Clinical Efficacy Of Tuina For Treatment Of Knee Osteoarthritis (Knee Paralysis)

PurposesThis study was to explore the therapeutic effect and differences of the two methods of tuina and oral administration of Xianlinggubao capsules on the treatment of liver and kidney deficiency knee osteoporosis(knee osteoarthritis),and to analyze,discuss and summarize,and finally better To use and guide in clinical.MethodsParticipate in this.clinical study of patients from the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine acupuncture clinic,martyrs East Branch of the Department of Nursing Clinic and Public Security Department outpatient department rehabilitation section.The patients were collected from January 2016 to December 2016.There were 60 patients who met the standard,including 23 males and 37 females,the youngest was 46 years old and the largest was 69 years old.The patients were randomly divided into treatment group(n = 30)and control group(n = 30).The treatment group was treated with massage,including the release of the knee muscle tissue,passive knee and acupuncture operations.Massage 3 times a week,the next day 1,continuous treatment for 1 month.The control group was treated with oral Xianling bone Bao capsule.0.5g*3 bid,taking 1 month in a row.Were scored before and after treatment.Score scale using TCM syndrome score table,VAS score table and WOMAC knee symptoms and function score table.Evaluation of the adoption of nimodipine method.SPSS21.0 statistical software for data processing.The data were measured by chi-square test,and the rank data were tested by rank sum.The measurement data were tested by t-test(consistent with the positive distribution,and the two independent samples were also homogeneity)or nonparametric tests.The data of the t-test are expressed as mean ± standard deviation,and the nonparametric test data is expressed as a median.The test level is 0.05 or 0.01,when P<0.05 indicates that the difference is significant,when P<0.01 indicates that the difference is very significant,are statistically significant.Results1.before treatment,the two groups of patients in age,duration,gender,TCM syndrome score,VAS score and WOMAC score and other baseline indicators of the difference was not statistically significant,with clinical comparability.2.the group comparison:before and after treatment of the two groups of traditional Chinese medicine syndrome score,VAS score,WOMAC score and pain,stiffness and functional scores were statistically significant differences,indicating that tuina techniques and oral Xianling bone Bao capsule on liver and kidney Deficiency type of knee paralysis(knee osteoarthritis)have a therapeutic effect.3.There were statistically significant differences between the two groups in the VAS score and the improvement of the two groups,the difference between the pain score and the improvement value in the WOMAC score;the difference between the two groups was statistically significant;the difference between the two groups was statistically significant;The difference between the two groups of WOMAC and its stiffness,functional score and their improvement was statistically significant.In the relief of pain,the role of both quite,but in soothing joint stiffness,improve joint function,etc.,tuina better way.4.clinical efficacy comparison:the clinical efficacy of traditional Chinese medicine syndrome score,the difference was statistically significant,the total effective rate of tuina group 86.6%,70%of the drug group.WOMAC score of the clinical efficacy of the difference was statistically significant,the total effective rate of 90%of the tuina group,drug group 66.6%.The clinical effect of tuina is better.Conclusion(1)tuina techniques and oral Xianling bone Bao capsule can treat liver and kidney deficiency type knee paralysis(knee osteoarthritis).(2)tuina manipulation of liver and kidney deficiency type knee paralysis(knee osteoarthritis)than oral Xianling bone Bao capsule better,reflected in the improvement of traditional Chinese medicine symptoms,relieve joint stiffness and improve joint function,but the pain Mitigation does not have an advantage.