Observation Of Clinical Curative Effect Of The Scraping Treatment Of Liver And Kidney Deficiency Early Knee Osteoarthritis

Purpose:The thesis focuses on the scraping treatment for early knee osteoarthritis of liver and kidney deficiency type with a comparative group of acupuncture and moxibustion, and provides analysis and statistics of the simplified McGill ache assessment and the assessment JOA of knee osteoarthritis before and after treatment as well as the clinical efficacy of the scraping treatment with the purpose to pave the way for clinical treatment and research.Methods:The research involved outpatients from Quanzhou Orthopedics-Traumatology Hospital of Fujian Traditional Chinese Medicine University during January to December 2014. According to inclusion and exclusion criteria of medical cases,60 cases with early knee osteoarthritis of liver and kidney deficiency type were chosen and randomly divided into two groups:treatment group included 30 cases who received the scraping treatment and the comparative group included the rest 30 who received acupuncture and moxibustion. Statistics of the simplified McGill ache assessments (PRI, VAS, PPI), and the variation of the standard assessment of the effectiveness (JOA) before and after the treatment were counted up. After two courses of treatment, the clinical efficacy was evaluated according to "TCM Syndrome Diagnostic efficacy standards". And the safety was recorded and analyzed during the treatment. The data were analyzed in the method of SPSS 18.0 statistical software, setting P <0.05 considered statistically significant.Result:1 There was striking differences (P<0.05) of between the two groups in the simplified McGill ache assessment (PRI, VAS, PPI) and the assessment standard (JOA) of knee osteoarthritis before and after treatment, while little difference could be found between the treatment group and comparative group (p>0.05).2 The effectiveness of the two groups were as follows:for the treatment group, there were 18 cured cases,9 improved cases and 3 ineffective cases with the total efficiency of 90%; for the comparative group, there were 21 cured cases,8 improved cases and 1 ineffective cases with the total efficiency of 96.7%. There is little difference between the treatment group and comparative group (p>0.05).3 No adverse events happened during the treatment of both groups, and the incidence of adverse events was 0%.Conclusion:1 Both the scraping treatment and the acupuncture and moxibustion treatment decreased the simplified McGill ache assessment (PRI, VAS, PPI) of patient with early knee osteoarthritis of liver and kidney deficiency type and increased the assessment standard (JOA) of the effectiveness of the treatment for early knee osteoarthritis of liver and kidney deficiency type, proving that the two kinds of treatments are very efficient in reducing pain and improving quality of life. However, there was no significant difference between the two treatments in efficacy.2 There was no striking adverse interaction of the scraping treatment found in the cases; therefore it was an advantageous treatment for knee osteoarthritis with safety and efficiency, and without side effect, which was worthwhile to put into practice in clinic.