岭南传统天灸对膝痹患者的生存质量影响

目的评价岭南传统天灸疗法对膝痹患者的生存质量影响。方法共纳入93例患者,按简单随机法,随机分配到治疗组47例及安慰组46例。治疗组采用岭南传统天灸疗法治疗,安慰组采用安慰剂治疗,选穴均相同。疗效评价方面,运用患者报告结局(PRO)的方法,采用视觉模拟评定表(VAS)、膝关节功能主观评价表模拟评定表(IKDC)、健康调查筒表(SF-36)量表。结果 2组患者的VAS评分均下降,经方差分析,组间有显著性差异(F=10.912,P=0.003;F=28.351,P=0.020;F=7.072,P=0.016);对VAS减分率分析,治疗后的各评测时点,治疗组减分率分别为35.40%,62.03%,66.32%,安慰组的减分率分别为18.01%,18.35%,18.01%,组间有显著性差异(P=0.000)。IKDC评分方面,2组均呈下降趋势,组间有显著性差异(F=212.976,P=0.000;F=105.554,P=0.000;F=121.007,P=0.000)。SF-36量表方面,干预后,2组生理健康总评分(PCS)总评分均上升;而在随访1个月及随访3个月时点,2组PCS总评分测量示均下降,两两比较示,组间有显著性差异(P0.05);在心理健康总评分(MCS)总评分方面,经干预后2组MCS总评分测量均上升,而随访3个月时点,两组MCS总评分均下降;两两比较示,组间有显著性差异(P0.05)。提示两组的治疗均可对膝痹的疼痛、主观症状和客观体征、生理健康及心理健康方面均有改善作用,且以治疗组最优。结论岭南传统天灸对改善膝痹患者的生存质量有着积极的作用。

Effects of Lingnan traditional herbal patch on quality of life in patients with bi-syndrome of knee

Objective To evaluate the effects of Lingnan traditional herbal patch on quality of life among patients with knee bi-syndrome ( osteoarthritis) , in traditional Chinese medicine. Methods 93 patients were randomly assigned into treatment group(47 cases) and placebo group(46 cases) . The former group was treated with the Lingnan traditional herbal patch therapy while the lattfer group received placebo treatment with the same acupoints selected for both groups. Patient report outcome ( PRO ) model was used for outcome measurement, using VAS, IKDC, and SF-36 scalesto evaluate the clinical effect at the following timepoints:before treatment, after treatment, 1-month follow up, and 3-month follow up. Re-sults VAS score of both groups were decreased. There were significant differences between the two groups at each time point ( F=10 . 912 , P=0 . 003;F=28 . 351 , P=0 . 020;F=7 . 072 , P=0 . 016 ) . VASreduction rates after treatment in the treatment groups were 35 . 40％, 62 . 03％. 66 . 32％, and they were 18. 01％, 18. 35％, 18. 01％ in the placebo group respectively. There were significant differences between the two groups (P=0. 000). IKDC scores of the two groups were lower than before, and the difference between the two groups after treatment were statistically significant ( F=212 . 976 , P=0 . 000 , F=105 . 554 , P=0 . 000 , F=121 . 007 , P=0 . 000 ) . The PCS scoresof both groups were increased after treatment; however,theyreduced at the 1-monthfollow-up and 3-month follow-up time pointcompared with the after-treatment time pointwith statistically significant difference ( P <0 . 05 ); MCS scoresof both groups increased after treatment. Butscores of two groups were decreased at the 3-month follow-up time point with pairwise comparison;differences between treatment group and placebo groups were statistically significant (P<0. 05). Herbal patch treatment can better relieve the pain, improve knee function and reduce symptoms of the knee osteoarthritic patients. Conclusion This study showed that Lingnan tradi-tional Herbal Patch therapy has a positive effect on improving the quality of life of patients with knee bi-syndrome, and it is worth popularizing.