| 摘要: |
| 目的：观察温针灸联合点穴揉筋法治疗肥胖伴阳虚寒凝型膝骨关节炎的临床疗效。 方法：选取120 例肥胖伴阳虚寒凝型膝骨关节炎患者，将其随机分为治疗组和对照组，每组各60 例。对照组予以常规治疗，治疗组在对照组基础上加用温针灸联合点穴揉筋法治疗，比较2组治疗前后膝骨关节炎的中医证候积分、膝关节囊腔积液深度、患肢疼痛视觉模拟评分法（visual analogue scale，VAS）评分、膝关节Lysholm功能评分、膝关节活动度、健康调查简易量表（the MOS 36-Item Short-Form Health Survey，SF-36）评分及肥胖相关指标（包括总胆固醇、三酰甘油、空腹瘦素、体脂率、肥胖度），记录不良反应发生情况。结果：2组中医证候积分、膝关节囊腔积液深度、患肢疼痛VAS评分、膝关节Lysholm功能评分、膝关节活动度、SF-36评分、空腹瘦素治疗前后组内比较及治疗后组间比较，差异均有统计学意义（P＜0.05或P＜0.01）；总胆固醇、三酰甘油、体脂率、肥胖度治疗组治疗后均低于治疗前（P＜0.05），对照组治疗前后差异无统计学意义（P＞0.05），2组治疗后组间比较，差异均有统计学意义（P＜0.05）；2组均未发生不良反应事件。结论：温针灸联合点穴揉筋法治疗肥胖伴阳虚寒凝型膝骨关节炎，能改善患者症状、恢复膝关节功能、提升生活质量、控制体重，值得临床推广。 |
| 关键词: 肥胖 膝骨关节炎 阳虚寒凝证 温针灸 点穴揉筋法 |
| DOI： |
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| Clinical effect of warming acupuncture-moxibustion combined with acupressure and tendon massage technique in treatment of obesity and knee osteoarthritis with Yang deficiency and cold congelation：An analysis of 60 cases |
| CHEN Lei,ZHOU Zipeng,YANG Shuai |
| (Henan Provincial Hospital of Traditional Chinese Medicine/The Second Affiliated Hospital of Henan University of Traditional Chinese Medicine，Zhengzhou 450002，Henan，China) |
| Abstract: |
| Objective：To investigate the clinical effect of warming acupuncture-moxibustion combined with acupressure and tendon massage technique in the treatment of obesity and knee osteoarthritis with Yang deficiency and cold congelation.Methods：A total of 120 patients with obesity and knee osteoarthritis with Yang deficiency and cold congelation were randomly divided into treatment group and control group，with 60 patients in each group.The patients in the control group were given conventional treatment，and those in the treatment group were given warming acupuncture-moxibustion combined with acupressure and tendon massage technique in addition to the treatment in the control group.The two groups were compared in terms of the traditional Chinese medicine （TCM) syndrome score of knee osteoarthritis，the depth of knee joint effusion，Visual Analogue Scale （VAS) score of the affected limb，Lysholm function score of knee joint，range of knee motion，36-Item Short-Form Health Survey （SF-36) score，and obesity-related indicators （total cholesterol，triglyceride，fasting leptin，body fat percentage，and degree of obesity)，and adverse reactions were recorded.Results：After treatment，both groups had significant changes in TCM syndrome score，the depth of knee joint effusion，VAS score of the affected limb，Lysholm function score of knee joint，range of knee motion，SF-36 score，and fasting leptin，and there were significant differences in these indicators between the two groups after treatment （P < 0.05 or P < 0.01).After treatment，the treatment group had significant reductions in total cholesterol，triglyceride，body fat percentage，and degree of obesity （P < 0.05)，while the control group had no significant changes （P > 0.05)；there were significant differences between the two groups after treatment （P < 0.05).No adverse reactions were observed in either group.Conclusion：In the treatment of obesity and knee osteoarthritis with Yang deficiency and cold congelation，warming acupuncture-moxibustion combined with acupressure and tendon massage technique can improve symptoms，restore functions，enhance quality of life，and control body weight，and therefore，it holds promise for clinical application. |
| Key words: obesity knee osteoarthritis Yang deficiency and cold congelation warming acupuncture-moxibustion acupressure and tendon massage technique |
