基于倾向性评分法探讨艾灸治疗肩周炎灸感与灸效的前瞻性队列研究

发布时间：2019-02-15 01:06

【摘要】：目的:基于倾向性评分中的匹配法(PSM),观察热敏灸感与传统灸感对肩周炎的灸疗疗效差异。方法:采用前瞻性队列设计模式,艾灸探查同一组穴位(手三里、肩井、膏肓俞、阿是穴)的灸感。在131例受试者中运用SPSS19.0软件PSM功能对两组患者进行匹配,得到组间协变量均衡的样本,共30对。其中试验组(n=30):出现6种特殊的热敏灸感;对照组(n=30):仅有局部温热感。两组均治疗30天,随访6个月。观察指标为Michael fees肩关节功能评分、简化Mc Gill量表以及日常生活能力(ADL)。结果:年龄、体重指数、Michael fees肩关节功能评分、MPQ评分以及ADL评分在两组间不均衡的协变量经匹配后均达到均衡(P0.05)。治疗2周和6个月随访后,组间Michael fees肩关节功能评分、MPQ评分比较均有统计学意义(P0.05)。热敏灸感组不论近期疗效还是远期疗效均优于传统灸感组(P0.05)。结论:艾灸同一组穴位,热敏灸感组对肩周炎患者的临床疗效优于传统灸感组。
[Abstract]:Objective: to observe the curative effect of heat sensitive moxibustion and traditional moxibustion on scapulohumeral periarthritis based on the matching method (PSM),. Methods: a prospective cohort design model was used to explore the moxibustion feeling of the same group of acupoints (hand San Li, shoulder well, Yan Xianshu, Ashi). SPSS19.0 software PSM function was used to match the two groups of patients and 30 pairs of covariates were obtained. There were 6 special heat sensitive moxibustion in the experimental group (nong30) and only local temperature in the control group (nf30). Both groups were treated for 30 days and followed up for 6 months. The observed indexes were Michael fees shoulder function score, simplified Mc Gill scale and (ADL). Results: age, body mass index (, Michael fees) shoulder function score, MPQ score and ADL score were all balanced after matching between the two groups (P0.05). After 2 weeks and 6 months follow-up, there were significant differences in Michael fees shoulder function score and MPQ score between the two groups (P0.05). The heat sensitive moxibustion group was superior to the traditional moxibustion group in both short-term and long-term effects (P0.05). Conclusion: the clinical curative effect of heat sensitive moxibustion on shoulder periarthritis is better than that of traditional moxibustion.
【作者单位】：江西中医药大学;江西中医药大学附属医院针灸科;高安市人民医院康复科;
【基金】：江西省卫计委中医药科研基金项目(2015B006) 国家自然科学基金课题(81573815)
【分类号】：R246.9

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