中西医结合护理 (Jun 2023)
Comparison of the effects of acupoint application combined with moxibustion in different sequences on alleviating symptoms in patients with knee osteoarthritis based on inheritance concept (基于传承理念的穴位贴敷联合艾灸不同顺序缓解膝骨关节炎患者症状的效果比较)
Abstract
Objective To explore the effect of different operating sequences of acupoint application and moxibustion on relieving the pain in patients with knee osteoarthritis. Methods Sixty patients with knee osteoarthritis were randomly divided into group A (n=30) and group B (n=30). The sequence of operations in Group A was as follows: first applying acupoints, and then conducting moxibustion at the same site for 30 minutes. In Group B, the sequence of operations was as follows: first applying moxibustion for 30 minutes, and then applying acupoints at the moxibustion site. The course of treatment was 2 weeks. The visual analogue scale (VAS) was used for knee pain measurement, and a self-made scale were used to evaluate patient satisfaction. Results After 2 weeks of intervention, the VAS score in both groups were improved compared to that before treatment, and the VAS score in Group A was lower than that in Group B, with a significant difference (P<0. 01). The score of nursing satisfaction assessment in the Group A was higher than that in the Group B, with a significant difference (P<0. 01). Conclusion Simultaneously using acupoint application and moxibustion for 30 minutes showed a better therapeutic effect on relieve pain of in patients with knee osteoarthritis. (目的 探讨穴位贴敷联合艾灸不同操作顺序缓解膝骨关节炎患者疼痛的效果。方法 60例膝骨关节炎患者随机分为A组(n=30)和B组(n=30), 均给予穴位贴敷联合艾灸治疗。A组操作顺序: 同一部位先进行穴位贴敷, 同时在穴位贴敷的部位艾灸30 min; B组操作顺序: 同一部位先艾灸30 min, 结束后在艾灸部位进行穴位贴敷。两组疗程均为2周。采用膝关节疼痛视觉模拟评分法(VAS)评估疼痛程度, 采用自制量表评价患者满意度。结果 干预2周后, 两组 VAS 评分较治疗前改善, 且A组VAS得分低于B组, 差异有统计学意义(P＜0. 01)。满意度评价总分A组高于B组, 差异有统计学意义(P<0. 01)。结论 与同一部位先艾灸30 min后再在艾灸的部位贴穴位贴敷相比, 先穴位贴敷的同时在穴位贴敷的部位艾灸30 min的方法具有更好的疗效, 能进一步缓解膝骨关节炎患者疼痛程度。)
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