基于倾向性评分法探讨艾灸治疗肩周炎灸感与灸效的前瞻性队列研究  

Difference Moxibustion Sensation and Moxibustion Effect in the Treatment of Periarthritis of Shoulder Based on Propensity Score: A Prospective Cohort Study

作　　者：徐海燕[1] 熊俊[2] 付洪 XU Haiyan XIONG Jun FU Hong(Jiangxi University of Traditional Chinese Medicine, Nanchang 330004, Jiangxi, China Department of Acupunxture and moxibustion,The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanehang 330006, Jiangxi, China Department of rehabiliation, Gaoan People Hospital, Gaoan 330800, Jiangxi, China)

机构地区：[1]江西中医药大学,江西南昌330004 [2]江西中医药大学附属医院针灸科,江西南昌330006 [3]高安市人民医院康复科,江西高安330800

出　　处：《辽宁中医杂志》2017年第1期137-140,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：江西省卫计委中医药科研基金项目(2015B006);国家自然科学基金课题(81573815)

摘　　要：目的:基于倾向性评分中的匹配法(PSM),观察热敏灸感与传统灸感对肩周炎的灸疗疗效差异。方法:采用前瞻性队列设计模式,艾灸探查同一组穴位(手三里、肩井、膏肓俞、阿是穴)的灸感。在131例受试者中运用SPSS19.0软件PSM功能对两组患者进行匹配,得到组间协变量均衡的样本,共30对。其中试验组(n=30):出现6种特殊的热敏灸感;对照组(n=30):仅有局部温热感。两组均治疗30天,随访6个月。观察指标为Michael fees肩关节功能评分、简化Mc Gill量表以及日常生活能力(ADL)。结果:年龄、体重指数、Michael fees肩关节功能评分、MPQ评分以及ADL评分在两组间不均衡的协变量经匹配后均达到均衡(P>0.05)。治疗2周和6个月随访后,组间Michael fees肩关节功能评分、MPQ评分比较均有统计学意义(P<0.05)。热敏灸感组不论近期疗效还是远期疗效均优于传统灸感组(P<0.05)。结论:艾灸同一组穴位,热敏灸感组对肩周炎患者的临床疗效优于传统灸感组。Objective：To compare effectivness between heatsensitive moxibustion sensation and conventional sensation of periarthritis of shoulder in the treatment of moxihustion based on propensity score match method. Methods ： We used cohort study design, and probed moxibustion sensation in the same set of points （Shou Sanli, Gao Huangshu, Jian Jing and A shixue） by moxi- bustion technique. In 131 cases of eligible subjects ,we used PSM function in SPSS 19.0 software to match the two groups of patients. A total of 30 was determined in the group of covariate equilibrium. The experimental group （n = 30） ： a six special heat - sensitive moxibustion sensation;the control group （n = 30） ：only local warm feeling. Two groups were treated for a total of two weeks. Six months was follow - up visit. Outcomes were GPCRND - KOA, Knee circulation and WOMAC score. Results ： The age, body mass index,Michael feeds shoulder joint function score, MPQ scores and ADL scores covariate imbalance between the two groups after matching achieves equilibrium （ P 〉 0.05 ）. After treatment for 2 weeks and 6 months follow - up, between groups, Michael feeds shoulder joint function score, MPQ score comparison have statistical significance （ P 〈 0.05 ）. Sense of heat - sensi- tive moxibustion group no matter in the near future curative effect and the long - term curative effect is superior to traditional moxibustion group （P 〈 0.05）. Conclusion ： For the same set acupoints, selecting the acupoints in the group of heat - sensitive moxibustion sensation is superior to acupoints in the group of traditional moxibustion senation.

关 键 词：热敏灸 肩周炎 灸感 倾向性评分 队列研究 

分 类 号：R245.81[医药卫生—针灸推拿学] R684.3[医药卫生—中医临床基础]