Observe The Therapeutic Effect Of The Press-needle Embedding Needle Interactively In The Treatment Of Knee Osteoarthritis

Objective To observe the clinical effect of interactive press-needle embedding in treating knee osteoarthritis, objective evaluation of knee joint function, degree of pain, stiffness and the influence of week of knee muscle. And in the observation process to press-needle embed security and compliance evaluation, clear snap interactive embed needle for treatment of knee osteoarthritis, to provide clinical basis for its, but also improve the operation method, rich in traditional Chinese medicine appropriate technology.Methods According to the unified diagnosis, inclusion and exclusion criteria. It is selected 70 patients facing the criteria of knee osteoarthritis. They are divided into two groups randomly, the press-needle group and the control group. Before treatment, these two groups have no significant difference in statistics. Patients in the press-needle group therapy with the press-needle embedding needle interactively after the routine rehabilitation training, enhance the press-needle embedded needle acupoint selection:Ashi, Dubi, Neixiyan, Xuehai, Liangqiu. Yanglingquan and Zusanli. The press-needle treats once other day and three times a week for two weeks; conventional rehabilitation training, patients are advised to avoid knee weight-bearing, lose weight in balanced diet, strengthen the protection for knee, and persist in moderate functional activities under the pain free range or non weight bearing condition. By training the knee muscle strength and joint mobilization to strengthen knee joint function. Rehabilitation training treats once other day and three times a week for two weeks. The control group merely adopt with routine rehabilitation training. The methods for rehabilitation training are the same as the press-needle group. These two groups are recorded about the index of arthrophlogosis of the University of Western Ontario observation of changes of the femoral quadriceps muscle and hamstring muscle strength, and the safety evaluation index and passing off cases. Effective cases should get follow-up after 3 months’ treatment and the changes of main symptoms of knee pain, stiffness, and knee function in the two groups during follow-up. After the end of the all observation, the observation results as a press-needle interactive buried the curative effect of acupuncture in the treatment of knee osteoarthritis, and the safety and compliance evaluation basis.Results ①After 2 courses of treatment, the press-needle group and the control group of patients with osseous arthritis index score, pain, stiffness, the function of each item score before treatment comparision and the differences are significant (P<0.05); the press-needle group and control group are significant between two groups (P<0.01). ②After 2 courses of treatment, two groups of patients’femoral quadriceps femoris and hamstring muscle strength has significant difference by comparing with before treatment (P< 0.01); a press-needle group and the control group, the difference between two groups is also statistically significant (P< 0.05). ③ After two courses of treatment, the efficiency of press-needle group is 97.1%, and control group,68.8%, The effectiveness of treatment for these two groups is significant (P<0.01).④ After three months’follow-up, the press-needle group, control group’s effective cases of the WOMAC score, pain, stiffness, function all item scores have no significant difference and no statistical difference by comparing with the end of treatment respectively (P>0.05). Comparing press-needle group with the control group, the score differences are significant (P< 0.05).⑤ In the observation of the clinical treatment, the two groups of physiological indexes (body temperature, heart rate, blood pressure, respiration) have no statistical significance by comparing before treatment and after treatment. (P>0.05). course of treatment in the two groups had two cases of objects observed adverse reactions, but press-needle group of adverse reaction occurred was lower than that of the control group.⑥ For this trial, the attrition rate is 5.7%, for press-needle group is 2.9%, and for the control group is 8.6%. which is far below the standard of no more than 15%.Conclusion The research results show that the press-needle interaction submerged needle in the treatment of knee osteoarthritis clinical curative effect is exact.which can not only can improve patients with knee pain, stiff feeling as well as the function of knee joint, but also improve the shares quadriceps muscle and hamstring muscle strength. In clinical practice this method has the advantages of easy operation and good compliance for patients.And the treatment has no obvious side-effect, it is high safety and is worth promoting in clinic.