WHOQOL-BREF 量表评价艾灸治疗膝骨性关节炎的临床疗效研究

目的:研究应用WHOQOL-BREF评价艾灸治疗膝骨性关节炎的临床疗效,为艾灸治疗膝骨性关节炎提供临床疗效依据.方法:2007年1月至2008年6月,将90例膝骨性关节炎患者随机分为治疗组和对照组.治疗组45例,男16例,女29例;平均年龄(62.5±7.4)岁;平均病程(26.5±14.6)个月;治疗前Lysholm膝关节功能评分平均(65.5±3.5)分.对照组45例,男11例,女34例;平均年龄(62.5±9.3)岁;平均病程(24.6±6.6)个月;治疗前Lysholm膝关节功能评分平均(66.3±2.3)分.应用生存质量WHOQOL-BREF量表对符合纳入标准的研究时象进行评价,同时应用Lysholm膝关节评分标准进行辅助评价.所有数据使用SPSS 11.5软件包进行统计分析.结果:应用艾灸治疗膝骨性关节炎的患者生存质量在WHOQOL-BREF量表评分结果,治疗组生理状况、心理状态以及对自身健康状况总的主观感觉等方面明显高于对照组(P＜0.05).参照Lysholm临床疗效评分,治疗后治疗组明显高于保守组(t=0.65,P＜0.05).结论:应用艾灸治疗膝关节骨性关节炎,简单又无创,经济实用,对轻、中度关节病变,既可防止痛变进一步发展,又可改善关节功能、提高生存质量.

Evaluation of the clinical effect of knee osteoarthritis treated with moxibustion according to WHOQOL-BRE

Objective: To investigate and research WHOQOL-BREF evaluation of the clinical effect of application of moxibustion for treatment of knee osteoarthritis,to provide clinical according for the treatment. Methods: From January 2007 to June 2008,90 cases of knee osteoarthritis were randomly divided into treatment group and control group. In treatment group there were 45 cases included 16 males and 29 females with an average age of (62.5±7.4) years;the average course was (26.5 ±14.6) months;Lysholm score of knee function before treatment was(65.5±3.5) hours on average. In control group,there were 45 cases included 11 males and 34 females with an average age of(62.5±9.3) years;the average course was(24.6±16.6) months;Lysholm score of knee function before treatment was(66.3±2.3) hours on average. Applied Quality of Life Scale WHOQOL-BREF in line with the inclusion criteria of the study evaluation. While applied Lysholm scoring of knee joint for supporting the evaluation criteria. All data were statistical analyzed by package SPSS 11.5. Results: Moxibustion was applied to treat the knee osteoarthritis and the quality of life was evaluated according to the WHOQOL-BREF scale score. The scores of the physical state,psychological state,as well as their own general health status of subjective feeling,and so on in treatment was significantly higher than that in control group(P<0.05). According to Lysholm scoring,the score in treatment group was significantly higher than that of control group,too(t=0.65,P<0.05). Conclusion: Application of moxibustion for treatment of knee osteoarthritis is a simple,economical and practical,and can avoid the further development of the disease,but also to improve the joint function and improve quality of life.