温针灸结合中医疗法治疗膝骨关节炎研究进展

Research Progress in the Treatment of Knee Osteoarthritis with Warm Acupuncture and Moxibustion Combined with Traditional Chinese Medicine

摘要: 膝骨关节炎是老年人常见的慢性退行性骨关节疾病，以膝关节局部疼痛、僵硬肿胀、活动障碍等为主要临床表现。临床上西医方面以保守为主，手术为辅，如口服非甾体抗炎药，膝关节置换术等；但有不良反应多，费用昂贵，手术带来的预后有很多不确定性等特点。而在中医方面，温针灸治疗本病具有操作方便、疗效显著等特点，温针灸结合中医疗法更是在KOA治疗中得到广泛应用并取得良好效果，笔者在参阅近些年来温针灸结合中医疗法治疗膝骨关节炎文献基础上，对温针灸治疗膝骨关节炎临床治疗进展进行综述。

Abstract: Knee osteoarthritis (KOA) is a common chronic degenerative joint disease among the elderly, characterized by clinical manifestations such as localized knee pain, stiffness, swelling, and limited mobility. In Western medicine, the primary approach is conservative treatment, with surgery as a supplementary option. Common treatments include oral nonsteroidal anti-inflammatory drugs (NSAIDs) and knee replacement surgery. However, these methods often come with numerous adverse effects, high costs, and uncertainties regarding surgical outcomes. In contrast, traditional Chinese medicine (TCM) offers warm acupuncture, which is noted for its convenience and significant therapeutic effects. The combination of warm acupuncture with other TCM therapies has been widely applied in the treatment of KOA and has achieved favorable results. Based on a review of recent literature on the use of warm acupuncture combined with TCM therapies for knee osteoarthritis, this paper provides an overview of the clinical progress in treating KOA with warm acupuncture.