Clinical Research On Meridional Muscle Region Puncture For Knee Osteoarthritis

Objective:Knee osteoarthritis (KOA) is a kind of joint pathological changes marked by jiarticular cartilage degeneration and bone hyperplasia. The disease is most common in middle aged to elderly people. With the extension of human life, the incidence rises gradually. Concerned investigation shows, in our country the incidence of KOA is around 5% in the people over age 50, and 25% in those over 60 years old for women,15% for men.At present,effective methods to reverse bone hyperplasia is still deficient, but for the reactive changes of surrounding tissue there can be kinds of methods. The common ones include drug interention, traditional Chinese medicine, joint flush and surgical treatment. Long-term use of drugs, particularly sedation, can easily produce a lot of complications; joint flush and surgical treatment are just partly used, because some older adults with basic disease can not tolerate, therefore chinese medicine becomes more and more important, for it can improve clinical symptoms and quality of life. Twelve meridian musculatures are part of meridian system, which get nutrition from twelve meridians, connet with joints of four limbs to hold skeleton and keep in touch with body, perfrom movement function. The essence of disease about this system is syndromes caused by the damage of muscle system that corresponding to twelve meridians. The musculature theory provides a simple and feasible way to treat knee osteoarthritis, and sets a firm theoretical basis. Therefore, it is significant to use the theory to guide the treatment of knee osteoarthritis.Reseaches about meridional muscle region puncture in improving the musculature theory of "Neijing " and on the clinical observations are poor, so it is necessary to do deeper research on the clinical experiences of acupuncture doctors, to clear up and promote, in order that it can be widely used. For all above, this study selected randomized controlled method to observe the effect of meridional muscle region puncture in treating KOA.Methods:The literature research summarized the understandings and treatments about KOA in traditional Chinese medicine and modern medicine, the development of musculature theory.Clinical research part:60 cases fitted with the criteria were randomly divided into the treatment group and control group. The treatment group was guided by the musculature theory, with the rule"where there is a pain, there is a acupoint" as principle and clinical experiences from Tutor Prof. Zhuang Lixing. Ssearched for four pain pionts which located at the musculature that along with the knee joint. Inserted the needle quickly at the pain piont and deep into the periosteum, and inserted another two needles above and below the pain piont, all these pionts were at the same musculature. Retained the needles for 30 minutes after the arrival of qi,and rotated the needles with tonifying method every 5 minutes. Patients could endure for degrees. The control group were treated with conventional acupuncture and pionts such like Dubi, Neixiyan, Yanglingquan, Zusanli according to the reference" acupuncture amd moxibustion" (fifth edition, Ed. Shi Xuemin).The acupunture method, tonifying and reducing methods are the same as the treatment group, differences were to insert the needles into conventional acupuncture depth without lateral needling. Treated for three treatments. Before and after treatment, odserved the the visual analogy pain scale(VAS) in the McGill Simplified scale, clinical symptoms scores, WOMAC, KOA scale, then evaluated the clinical curative effect.Results:The results showed that pain in both groups were significantly improved after treatment according to the VAS scores, clinical symptoms scores and WOMAC, with a better effect of relieving pain in the treatment group for guided by the musculature theory.In terms of improving the quality fo life, Scores evaluating daily life's difficulties reduced with a statistically significance after treatment pointed out that both methods could help improve the difficulty in daily life. Compared with control group, treatment group is better in improvement. In the clinical curative effect, the total effective rate was over 60%, of which 76.67% went into the treatment group, and the effective rate of treatment group was higher than that of control group; As a degenerative change, the recovery rate is not high, but the treatment group was higher according to the significant efficiency.Conclusion:Meridional muscle region puncture for Knee Osteoarthritis is actually effective; It can significantly reduce pain symptom, improve clinical symptoms and quality of life, simple but without adverse reaction, easy to be accepted, is worthy of widely clinical application.