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艾灸治疗膝骨关节炎的成本-效果分析

胡晓颖 李璟 李申 侯文光 吴焕淦

上海针灸杂志2017,Vol.36Issue(9):1025-1028,4.
上海针灸杂志2017,Vol.36Issue(9):1025-1028,4.DOI:10.13460/j.issn.1005-0957.2017.09.1025

艾灸治疗膝骨关节炎的成本-效果分析

Cost-effectiveness Analysis of the Treatment of Knee Osteoarthritis with Moxibustion

胡晓颖 1李璟 2李申 2侯文光 2吴焕淦3

作者信息

  • 1. 上海市虹口区江湾医院,上海 200434
  • 2. 上海中医药大学附属岳阳中西医结合医院,上海 200437
  • 3. 上海市针灸经络研究所,上海 200030
  • 折叠

摘要

Abstract

Objective To observe the clinical efficacy of moxibustion in treating knee osteoarthritis (KO) and analyze its cost-effectiveness.Method Fifty-eight KO patients were randomized into a moxibustion group and an electroacupuncture (EA) group, 29 cases in each group. The two groups were treated 3 times a week, for successive 4 weeks. The knee joint function and Visual Analogue Scale (VAS) for knee joint pain were scored before and after the treatment, and the two groups were analyzed by using health economic methods.Result The knee joint function scores were significantly changed after the treatment in the two groups (P<0.05); the excellent rate was 96.6% in EA group versus 75.9% in moxibustion group, and the general excellent rate in EA group was markedly higher than that in moxibustion group (P<0.05); the total effective rate for pain was 93.1% in moxibustion group versus 96.6% in EA group, and the between-group difference was statistically insignificant (P>0.05). The cost-effectiveness ratio was 6.42 in moxibustion group versus 16.86 in EA group; the incremental cost-effectiveness ratio was 298.55 in EA group. Conclusion Moxibustion and EA both can effectively improve knee joint function and mitigate knee joint pain, while compared with EA, moxibustion has a higher health economic value.

关键词

灸法/电针/骨关节炎,膝关节/卫生经济学/成本-效果分析/VAS

Key words

Moxibustion/Electroacupuncture/Osteoarthritis,Knee/Health economics/Cost-effectiveness analysis/VAS

分类

医药卫生

引用本文复制引用

胡晓颖,李璟,李申,侯文光,吴焕淦..艾灸治疗膝骨关节炎的成本-效果分析[J].上海针灸杂志,2017,36(9):1025-1028,4.

基金项目

国家重点基础研究发展计划(2009CB522900) (2009CB522900)

中药现代化指南项目(08DZ1973300) (08DZ1973300)

上海针灸杂志

OACSTPCD

1005-0957

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