺序分为两组。普通针刺作为基础疗法，治疗组采用隔物温和灸，对照组采用口服仙灵骨葆胶囊治疗，治疗4周后采用关节主症

2、疼痛量表(VAS)、西部安大略-9麦克马斯特大学骨关节炎指数(WOMAC)评分，将总结分参照尼莫地平法来评估临床疗效。结果：2组患者治疗后关节严重性指数的改善都明显优于治疗前(P

3、者的疼痛，起效时间方面要优于口服仙灵骨葆胶囊．主题词：隔物温和灸膝骨关节炎临床观察CIinicaIobservationcake—separatedmiId—warmmiIdmoxibustioncombinedWihacupunctruefortreatmentofkneeosteoarthritiSof60casesSpeciaIity：AcupunctureandMoxibustionandTuinaofChineseAuthor：Zengchaotutor：LiJian-wuAbstractObje

4、ction：Toobservecake—-separatedmild-warmmildmoxibustioncombinedwihacupunctruefortreatmentofkneeOSteoarthritisinfluence，providingthecertainbasiSfortheTCMC1inicalapplication．Methods：Choosetousetherandomnumericalwatchandwi1lmatchkneeOSteoarthritiscaseof60patie

5、ntswhichin2011Marchto2012MarchinWuhanHospitaIofTCMRheumaticandPaindepartmentbringintotheStandardtohosipita1izetimetoiSdividedintotwoorderofsequenceaccordingtothesufferer．Takeacupunctureasthefoundationtherapy，Treatmentgroupweretreatedwithmonkshoodcake—separ

6、atedmild—warmmildmoxibustion，andtheControlgroupwithora1adminiStrationofXianlingGubaoCapsules．Aftertreatmentfor4weeks，adoptthevisualanalogueseale(VAS)andtheWesternOntarioandMcMasterUniversitiesOsteoarthritiSIndex(WOMAC)wereusedforassessmentofC1inicaltherape

7、uticeffectinNimodipinemethod．Results：Aftertreatment，theindexofseveritySignificantlyimprovedinthetwogroups心

8、ciinicalcuredratewas76．67％andtheeffect—producingtimewas(9．24±5．16)daysinthecake—separatedmiId-warmmildmoxibustiongroup．and40．00％and(12．18士4．94)daysinthemcdicationgroup．respectively，withasignifleantdifferenceb