CAJ | 학술논문

目的：比较艾灸对膝骨性关节炎不同分期临床疗效。方法：选入早、中、晚期膝关节骨性关节炎患者各30例，进行规范化艾灸治疗，然后对3组病人治疗前后WOMAC问卷评分变化及临床改善情况进行比较。结果：三组患者治疗后疼痛程度WOMAC评分均显著改善，早期组和晚期组改善幅度无显著差异、且显著优于中期组。三组患者治疗后僵硬程度均显著改善，三组改善幅度无显著差异。三组患者治疗后日常生活能力均显著改善，晚期组其改善幅度显著优于早期组和中期组、早期中期两组改善幅度无显著差异。早期组治疗后改善率显著高于中期组及晚期组，中、晚期组间比较无显著差异。结论：艾灸对不同分期膝骨性关节炎均有显著的疗效。
목적：비교애구대슬골성관절염불동분기림상료효。방법：선입조、중、만기슬관절골성관절염환자각30례，진행규범화애구치료，연후대3조병인치료전후WOMAC문권평분변화급림상개선정황진행비교。결과：삼조환자치료후동통정도WOMAC평분균현저개선，조기조화만기조개선폭도무현저차이、차현저우우중기조。삼조환자치료후강경정도균현저개선，삼조개선폭도무현저차이。삼조환자치료후일상생활능력균현저개선，만기조기개선폭도현저우우조기조화중기조、조기중기량조개선폭도무현저차이。조기조치료후개선솔현저고우중기조급만기조，중、만기조간비교무현저차이。결론：애구대불동분기슬골성관절염균유현저적료효。
Objective:To compare the clinical efficacy of moxibustion on knee osteoarthritis in different stages. Methods:30 cases with knee osteoarthritis in early, middle and advanced stage were selected respectively and treated with moxibustion, the WOMAC questionnaire scores and clinical improvementin 3 groups were compared after treatment. Results: The pain WOMAC scores were significantly improved of the three groups after treatment, groups in early and advanced stages had no significant difference and were significantly better than the middle-stage group. The stiffness was significantly improved after the treatment with no significant difference between the three groups of improvement. The ability of daily life in three groups of patients were improved obviously after treatment, the improvement of the advanced group was significantly better than another two groups, there was no significant difference between the early-stage group and middle-stage group. The early group improved after treatment was significantly higher than those of another two groups, with no difference between the groups . Conclusion:Moxibustion at different stages of knee osteoarthritis has obvious curative effects.