壮医药线点灸配合针灸治疗膝关节骨性关节炎临床研究的影响因素  

Influencing factors of the clinical study on the treatment of knee osteoarthritis with medicated thread moxibustion of Zhuang medicine and acupuncture and moxibustion

作　　者：傅婷[1] FU Ting(The First Affiliated Hospital of Guangxi University of Science and Technology,Liuzhou 545001,China)

机构地区：[1]广西科技大学第一附属医院,广西柳州545001

出　　处：《中华中医药杂志》2018年第12期5718-5720,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：柳州市科学研究与技术开发项目(No.2015J030527)~~

摘　　要：目的:观察壮医药线点灸配合针灸治疗膝关节骨性关节炎(KOA)患者临床研究的影响因素。方法:将本院住院及门诊KOA患者120例,随机分为壮医药线点灸配合针灸组、壮医药线点灸组、针灸组、口服西药组,每组各30例。分别统计各组治疗前后的膝关节Lysholm评分及健康调查量表(SF-36)评分,研究患者在各组间,不同的性别、年龄及病程对治疗前后膝关节Lysholm评分是否有影响。结果:与治疗前比较,各组均能改善患者关节功能及生活质量,差异有统计学意义(P<0.05)。单因素分析显示,影响老年KOA患者治疗效果的因素是病程与年龄,差异有统计学意义(P<0.01)。Logistic回归分析表明,患者病程越长,年龄越大治疗效果越差。结论:老年KOA患者的治疗效果与病程和年龄有关,患者病程越长,年龄越大治疗效果越差。Objective:To observe the influencing factors of the clinical study on the treatment of knee osteoarthritis (KOA)patients with medicated thread moxibustion of Zhuang medicine and acupuncture and moxibustion.Methods:One hundred and twenty cases of KOA patients in our hospital and outpatient clinic were randomly divided into medicated thread moxibustion Zhuang medicine moxibustion and acupuncture group,medicated thread moxibustion Zhuang medicine group,moxibustion and acupuncture group,oral administration of western medicine group,thirty patients in each group.The knee Lysholm score and the health survey scale (SF-36)score before and after treatment in each group was statistically evaluated,and the effects of different gender,age and course of disease on the Lysholm score of knee joint before and after treatment were studied.Results:Compared with pre-treatment,each group could improve the joint function and quality of life of patients,the difference was statistically significant (P<0.05).Univariate analysis showed that the factors influencing the treatment effects of elderly patients with KOA were the course of disease and age,and the difference was statistically significant (P<0.01).Logistic regression analysis showed that the longer the course of disease,the older the age,the worse the treatment effect.Conclusion:The therapeutic effect of elderly KOA patients was related to the course of disease and the age,the longer the course of disease,the older the age of the patients, the worse the treatment effect.

关 键 词：老年性膝关节关节炎 临床研究 影响因素 

分 类 号：R29[医药卫生—民族医学]