艾灸治疗膝骨关节炎的成本-效果分析  

Cost-effectiveness Analysis of the Treatment of Knee Osteoarthritis with Moxibustion

作　　者：胡晓颖 李璟[2] 李申[2] 侯文光[2] 吴焕淦[3] HU Xiao-ying LI ling LI Shen HOU Wen-guang WU Huan-gan(Shanghai Hongkou District Jiangwan Hospital,Shanghai 200434, China Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai 200437,China Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China)

机构地区：[1]上海市虹口区江湾医院,上海200434 [2]上海中医药大学附属岳阳中西医结合医院,上海200437 [3]上海市针灸经络研究所,上海200030

出　　处：《上海针灸杂志》2017年第9期1025-1028,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家重点基础研究发展计划(2009CB522900);中药现代化指南项目(08DZ1973300)

摘　　要：目的观察艾灸治疗膝骨关节炎的临床疗效,并对艾灸疗法进行成本-效果分析。方法将58例膝骨关节炎患者随机分为艾灸组和电针组,每组29例。每星期治疗3次,连续治疗4星期。观察两组患者治疗前后膝关节功能评分及膝关节疼痛VAS评分,并运用卫生经济学方法进行分析。结果两组治疗后膝关节功能评分与同组治疗前比较,差异有统计学意义(P<0.05);电针组优良率为96.6%,艾灸组为75.9%,电针组的总体优良率优于艾灸组(P<0.05);电针组疼痛总有效率为96.6%,艾灸组为93.1%,两组比较差异无统计学意义(P>0.05)。艾灸组成本-效果比为6.42,电针组为16.86;电针组的增量成本-效果比为298.55。结论艾灸及电针均能有效改善患者膝关节功能及缓解膝关节疼痛,艾灸比电针对治疗膝骨关节炎更具有卫生经济学价值。Objective To observe the clinical efficacy of moxibustion in treating knee osteoarthritis （KO） and analyze its cost-effectiveness. Method Fifty-eight KO patients were randomized into a moxibustion group and an electroacupuncture （EA） group, 29 cases in each group. The two groups were treated 3 times a week, for successive 4 weeks. The knee joint function and Visual Analogue Scale （VAS） for knee joint pain were scored before and after the treatment, and the two groups were analyzed by using health economic methods. Result The knee joint function scores were significantly changed after the treatment in the two groups （P〈0.05）; the excellent rate was 96.6% in EA group versus 75.9% in moxibustion group, and the general excellent rate in EA group was markedly higher than that in moxibustion group （P〈0.05）; the total effective rate for pain was 93.1% in moxibustion group versus 96.6% in EA group, and the between-group difference was statistically insignificant （P〉0.05）. The cost-effectiveness ratio was 6.42 in moxibustion group versus 16.86 in EA group; the incremental cost-effectiveness ratio was 298.55 in EA group. Conclusion Moxibustion and EA both can effectively improve knee joint function and mitigate knee joint pain, while compared with EA, moxibustion has a higher health economic value.

关 键 词：灸法 电针 骨关节炎 膝关节 卫生经济学 成本-效果分析 VAS 

分 类 号：R246.2[医药卫生—针灸推拿学]