| Objective:To objectively evaluate the efficacy and safety of Ostearthritis with the treatment of Channels-acupoints Dredge Combined with Pain Point Knead Dial Massage Manipulationand and Electroacuture through randomized controlled clinical study;Analysis the mechanism of the therapeutic method that the Channels-acupoints Dredge Combined with Pain Point Knead Dial Massage Manipulationand and Electroacuture treat Ostearthritis.Methods:90 cases of knee osteoarthritis according to the inclusion criteria were randomly divided into three groups,named group A,group B and group C,30 cases in each group.The mumbers in group A were treated by the Channels-acupoints Dredge Combined with Pain Point Knead Dial Massage Manipulationand,while group B were treated by the Channels-acupoints Dredge Combined with Pain Point Knead Dial Massage and group C were treated by Electroacuture.All members took one treatment a day,six times as a course,whole treatment cost two course,take a temporary stop for one day between two course.Each patient were called to complete the WOMAC scale before treatment and at the end of treatment,the time walk 50 steps of each member were recorded simultaneously,record adverse reaction immediately Once it happens.Data-related were analysed by spss19.0 software,Statistics processing: counting material using a chi-square test,measurement data using t-test or f tese.To evaluate and analysis curative effect after compare each index score between groups and within groups at the end of treatment.Results:All patients completed the treatment and evaluation without drop,and the age,sex,risk and duration of disease of them before trement are comparable.At the end of treatment,the score of pain and activity index in three groups are higher than before treatment(P<0.01).After treatment,the score of stiff in both group A and group B are less than before,P<0.05.Comparing walking time for 50 steps among three groups,all the value of P are greater than 0.05,the difference is non-statistical significance.The score of pain index and funtion index in group B and group C are both lower than group A when compared at the end of treatment,both the vale of P are less than 0.05,while the vale of P between group B and group C are higher than 0.05.The score of stiff index of in group A and group B are both lower than group C,while the difference of this index between group A and group B is not statistically significant.The difference of walking time for 50 steps in three groups compared before and after treatment are significance.Clinical efficacy:There 10 cases clinical control,8 cases exceuence,7cases utility and 5 cases nulltity in group A;10 cases clinical control,7 cases exceuence,6cases utility and 7 cases nulltity in group B;8 cases clinical control,5 cases exceuence,7cases utility and 9 cases nulltity in group C.The total effective rate in three group are 83.3%,76.6%,70% respectively.Safety results:During clinical trial period,all patients didn,t appeare adverse reactions such as symptomatic exacerbation,syncope and needle.Conclusions:All the three therapeutic methods have a good effect to improve KOA patients’ pain,stiffness and functional activities.Combination therapy has advantages in improving pain and functional activities.Combination therapy and massage therapy has obvious advantages in improving symptoms of knee joint stiffness.Three therapies can shorten the time for walking 50 steps,but these three methods have no absolute advantage in this respect.The clinical safety of three kinds of treatment is good,the combination therapy has better clinical effect than massage and the electric acupuncture. |
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