Clinical Observation On The Treatment Of Knee Osteoarthritis With Primary-point Small Needle Knife

Research purpose: This project is to observe the difference of Clinical Curative effect between the primary-point small needle knife therapy and the common acupuncture therapy in treating the osteoarthritis of the knee joint,objective evaluation of two kinds of clinical therapy,and compare the advantages and disadvantages between primary-point small needle knife therapy and common acupuncture therapy,and also for providing a new acupuncture point selection and manipulation of small needle knife therapy for the treatment of knee osteoarthritis,on the other hand it also provides the objective clinical basis for the primary-point small needle knife and the necessity of popularizing this therapy.Methods:This study was conducted from January 2019 to January 2020 in the outpatient and inpatient departments of the Second Department of Acupuncture and moxibustion in the Jiangxi University of Traditional Chinese Medicine,with 60 patients who met the criteria for inclusion of Chinese and Western medicine in the osteoarthritis,and the patients were randomly divided into treatment group and Control Group(The Western medicine diagnostic criteria are established by the Rheumatology Society of Chinese Medical Association.And for Chinese Medicine,the patients were classified into 4 types according to the criteria for the diagnosis and treatment of diseases and syndromes of traditional Chinese medicine published by the State Administration of Traditional Chinese Medicine).The treatment group was treated with primary-point small needle knife therapy,significant tenderness points,nodules or ligaments were found about 1.5 to 3 inches from L2 to T11 spinous processes,take the point here and on the opposite side of the posterior median line as the "primary-point".The course of treatment is once every 10 days、operation2 times in total,and 20 days for one course,observe 1 course of treatment;The control group was treated with common acupuncture therapy,take the Dubi point,the Xiyan point,the Heding point,the Yangling Spring Point,the Yinling spring point and the Zusanli point,and add or subtract according to the evidence,the common acupuncture therapy lasts about 30 minutes.The course of treatment is eight times a week、16 times in total,and 20 days for one course,observe 1 course of treatment.Vas(Visual Analogue Scale/Score)and Lequesne index were used as the index of disease grading;Lequesne index was used as a measure of efficacy,the nimodipine method is used as the calculating formula,calculate improvement rate:Improvement rate= [(pre treatment points-post treatment points)÷pre treatment points]×100%,the criteria were: Recovery: improvement rate ≥80%,obvious effect: improvement rate≥50%,and < 80%,effective: improvement rate ≥30%,and < 60%,no effect: improvement rate < 30%.Before starting treatment,the researchers collected basic information about the two groups of patients in tabular form: sex,age,course of disease,weight,etc,the researchers were then responsible for categorizing the two groups of patients by disease grade and Traditional Chinese medicine Syndrome type,and the researchers instructed patients to complete Vas(Visual Analogue Scale/Score)and Lequesne index.After the data statistics,SPSS22.0 software was used for statistical analysis.And according to statistical analysis,we make sure that there are no significant differences in baseline data between the two groups.After one course of treatment,the researchers should instruct patients to fill in the Vas(Visual Analogue Scale/Score)and Lequesne index again,after the cure rate、difference and other statistical data were calculated,then objective analysis of the clinical efficacy of two therapeutic schemes,compare the cure rate and total effective rate between the primary-point small needle knife therapy and the common acupuncture therapy,and also compare the difference of curative effect before and after treatment and the difference between the primary-point small needle knife therapy and the common acupuncture therapy after treatment.Results:1.After the course of treatment of the two groups,the Vas score of the treatment group is 2.27±0.21,and the Lequesne index of the treatment group is 5.87±2.43;On the other hand,the Vas score of the control group is 2.87±0.22,and the Lequesne index of the control group is 7.70±2.69.The results of the two groups after treatment are compared with those before treatment,based on statistical analysis,P<0.01.The results show that both groups could significantly improve the knee function of knee osteoarthritis patients and could also relieve the knee pain of knee osteoarthritis patients.2.Comparing the total effective rate between the primary-point small needle knife therapy and the common acupuncture therapy,we can find that the primary-point small needle knife group is 90% and it’s slightly higher than the common acupuncture group witch is 80%.But the cure rate of the primary-point small needle knife group is 70.00% and it’s higher than the common acupuncture group witch is 46.67%.Analyzed the effective rates of the two groups,the results show that P<0.05,the primary-point small needle knife therapy is more effective than the common acupuncture therapy in treating knee osteoarthritis.3.The differential value of the treatment group’s Vas Score is 3.83±0.19,on the other hand,the differential value of the treatment group’s Lequesne index is 8.03 ± 0.33.The differential value of the control group’s Vas Score is 3.37±0.15,on the other hand,the differential value of the control group’s Lequesne index is 5.90±0.40.Comparing the differential value between the two groups,we can find that in the improvement KOA patient’s knee joint function and the alleviation ache aspect the primary-point small needle knife therapy is superior to the common acupuncture therapy.In conclusion:The primary-point small needle knife therapy can effectively improve the function of knee joint and relieve the pain of knee joint in patients with osteoarthritis,and increase the clinical cure rate of knee osteoarthritis,And compared with other traditional Chinese medicine therapies,the primary-point small needle knife therapy has a safe,long-term effect,can be widely used advantages.It provides a new method and a new idea for the treatment of knee osteoarthritis.The primary-point small needle knife therapy can Be widely used in clinical practice.