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[基于世界卫生组织生活质量简表(WHOQOL - BREF)对艾灸治疗膝骨关节炎临床疗效的评估]

[Evaluation of the clinical effect of knee osteoarthritis treated with moxibustion according to WHOQOL-BREF].

作者信息

Cao Lie-Hu, Wang Si-Cheng, Zhang Qian-Jin, Li Zhuo-Dong, Ma Yu-Hai, Su Jia-Can, Du Ning

机构信息

Department of Orthopaedics, the Affiliated Changhai Hospital of the Second Military University, Shanghai 200433, China.

出版信息

Zhongguo Gu Shang. 2009 Nov;22(11):813-5.

PMID:20084933
Abstract

OBJECTIVE

To investigate and research WHOQOL-BREF evaluation of the clinical effect of application of moxibustion for treatment of knee osteoarthritis, to provide clinical according for the treatment.

METHODS

From January 2007 to June 2008, 90 cases of knee osteoarthritis were randomly divided into treatment group and control group. In treatment group there were 45 cases included 16 males and 29 females with an average age of (62.5 +/- 7.4) years; the average course was (26.5 +/- 14.6) months; Lysholm score of knee function before treatment was (65.5 +/- 3.5) hours on average. In control group, there were 45 cases included 11 males and 34 females with an average age of (62.5 +/- 9.3) years;the average course was (24.6 +/- 16.6) months; Lysholm score of knee function before treatment was (66.3 +/- 2.3) hours on average. Applied Quality of Life Scale WHOQOL-BREF in line with the inclusion criteria of the study evaluation. While applied Lysholm scoring of knee joint for supporting the evaluation criteria. All data were statistical analyzed by package SPSS 11.5.

RESULTS

Moxibustion was applied to treat the knee osteoarthritis and the quality of life was evaluated according to the WHOQOL-BREF scale score. The scores of the physical state, psychological state, as well as their own general health status of subjective feeling, and so on in treatment was significantly higher than that in control group (P < 0.05). According to Lysholm scoring, the score in treatment group was significantly higher than that of control group, too (t = 0.65, P < 0.05).

CONCLUSION

Application of moxibustion for treatment of knee osteoarthritis is a simple, economical and practical, and can avoid the further development of the disease, but also to improve the joint function and improve quality of life.

摘要

目的

探讨世界卫生组织生存质量测定量表简表(WHOQOL - BREF)对艾灸治疗膝关节骨性关节炎临床疗效的评价,为该治疗提供临床依据。

方法

选取2007年1月至2008年6月膝关节骨性关节炎患者90例,随机分为治疗组与对照组。治疗组45例,男16例,女29例,平均年龄(62.5±7.4)岁;平均病程(26.5±14.6)个月;治疗前膝关节功能Lysholm评分平均为(65.5±3.5)分。对照组45例,男11例,女34例,平均年龄(62.5±9.3)岁;平均病程(24.6±16.6)个月;治疗前膝关节功能Lysholm评分平均为(66.3±2.3)分。应用符合研究纳入标准的世界卫生组织生存质量测定量表简表(WHOQOL - BREF)进行评价,同时应用膝关节Lysholm评分作为辅助评价标准。所有数据采用SPSS 11.5软件进行统计学分析。

结果

应用艾灸治疗膝关节骨性关节炎,并依据WHOQOL - BREF量表评分评价生存质量。治疗组的生理状态、心理状态以及自身总体健康状况主观感受等评分均显著高于对照组(P < 0.05)。根据Lysholm评分,治疗组评分也显著高于对照组(t = 0.65,P < 0.05)。

结论

艾灸治疗膝关节骨性关节炎简便、经济、实用,可避免疾病进一步发展,还能改善关节功能,提高生活质量。

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