Abstract
Clinical research on thermomoxibustion and rehabilitation training for inhibiting the chronification of the acute pain of knee osteoarthriti
  
DOI:
EN KeyWords: thermomoxibustion  rehabilitation training  pain  knee osteoarthritis  diffuse noxious inhibitory controls
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作者单位
沈林林 杭州市丁桥医院杭州 310021 
蔡健 杭州市丁桥医院杭州 310021 
李熳 华中科技大学同济医学院基础医学院神经生物学系武汉 430030 
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EN Abstract:
  Objective:To observe whether thermomoxibustion can inhibit the chronification of the acute pain in patients with knee osteoarthritis (KOA) and whether it has modulation effect on the impaired diffuse noxious inhibitory controls (DNIC) function, and compare it with rehabilitation training to provide a theoretical basis for clinical promotion. Methods:All 60 KOA patients were randomly divided into thermomoxibustion group and rehabilitation training group, 30 cases in each group. The visual analog scale (VAS), DNIC and the clinical curative effect were compared between two groups before, during and after the treatments.Results:There were significant differences in VAS scores before, during and after treatment in thermomoxibustion group (P<0.01). DNIC was significantly different before and after treatment (P<0.01). There was significant difference during and after the treatment (P<0.05). The VAS scores in the rehabilitation training group were significantly different before and after treatment (P<0.01), and there was significant difference before and during the treatment (P<0.05). There were significant differences between the first treatment course and the second treatment course (P<0.01). There was no significant difference in DNIC function during the whole treatment of the rehabilitation training group (P>0.05). There was no significant difference in DNIC function between the two groups before and during the treatment (P>0.05). There was significant difference between the two groups after the treatment (P<0.05).Conclusion: Thermomoxibustion can fix the impaired DNIC function during the chronification of the acute pain of KOA patients and can prevent the chronification of the acute pain of KOA.
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