Clinical Observation On The Treatment Of KOA With Deficiency Of Liver And Kidney By The Combination Of Buxuerongjin Decoction And Quadriceps Exercise

Objective: Compare the clinical effects of Buxuerongjin decoction combined with quadriceps exercise and Celecoxib capsule combined with quadriceps exercise on knee osteoarthritis of liver and kidney deficiency.Methods: This study included 70 cases of patients with knee osteoarthritis diagnosed with liver and kidney deficiency based on symptoms,signs,X-ray examination and TCM syndrome diagnosis from February 2019 to December2019.Random number table method was divided into two groups,the treatment group was treated with Buxuerongjin decoction plus quadriceps exercise,and the control group was treated with Celecoxib capsule combined with quadriceps exercise for 2 weeks.A total of 69 patients were included,including 34 in the treatment group and 35 in the control group.The VAS scores,pain,stiffness,daily life difficulty scores in the two groups of patients before treatment,1 week of treatment,and 2 weeks of treatment were recorded.TCM syndrome score after 2 weeks of treatment.The collected test data was analyzed using SPSS 25.0 statistical software to compare the treatment effects of the two groups.Results: 1.The two groups of patients were compared with general data such as gender,age,course of disease,X-ray classification,and knees.The difference was not statistically significant(P>0.05),and was comparable.Before treatment,there was no statistically significant difference in the VASpain score,pain,stiffness,difficulty of daily life,and TCM syndrome scores in the WOMAC score(P>0.05),which was comparable.2.VAS score: The VAS scores of the two groups showed a downward trend after 1 week and 2 weeks of treatment and before treatment of the same group,and the difference was statistically significant(P<0.05).After 1 week of treatment,the comparison between the two groups,the score of the treatment group was higher than that of the control group,the difference was statistically significant(P<0.05).After 2 weeks of treatment,there was no statistically significant difference between the two groups(P>0.05).3.WOMAC score: The comparison between the two groups after 1 week and2 weeks of treatment and before treatment in the same group.The pain,stiffness,and difficulty of daily life scores in WOMAC scores showed a downward trend,and the difference was statistically significant(P<0.05);Treatment After 1 week,the pain scores of the two groups were compared.The scores of the treatment group were higher than those of the control group,and the difference was statistically significant(P<0.05).After 2 weeks of treatment,there was no significant difference in pain scores between the two groups(P>0.05).In terms of stiffness and difficulty in daily life,there was no statistically significant difference between the two groups after 1 week of treatment.The difference between the treatment group and the control group after 2 weeks of treatment was lower than that of the control group(P<0.05).4.TCM syndrome score: The comparison between the two groups after 2weeks of treatment,the TCM syndrome score is lower than before treatment,the difference is statistically significant(P<0.05);the comparison between the two groups after 2 weeks of treatment,the treatment group The score was lower than the control group,and the difference was statistically significant(P<0.05).5.Clinical efficacy: After 2 weeks of treatment,the effective rate of the treatment group was 91.2%,and the effective rate of the control group was82.9%.The difference between the two groups was statistically significant(P<0.05).The treatment group was superior to the control group.Conclusion: 1.The treatment group starts from "Buy Liver and Kidney" as the starting point for syndrome differentiation,and the use of Buxuerongjin Decoction combined with quadriceps exercise and the control group oral celecoxib capsule combined with quadriceps exercise can effectively relieve knee osteoarthritis Clinical symptoms.The control group had a faster effect on pain relief.At the end of the treatment,the two groups had the same effect on pain relief.2.Buxuerongjintang combined with quadriceps exercise is superior to Celecoxib capsule combined with quadriceps exercise in improving knee stiffness,daily life difficulty and TCM syndromes.3.The combination of Buxuerongjin Decoction and quadriceps exercise can effectively improve the clinical symptoms of knee osteoarthritis of liver and kidney deficiency,and it is worthy of clinical promotion.