文献类型：期刊文献

中文题名：热补针法治疗寒湿阻络型大骨节病临床观察

英文题名：The heat-reinforcing needling for Kashin-Beck disease with cold-dampness blocking collaterals syndrome

作者：袁博[1];梁柱[2];王金海[3];蒲延[2];张星华[1];杜小正[4]

第一作者：袁博

机构：[1]甘肃中医药大学针灸推拿学院,兰州730000;[2]酒泉市人民医院;[3]兰州大学第二医院;[4]甘肃中医药大学医学技术学院,兰州730000

第一机构：甘肃中医药大学针灸推拿学院

年份：2017

卷号：37

期号：2

起止页码：143

中文期刊名：中国针灸

外文期刊名：Chinese Acupuncture & Moxibustion

收录：CSTPCD;;Scopus;北大核心:【北大核心2014】；CSCD:【CSCD2017_2018】；PubMed;

基金：甘肃省自然科学基金项目:145RJZA084;国家中医药管理局甘肃郑氏针法学术流派传承工作室项目:2305135901;国家自然科学基金项目:81260558

语种：中文

中文关键词：大骨节病;热补针法;骨关节炎指数评价量表(WOMAC)

外文关键词：Kashin-Beck disease; heat-reinforcing needling; Western Ontaraio and Mcmaster Universities Osteoarthritis Index（WOMAC）

摘要：目的:比较热补针法与西药常规治疗寒湿阻络型大骨节病的疗效差异。方法:60例寒湿阻络型大骨节病患者随机分为热补针法组和药物组,每组30例。热补针法组以疼痛局部取穴为主加以辨证配穴和循经远端取穴进行热补针法针刺,每次30min,每日1次,连续5次为一疗程,疗程间休息2d。西药组口服亚硒酸钠片,每次2片,每日1次,饭后服;口服布洛芬缓释胶囊,每次1粒,每日早晚各1次;口服维生素C片,每次2片,每日早中晚各1次,两组均接受4周治疗。采用骨关节炎指数评估量表(WOMAC)对受累关节进行评估,并进行治疗过程中的安全性评价,统计治疗疗效,于治疗后3个月、6个月各随访1次。结果:治疗4周后西药组的总有效率为96.7%(29/30),优于热补针法组的90.0%(27/30),两组疗效差异有统计学意义(P<0.05),但热补针法组安全性评价优于西药组(P<0.05);治疗后3个月、6个月随访各关节功能改善情况热补针法组均优于西药组(均P<0.05)。结论:热补针法治疗大骨节病安全、有效、不良反应较少,尽管短期效果不如西药明显,但远期疗效明显优于西药治疗。
Objective To compare the efficacy differences between heat-reinforcing needling and conventional treatment of western medicine on Kashin-Beck disease（KBD）with cold-dampness blocking collaterals syndrome.Methods Sixty KBD patients of cold-dampness blocking collaterals syndrome were randomly assigned into a heatreinforcing needling group and a western medication group,30 cases in each one.In the heat-reinforcing needling group,the heat-reinforcing needling was applied at local painful sites,combined with the acupoints based on the syndrome differentiation and the distal acupoints on the affected meridians.Acupuncture was given 30 min per time,once a day,the treatment of 5days made 1session;there was an interval of 2days between two sessions.In the western medication group,sodium selenite tablets were prescribed for oral administration after meals,2tablets each time,once a day;ibuprofen sustained release capsules were prescribed for oral administration,1capsule each time,twice a day;vitamin C tablets were prescribed for oral administration,2tablets each time,three times a day.Four-week treatment was given in the two groups.The Western Ontaraio and Mcmaster Universities Osteoarthritis Index（WOMAC）was adopted to assess the involved joints;the safety was assessed in the process of treatment;the efficacy was analyzed,and the follow-up visit was conducted 3 months and 6 months after treatment,respectively.Results After 4-week treatment,the total effective rate was 96.7%（29/30）in the western medication group,which was superior to 90.0%（27/30）in the heat-reinforcing needling group（P〈0.05）.However,the safety in the heat-reinforcing needling group was superior to that in the western medication group（P〈0.05）.The improvements of joint function in 3-month and 6-month follow-up visits in heat-reinforcing needling group were superior to those in western medication group（both P〈0.05）.Conclusion The heat-reinforcing needling for KBD is safe and effective with less adverse reactions.The short-term effect of heat-reinforcing needling isinferior to western medication,but the long-term efficacy is remarkably superior to western medication.