| ObjectiveTo observe and evaluate the moxibustion sensation and effect of heat-sensitive moxibustion with different suspension moxibustion methods in the treatment of knee osteoarthritis,in order to explore the differences of heat-sensitive moxibustion in different suspension moxibustion methods,and provide some reference for the selection of different moxibustion method for the clinical use.Methods90 cases of knee osteoarthritis patients were selected according to the inclusion criteria of this study.All patients were randomly divided into three groups:hand-held group,moxibustion simulato group,moxa holder group,each group was 30 cases.All three groups explored the heat-sensitive acupoints in the high incidence acupoint area consisting of Ashi point,Nei Xi Yan,Wai Xi Yan,Yang Ling Quan,Yin Ling Quan,Liang Qiu,Xue Hai according to the theory of heat-sensitive moxibustion.After determining the two best heat-sensi tive acupoints,the three groups were given heat sensitive moxibustion treatment with suspension moxibustion by hand,moxibustion simulato or moxa holder.All three groups were treated once every 2 days for a total of 10 times.The difference of types,number and intensity of moxibustion sensations during treatment were compared,the difference of VAS scores,Lysholm score,and joint effusion volume and synovial hyperplasia thickness under musculoskeletal ultrasound before and after treatment were compared,and the difference of clinical effect between the three groups was compared.Results1.90 patients were included in the study,6 patients withdrew from the trial,and 3 patients fell off.A total of 81 patients completed the trial in the end,and 27 patients in each group.There were no significant differences in general data such as gender,age,weight,and course of disease between the three groups before treatment(P>0.05).2.In terms of the type of moxibustion sensation,the type and the individual number of moxibustion sensation type of patients in the hand-held group were significantly different from those in the moxibustion simulato group(P<0.05),and were not significantly different from those in the moxa holder group(P>0.05).Beside,the difference between the moxibustion simulato group and moxa holder group was significant(P<0.05).It shows that there is no obvious difference in the types of moxibustion sensation between the hand-held group and moxa holder group,which are more abundant than those of the moxibustion simulato group.3.In terms of the intensity of moxibustion sensation,the intensity of moxibustion sensation of patients in the hand-held group was significantly different from those in the moxibustion simulato group(P<0.05),and were not significantly different from those in the moxa holder group P>0.05).Beside,the difference between the moxibustion simulato group and moxa holder group was significant(P<0.05).It shows that there is no obvious difference in the intensity of moxibustion sensation between the hand-held group and moxa holder group,which are stronger than those of the moxibustion simulato group.4.In terms of VAS score,the VAS scores of the three groups of patients before treatment were not significantly different(P>0.05),and the VAS scores of the three groups after treatment were significantly lower than those before treatment(P<0.01).There were significant differences in the VAS score after treatment and the difference before and after treatment between the groups(P<0.05).Compared with the hand-held group,there was significant difference in the VAS score after treatment and the difference of VAS score in the moxibustion simulato group(P<0.05andP<0.01),but there was no significant difference in the moxa holder group(P>0.05).Compared with the moxibustion simulato group,there was no significant difference in VAS score after treatment and the difference in the VAS score in the moxa holder group(P>0.05).It shows that the three groups are effective in reducing knee pain,and the hand-held group is significantly better than the moxibustion simulato group.5.In terms of Lysholm score,the Lysholm scores of the three groups of patients before treatment were not significantly different(P>0.05),and the Lysholm scores of the three groups after treatment were significantly higher than those before treatmentt(P<0.01).There was significant difference in Lysholm score after treatment and the difference before and after treatment between the groups(P<0.01andP<0.05).Compared with the hand-held group,there was a significant difference in the Lysholm score after treatment and the difference of Lysholm score in the moxibustion simulato group(P<0.01andP<0.05),and there was no significant difference in the Lysholm score after treatmen(P>0.05)but there was significant difference in the the difference of Lysholm score in the moxa holder(P<0.05).Compared with the moxibustion simulato group,there was significant difference in Lysholm score after treatment(P<0.05)but there was no significant difference in the differences of Lysholm score before and after treatment in the moxa holder group(P>0.05).It shows that the three groups are effective in improving the function of the knee joint.There is no significant difference between the hand-held group and the moxa holder group,and they are significantly better than the moxibustion simulato group.6.In terms of musculoskeletal ultrasound,the joint effusion volume and synovial hyperplasia thickness of the three groups of patients before treatment were not significantly different(P>0.05),and the joint effusion volume and synovial hyperplasia thickness after treatment were significantly lower than those before treatment(P<0.05).There was significant difference in the joint effusion volume and synovial hyperplasia thickness after treatment between groups(P<0.05),but the difference before and after treatment between groups were not significant(P>0.05).Compared with the hand-held group,there was a significant difference in the joint effusion volume and synovial hyperplasia thickness after treatment in the moxibustion simulato group(P<0.05),but there was no significant difference in the moxa holder group(P>0.05).Compared with the moxibustion simulato group,there was a significant difference in joint effusion volume and synovial hyperplasia thickness after treatment in the moxa holder group(P<0.05).It shows that the three groups are effective in reducing knee joint effusion and synovial hyperplasia.There was no significant difference between the hand-held group and the moxibustion simulato group,and they are significantly better than the moxa holder group.7.In terms of clinical efficacy,the cured and markedly rate of the three groups were 81.48%,37.04%,and62.96%respectively.There was significant difference in the clinical curative effect between the three groups(P<0.01).Compared with the hand-held group,there was significant difference in the moxibustion simulato group and the moxa holder group(P<0.05).The difference of clinical curative effect between the moxibustion simulato group and the moxa holder group was also statistically significant(P<0.05).It shows that the three groups have obvious clinical effects,and the hand-held group is significantly better than the moxa holder group,while the moxa holder group is significantly better than the moxibustion simulato group.ConclusionThe three different suspension moxibustion methods of heat-sensitive moxibustion for knee osteoarthritis all can stimulate the moxibustion sensation and all have a definite clinical effect.In terms of moxibustion sensation,the type of moxibustion sensation of hand-held and moxa holder suspended moxibustion are generally richer than those of moxibustion simulato suspended moxibustion,and the intensity of moxibustion sensation are generally stronger than those of moxibustion simulato suspended moxibustion,In terms of relieving the patient’s pain,improving the patient’s knee function,and affecting the patient’s knee joint effusion volume and synovial hyperplasia,the hand-held and moxa holder suspended moxibustion are better than the moxibustion simulato suspended moxibustion.In terms of efficacy level,the hand-held suspended moxibustion is better than the moxa holder suspended moxibustion,and both are better than moxibustion simulato suspended moxibustion.Therefore,hand-held and moxa holder suspended moxibustion are more effective in treating knee osteoarthritis,and the type and intensity of moxibustion sensation of them are better than that of moxibustion simulato suspended moxibustion.Among them,the clinical effect of hand-held suspension moxibustion is the best.The use of hand-held suspension moxibustion for heat-sensitive moxibustion is superior to the other two moxibustion methods. |
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