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A Rthroscopic Surgery Com Bined With Acupuncture Treatm Ent Of Knee Osteoarthritis Clinical Observation

Posted on:2016-05-20Degree:MasterType:Thesis
Country:ChinaCandidate:J WangFull Text:PDF
GTID:2284330470977577Subject:Fractures of TCM science
Abstract/Summary:PDF Full Text Request
Background:Knee osteoarthritis(knee osteoarthritis, KOA) is in the world one of the most common joint diseases, is a very common way of arthritis and joint chronic disability lesions of the first important factor. Also known as degenerative arthritis, hypertrophy or proliferative arthritis, degenerative joint disease. Clinical features for the destruction of articular cartilage, degeneration and bone hyperplasia, and deformation of the main clinical feature is joint pain of motion and joint function. In today’s world, the threat to our human KOA are increasing, effective prevention and treatment of the disease is becoming all the scholars and experts research and clinical value of subject. In the current clinical treatment, haven’t found the inprovement of specific treatment and methods, therefore, the experiment and research, the use of combined treatment of traditional Chinese and western medicine treatment of the disease, develop a new treatment ideas have important clinical significance.Purpose:After testing of clinical observation to compare simply clear the arthroscopic surgery(control group) and acupuncture method of traditional Chinese medicine combined with the arthroscopic clearance(treatment group) in the treatment of KOA, evaluation and observing the arthroscopic cleaning operation combined with traditional Chinese medicine acupuncture method for clinical treatment the curative effect of KOA, thus extending out for treating the disease in the process of the use of combining traditional Chinese and western medicine treatment the curative effect of affirmation, but also to continue to promote in the clinical application of combined Chinese and western medicine treatment.Methods:Yichang three gorges university hospital affiliated first selected a February 2014 in August 2013 orthopaedic outpatient and inpatient, which are for the diagnosis of degenerative osteoarthritis of knee joint, accord with the experimental records into standard and selected as the subjects of 120 cases of patients, among which 74 were male, female 64 cases, aged 38, 76 years old, average 59. 42. Course of the October, the longest 10 years, 4.50 years on average, 48 cases associated with the onset of one knee, knees, 72 cases of disease. Strictly in accordance with the relevant income and exclude specific standards, use according to random grouping method, divided into two groups, one group for the treatment group, a group for the control group, treatment group of 60 cases, control group, 60 cases in treatment group for surgery combined with acupuncture and moxibustion acupuncture treatment, control group for simple surgery. After treatment the same treatment, follow-up and review, record and observation indexes, evaluateon standard of patients in each group are the JOA score and VAS visual grading shall prevail.Results :1. In terms of VAS score vision, the treatment group before and after treatment compared with each other and have obvious improvement, the control group also had significant improvement(p values < 0.05), the two groups and the effect of the treatment group than the therapeutic effect of the control group(p < 0.05).2. In terms of JOA score, in the two groups before and after treatment group contrast have improved and better, the effect of the treatment group, the therapeutic effect of significantly better than the control group(p < 0.05).Conclusion:Specific experimental pain VAS scores than the control group there were significant on classification and knee function improved, this part illustrates the arthroscopy cleaning up after the operation, with the traditional Chinese medicine acupuncture treatment can effectively alleviate the patient after the operation of the pain and swelling of the joints, and also can make patients in postoperative recovery degree faster, shows the acupuncture therapy of traditional Chinese medicine not only can consolidate the therapeutic effect of arthroscopy cleaning operation, more can complement each other and modern surgery, one plus one is greater than 2 bonus effect, get twice the result with half the effort. The clinical trials of the modern western medicine surgery treatment and the style of the traditional Chinese treatment method is effective and the combination of the fully, make two this goes and treatment ideas together to play a role, take the essence, double the co-occurrence, thereby better treatment effect.
Keywords/Search Tags:Knee osteoarthritis(KOA), Clear arthroscopic surgery The doctor of traditional, Chinese medicine acupuncture method
PDF Full Text Request
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