膝关节骨性关节炎温针灸治疗的中远期疗效观察.doc

膝关节骨性关节炎温针灸治疗的中远期疗效观察
【摘要】目的观察温针灸治疗膝关节骨性关节炎(Knee Osteoarthritis,KOA)的中远期临床疗效。方法采用随机抽样的方法,对明确诊断的KOA患者经温针灸治疗后3~36个月,采用问卷调查的形式,进行中远期疗效评估。结果共随访321例,收到完整有效问卷286例。其中显效79例,好转187 例, %。无效20例,%。结论温针灸治疗KOA疗效显著,中远期疗效稳定。
【关键词】温针灸;膝关节骨性关节炎;随访
Abstract: Objective To observe the medium-long term efficacy of needle-warming moxibustion in Patients with knee osteoarthritis (KOA). Methods 321 patients with KOA were selected randomly and treated 3 to 36 months with needle-warming moxibustion. The medium-long term efficacy were evaluated with questionaire. Results 286 cases with KOA in 321 were followed up essfully. Among them, efficacy of 79 cases were excellence, 187 cases improved, and the effective rate was %. Conclusion The needle-warming moxibustion therapy for knee osteoarthritis has significant efficacy. Medium-long term efficacy of the needle-warming moxibustion therapy is stable.
Key words: needle warming moxibustion;knee osteoarthritis;follow-up
膝关节骨性关节炎(Knee Osteoarthritis,KOA)是一种由于关节及周围软组织退变,关节软骨面变性、断裂、甚至脱落,软骨下骨质硬化增生,关节边缘骨刺形成,继发滑膜和关节囊的充血、肥厚、增生,产生一系列临床症状的疾病,是中老年常见病、多发病。近年来,我科运用温针灸治疗KOA收到满意的近期临床疗效,%[1]。为了观察温针灸治疗KOA的中远期临床疗效,我们对宁夏医学院附属医院中医骨伤科2006年10月至2007年3月接受温针灸治疗的KOA患者进行了随访,现将随访结果报告如下。
1 资料与方法
研究对象
对宁夏医学院附属医院中医骨伤科门诊及住院确诊为KOA的321例患者发放问卷调查,对收到完整有效问卷286例患者进行临床疗效评估,其中男106例,女270例;年龄31 ~70岁,,病程2个月~11年。病情程度:0度51例,Ⅰ度101例,Ⅱ度95例,Ⅲ度32例,
Ⅳ度7例。