| 艾灸治疗膝关节骨性关节炎临床疗效的病例对照试验 |
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投稿时间：2009-02-17
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| 作者 | Author | 单位 | Address | E-Mail |
| 苏佳灿 |
SU Jia-can |
第二军医大学附属长海医院骨科,上海 200433 |
Department of Orthopaedics,Changhai Hospital,Shanghai 200433,China |
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| 曹烈虎 |
CAO Lie-hu |
第二军医大学附属长海医院骨科,上海 200433 |
Department of Orthopaedics,Changhai Hospital,Shanghai 200434,China |
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| 李卓东 |
LI Zhuo-dong |
第二军医大学附属长海医院骨科,上海 200433 |
Department of Orthopaedics,Changhai Hospital,Shanghai 200435,China |
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| 王思成 |
WANG Si-cheng |
上海中冶医院骨科 |
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| 张前进 |
ZHANG Qian-jin |
泉州市正骨医院 |
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| 马玉海 |
MA Yu-hai |
嘉兴市武警总队医院骨科 |
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| 扶晓明 |
FU Xiao-ming |
解放军第169医院骨科 |
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| 禹宝庆 |
YU Bao-qing |
第二军医大学附属长海医院骨科,上海 200433 |
Department of Orthopaedics,Changhai Hospital,Shanghai 200440,China |
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| 杜宁 |
DU Ning |
上海市岳阳医院骨科 |
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| 张春才 |
ZHANG Chun-cai |
第二军医大学附属长海医院骨科,上海 200433 |
Department of Orthopaedics,Changhai Hospital,Shanghai 200442,China |
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| 期刊信息：《中国骨伤》2009年，第22卷，第12期，第914-916页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:上海市科委中医药专项基金资助(编号：08ZD1973100) |
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中文摘要:
目的：比较研究艾灸与红外线治疗膝关节骨性关节炎的临床疗效。
方法：2007年1月至2008年6月，采用简单随机法，根据SAS统计软件生成随机数字表，将65例膝骨性关节炎患者随机分为治疗组和对照组，治疗组35例，男17例，女18例；年龄45～75岁，平均(61.2±6.4)岁；病程9～43个月，平均(23.6±13.8)个月； 治疗前 Lysholm膝关节功能评分19～28分，平均(24.3±3.3)分。对照组30例，男13例，女17例；年龄47～79岁，平均(62.5±9.3)岁；病程8～45个月，平均(24.6±16.6)个月；治疗前 Lysholm膝关节功能评分20～29分，平均(25.9±3.0)分。治疗组给予艾灸治疗，对照组给予红外线治疗，治疗随访4周，对比两组Lysholm膝关节功能评分并进行统计学分析。
结果：参照Lysholm临床疗效评分，治疗组平均为(87.5±5.6)分，对照组为(85.9±3.5)分，治疗组优于对照组(P<0.05).两组疼痛、关节屈伸度、关节稳定度与上下楼梯分值进行比较，疼痛与关节稳定度治疗组优于对照组(P<0.05).
结论：与红外线治疗相比，艾灸治疗膝骨性关节炎可获得更好的关节功能，能有效缓解患者的疼痛，改善关节稳定性，提高疗效。 |
| 【关键词】艾条灸 红外线 骨关节炎,膝 临床对照试验 |
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| Controlled clinical trials of initial observation on therapeutic effects of moxibustion for osteoarthritis of the knee:multi-center clinical effect |
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ABSTRACT
Objective: To compare therapeutic effects between moxibustion and infrared therapy for the treatment of knee osteoarthritis.
Methods: From January 2007 to June 2008 period,65 patients with knee osteoarthritis were divided into treatment and control groups randomly uniform random number table generated from SAS statistical software. Among 35 patients in the treatment group,17 patients were male and 18 patients were female,ranging in age from 45 to 75 years,with an average of(61.2±6.4) years;the course of disease ranged from 9 to 43 months,with a mean of(23.6±13.8) months;the preoperative Lysholm score ranged from 19 to 28 scores, averaged(24.3±3.3) scores. In the control group,there were 30 patients,including 13 males and 17 females,ranging in age from 47 to 79 years,with an average of(62.5±9.3) years;the course of disease ranged from 8 to 45 months,with a mean of(24.6±16.6) months;the preoperative Lysholm score ranged from 20 to 29 scores,averaged(25.9±3.0) scores. The patients in the treatment group were treated with moxibustion,and the patients in control group were treated with infrared therapy. All the patients were followed up for 4 weeks. The Lysholm scores were compared between the two groups.
Results: According to Lysholm score for clinical efficacy,treatment group got (87.5±5.6) scores and the control group were(85.9±3.5) scores,the Lysholm score of the treatment group was higher than that of the control group(P<0.05). Among pain score,joint flexion and extension score,joint stability score, and up and down stairs score,the pain and joint stability scores of patients in the treatment group were higher than those of control group(P<0.05).
Conclusion: Compared with infrared therapy,moxibustion treatment for knee osteoarthritis can get better joint function,which is effect to alleviate the patient's pain, improve joint stability,improve the efficacy,and is valued to be promoted. |
| KEY WORDS Moxa stick moxibustion Infared rays Osteoarthritis,knee Controlled clinical trials |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 苏佳灿,曹烈虎,李卓东,王思成,张前进,马玉海,扶晓明,禹宝庆,杜宁,张春才.艾灸治疗膝关节骨性关节炎临床疗效的病例对照试验[J].中国骨伤,2009,22(12):914~916 |
| 英文格式: | SU Jia-can,CAO Lie-hu,LI Zhuo-dong,WANG Si-cheng,ZHANG Qian-jin,MA Yu-hai,FU Xiao-ming,YU Bao-qing,DU Ning,ZHANG Chun-cai.Controlled clinical trials of initial observation on therapeutic effects of moxibustion for osteoarthritis of the knee:multi-center clinical effect[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(12):914~916 |
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