| Objective:By observing the changes of symptoms,VAS score,pain score,stiffness,joint function score and other indexes before and after the treatment of chondromalacia patellae patients with the combination of the balancing manipulation around the knee joint and the external application of the Chinese medicine hot dying bag,the effect of the balancing manipulation around the knee joint combined with the external application of the Chinese medicine hot dying bag in the clinical treatment of chondromalacia patellae was studied,and the statistical method was used to analyze and research Research data to explore the feasibility of its clinical treatment,provide a reliable and effective clinical treatment plan for the current clinical treatment of patella malacia,provide a new idea for the diagnosis and treatment of patella malacia in traditional Chinese medicine and clinical medicine under the current severe situation,and provide a reliable reference for the future research road of patella malacia.This method plus external application of traditional Chinese medicine treatment mode in patella malacia In the treatment plan of chemotaxis,it not only provides new ideas for the treatment of other diseases,but also is a safe and innovative treatment method without side effects.This treatment plan is worthy of further discussion and research.Research.Method: From September 2018 to August 2019,62 patients who met the criteria of patella malacia diagnosis and MRI staging(I-II)in the orthopedic department of Jiangxi University of traditional Chinese Medicine Affiliated Hospital were selected as the study objects.In order to make the study more fair and effective,62 subjects who met the criteria were randomized according to the patients’ wishes and clinical conditions The patients were randomly divided into three groups: treatment group 1:balanced manipulation combined with traditional Chinese medicine hot packaging external application treatment group,7 males(one side),12females(one side),average age: 46.00 ± 10.52 years old,average course of disease: 3.11 ± 2.57 months;control group 1: balanced manipulation treatment group,7 males(one side),15 females,average age: 44.96 ±9.36 years old,The average course of disease: 3.73 ± 2.05;control group2: external application of traditional Chinese medicine hot dying bag treatment group,9 male(unilateral),12 female,average age: 40.43 ±10.09 years old,The average course of disease: 3.48 ± 2.44 months;there is no special difference in gender,age,course of disease and condition among the three groups.Treatment group 1: use knee joint balance technique around the quadriceps femoris and around the patella once a day for 30 minutes.After the manipulation,ask the patient to rest for 30 minutes.Wrap the towel on the inside and outside of the knee joint in the prepared traditional Chinese medicine hot bag Each person’s heat sensation is different.According to the heat sensation of each patient,the distance between the heat dying bag and the skin contact should be adjusted appropriately to adapt.Each time is 40 minutes,once a day,7days is a course of treatment,and the treatment group is 3 weeks.The treatment group is 2: balance manipulation around the knee joint,the manipulation method and the treatment time are the same as the treatment group 1,the treatment group is 3: external application treatment group of the heat dying bag of traditional Chinese medicine,and the preparedheat dying bag of traditional Chinese medicine is placed Around the knee joint,the method and course of treatment were the same as the external application of traditional Chinese medicine in treatment group 1.In order to prevent the technical differences in the manipulation treatment operation,the manipulation treatment is completed by the same doctor.The traditional Chinese medicine in the Chinese medicine hot bag is provided by the traditional Chinese medicine room of the Affiliated Hospital of Jiangxi University of traditional Chinese medicine,and the patients are instructed to pay attention to rest after the treatment,to avoid cold wind,and do not need other treatment.After 3 weeks of treatment,visual analogue score(VAS score),WOMAC score and efficacy evaluation were carried out in all three groups.And through statistical software before and after the treatment of various data for statistical analysis of the results of the study.Result:(1)Three groups of patients after three weeks of treatment for the relevant efficacy evaluation,have achieved good clinical efficacy,including treatment group 1 effective rate 94.7%,control group 1effective rate 86.4%,control group 2 effective rate 85.7%,treatment group 1 effective rate than control group 1,control group 1 than control group 2,the three groups of data after statistical analysis are consistent with statistical differences,with statistical significance.(P<0.05)。(2)Before and after treatment,the three groups received visual analogue score(VAS score),WOMAC score.Before and after treatment,the three groups of data were analyzed by rank sum test p< zero point zero five The difference before and after treatment was significant in pain,joint function,total score and there was significant difference between treatment group 1 and control group 1 and control group 2(P < 0.05)zero point zero five)。 It shows that the symptoms have been improvedsignificantly after treatment,and in the patients with patellar malacia,it has played a significant role in improving.(3)Follow up comparison: after 3 months of follow-up observation,19 cases in treatment group 1 had no recurrence,only 1 case in control group 1 had recurrence,and only 1 case in control group 2 had recurrence.Through data analysis,it was found that there was significant difference in the cure rate among the three groups,with statistical difference.Conclusion:The effective statistical analysis of the observation data before and after the treatment of the three groups found that the knee joint balance technique combined with the external application of Chinese herbal medicine hot dying bag has a very good clinical effect in the treatment of patella malacia,and the knee joint balance technique and the external application of Chinese herbal medicine hot dying bag have a good clinical effect in the treatment of this disease.According to the research data,it is concluded that the treatment of chondromalacia patellae with balance manipulation of knee joint combined with external application of traditional Chinese medicine has a good clinical effect,and the effective rate is better than that of the control group 1 and 2.This treatment method has a good clinical value of treatment promotion and is worth further promotion. |
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