Objective: To observe the effect of meridian sinew releasing technique on moxibustion sensation of heat-sensitive moxibustion in patients with knee osteoarthritis (KOA).
Methods: A total of 60 patients with KOA were randomly divided into an observation group and a control group, 30 cases each group. In the observation group, on the basis of the meridian sinew releasing technique, moxibustion sensation exploration method was applied at Dubi (ST 35) area on the affected side. In the control group, moxibustion sensation exploration method was applied at Dubi (ST 35) area on the affected side. The meridian sinew releasing technique was performed for 20 min each time, the moxibustion sensation exploration method was performed for 60 min each time, once a day for 3 days. The excitation rate, latency, duration time and intensity value of moxibustion sensation of heat-sensitive moxibustion were recorded on the 1st, 2nd and 3rd days of exploration in the two groups.
Results: The excitation rate on the 3rd day of exploration and total excitation rate in the observation group were higher than the control group (P<0.05). On the 1st, 2nd and 3rd days of exploration, the latency of moxibustion sensation of heat-sensitive moxibustion in the observation group was shorter than the control group (P<0.05), the duration time was longer than the control group (P<0.05), and the intensity value was higher than the control group (P<0.05).
Conclusion: Meridian sinew releasing technique could improve the excitation rate of moxibustion sensation of heat-sensitive moxibustion in patients with KOA, shorten the latency, prolong the duration time, and improve the intensity value.
目的：观察经筋手法松解术对膝关节骨关节炎（KOA）患者热敏灸感的影响。方法：将60例KOA患者随机分为观察组和对照组，每组30例。观察组在经筋手法松解术的基础上，于患侧犊鼻穴区行灸感探查法；对照组直接于患侧犊鼻穴区行灸感探查法。经筋手法松解术每次20 min，灸感探查法每次60 min，均每日1次，连续3 d。记录两组患者探查第1、2、3天热敏灸感激发率、潜伏期、持续时间、强度值。结果：观察组探查第3天热敏灸感激发率及总激发率高于对照组（P<0.05）。探查第1、2、3天，观察组热敏灸感潜伏期短于对照组（P<0.05），热敏灸感持续时间长于对照组（P<0.05），热敏灸感强度值高于对照组（P<0.05）。结论：经筋手法松解术可提高KOA患者热敏灸感激发率，缩短潜伏期，延长持续时间，提高强度值。.
Keywords: excitation rate; knee osteoarthritis; meridian sinew releasing technique; moxibustion sensation exploration method; moxibustion sensation of heat-sensitive moxibustion.