针刺对老年膝骨关节炎患者生活质量影响.docVIP

针刺对老年膝骨关节炎患者生活质量影响 　　【摘要】 目的：观察针刺疗法对老年膝骨关节炎患者生活质量的影响。方法：采用随机数字表法将61例患者随机纳入治疗组（31例）和对照组（30例）。治疗组采用针刺疗法，取患膝鹤顶、内膝眼、膑尖、犊鼻、足三里、三阴交、阿是穴，1次/d，10次为一疗程，共治疗两个疗程；对照组予口服消炎痛片，3次/d，25 mg/次，10 d为一疗程，共治疗两个疗程。在治疗前及治疗后分别记录两组的SF-36量表评分。结果：治疗组生理功能、躯体疼痛评分治疗前后比较差异有统计学意义（P0.05）；治疗后两组生理功能、总体健康评分比较差异有统计学意义（P0.05）。结论：针刺疗法可以明显改善老年膝骨关节炎患者的生理功能及疼痛情况，从而提高患者的生活质量。 　　【关键词】 膝骨关节炎； 老年； 针刺疗法； 生活质量 　　中图分类号 R245.31 文献标识码 B 文章编号 1674-6805（2015）18-0117-02 　　Influence on Quality of Life in Elder Knee Osteoarthrit Patients Treated by Acupuncture/REN Zhi-qiang，YAO Yun，ZENG Jin-ming.//Chinese and Foreign Medical Research，2015，13（18）：117-118 　　【Abstract】 Objective：To observe the influence on quality of life（QOL） in elder knee osteoarthritis（KOA） patients treated by acupuncture.Method：61 cases of elder KOA patients were randomly divided into the observation group（31 cases） and the control group（30 cases）.The patients in the observation group were treated with acupuncture once a day at acupoints including Heding（EX-LE2），Neixiyan（EX-LE4），Binjian，Dubi（ST35），Zusanli（ST36），Sanyinjiao（SP6），A-shi and so on.The treatment of 10 days maded one session and 2 sessions were required.In the control group，indomethacin was taken orally 25 mg per time，3 times a day were prescribed for oral administration for 20 days totally.Before and after treatments，the scores in SF-36 were evaluated in the two groups.Result：Compared with the before treatment，physical functioning（PF） and bodily pain（BP） in the observation group were significantly increased（P0.05）.After the treatment，physical functioning（PF） and general health（GH） were significantly different between the two groups（P0.05）.Conclusion：Acupuncture can significantly improve the PF and BP for elder KOA patients，thus improve their QLF. 　　【Key words】 Knee osteoarthritis； Elder； Acupuncture； Quality of life 　　First-author’s address：Shanghai Zhongye Hospital，Shanghai 200941，China 　　doi：10.14033/j.cnki.cfmr.2015.18.065 　　膝骨关节炎是一种以关节软骨退变为主的临床常见疾病，常伴随膝关节的肿胀、疼痛、积液、活动受限等症状。关节软骨的退