温针灸联合中医内外治法治疗膝骨性 关节炎的研究进展

Research Progress on Treatment of Knee Osteoarthritis with Warm Acupuncture Combined with Internal and External Therapies of Traditional Chinese Medicine

摘要: 膝骨性关节炎临床上发病率高，主要表现为缓慢进展的膝关节疼痛、肿胀、活动受限和畸形，严重影响患者生活质量。温针灸作为针刺与艾灸相结合的治疗手段，已在膝骨性关节炎临床治疗中得到广泛应用。本文检索并回顾近5年相关临床研究文献，经分类整理后，分别从温针灸联合中医内治法、联合中医外治法(如推拿、针刀、中药熏洗、穴位贴敷、刺络放血)及联合中医内外合治法方向，梳理其治疗膝骨性关节炎的临床研究进展，同时分析该疗法现存不足，旨在为临床治疗膝骨性关节炎提供更多思路与治疗选择。

Abstract: Knee osteoarthritis (KOA) has a high clinical incidence, mainly characterized by slowly progressive knee joint pain, swelling, limited mobility and deformity, which seriously impairs patients’ quality of life. As a therapeutic approach combining acupuncture and moxibustion, warm acupuncture has been widely applied in the clinical treatment of KOA. By retrieving and reviewing relevant clinical research literatures published in the past five years, this paper sorts out the clinical research progress of warm acupuncture combined with TCM internal therapies, TCM external therapies (such as tuina massage, acupotomy, herbal fumigation and washing, acupoint application, and bloodletting puncture) as well as integrated TCM internal and external therapies for KOA after classification and collation. Meanwhile, it analyzes the existing deficiencies of this therapeutic method, aiming to provide more ideas and treatment options for the clinical treatment of knee osteoarthritis.