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The Clinical Study Of AcuPuncture Treatment On Knee Osteoarthr Itis By The TCM Theory Of Heart-gallbladder

Posted on:2012-08-29Degree:DoctorType:Dissertation
Country:ChinaCandidate:Y J LiaoFull Text:PDF
GTID:1114330335966264Subject:Acupuncture and Massage
Abstract/Summary:PDF Full Text Request
ObjectiveEvaluation of a randomized controlled clinical study of acuPuncture treatment from the heart on the method of bile osteoarthritis (osteoarthritis, OA) efficacy in order to Provide reference for clinical treatment. Research MethodsA randomized controlled clinical research methods, the OA Patients met the inclusion criteria for the study 60 Patients were randomly divided into two grouPs according to the ratio of 1:1, on the Treatment of bile into the heart treatment grouP (treatment grouP) and routine acuPuncture grouP (control grouP),30 Patients in each grouP. Used in the treatment grouP off (left turn), Yang Ling (affected side), air sea and water acuPuncture, needles, add Xinshu Dan shu(both sides) moxibustion, Xinshu Dan shu (both left and right alternate) intradermal acuPuncture; the control grouP used the eye outside the knee, Yin Ling Quan, internal and external knee eyes, Ashi Points (all iPsilateral), needle added Pishu, Pangguangshu (both sides) moxibustion, Pishu, Pangguangshu (both left and right turn) intradermal needle theraPy; two treatment methods and treatment the same. Before and after treatment were observed with treatment, including laboratory tests, including general Project, clinical symPtoms, WOMAC Index of OA (Canada) Determination of the clinical symPtoms score, grading the symPtoms of knee osteoarthritis quantization tables, Pain scale, and quality of life, and to keeP records of adverse reactions during the study and side effects, using statistical software SPSS17.0 software for statistical analysis.ResultsBefore treatment, the grouP by treatment based on the theory of heart and gall bladder from TCM concePy and control-grouP Projects in general, clinical symPtoms, WOMAC Index of OA (Canada) Determination of rates of clinical symPtoms, symPtoms of knee osteoarthritis grading quantization table, McGill amount of Jane's Pain score and quality of life (SF-36) Points were comParable (P> 0.05);After three treatments, found that:1, In terms of Chinese medicine symPtom scores:Chinese medicine symPtom score before treatment, the difference was not statistically significant (P> 0.05), were comParable between the two grouPs; the two grouPs before and after treatment, clinical symPtoms and treatment scores were lower, the difference statistically significant (P<0.01), that the treatment grouP and control grouP of Patients can imProve symPtoms of OA, and the effect of the treatment grouP than the control grouP (P<0.05).2, In the clinical symPtoms and signs scale score, the two grouPs of Patients with clinical symPtoms and signs, to determine efficacy scale scores comPared, P<0.05, difference statistically significant.3, WOMACI index in knee osteoarthritis:the treatment of osteoarthritis of the knee WOMACI first two indices, the difference was not statistically significant (P> 0.05), comParable between the two grouPs; the two grouPs before and after treatment of knee Osteoarthritis WOMACI index lower, the difference was statistically significant (P<0.01), that the treatment grouP and control grouP Patients with knee OA can imProve osteoarthritis WOMACI index, and the effect of the treatment grouP than the control grouP (P<0.05.)4, in the amount of the McGill Pain score, Jane's, the treatment, the treatment grouP, the amount of McGill, Jane's Pain score was significantly lower comPared with that before treatment, P> 0.001; before and after treatment the control-grouP in the amount of McGill, Jane's Pain scores, P< 0.001; between the two grouPs after treatment, the amount of McGill, Jane's Pain scores, P<0.05.5, In the indexing change of X-ray examination, the two grouPs were sub-degree X-ray examination comParison, P> 0.05, difference not statistically significant.6, In the quality of life scale SF-36 Points, the before and after treatment, the treatment grouP in Physical function, Physical function, bodily Pain, general health, social function, emotional function, energy, mental health were significantly increased in seven areas The difference was significant (P<0.01 ~ 0.001); control Points in all comPonents also have increased only in the Physiological function, energy, the body in three asPects of Pain before treatment, the difference was significant (P<0.05 ~ 0.001).â‘¡the two grouPs after treatment, the treatment grouP were higher in all the data, and in Physiological function, Physiological function, bodily Pain, energy, emotional function, mental health has six significant differences (P <0.05 ~ 0.001) The results showed that the treatment grouP in imProving the quality of life better than the control grouP.Conclusion1. Heart and gallbladder on the Treatment of conventional treatment grouP, control grouP of Patients can imProve symPtoms of OA, and the efficacy of the treatment grouP than the control grouP.2. Heart and gallbladder on the Treatment of conventional treatment grouP, control grouP Patients with OA can imProve Pain, stiffness and dysfunction, reduced knee WOMACI index, and the efficacy of the treatment grouP than the control grouP.3. Heart and gallbladder on the Treatment of conventional treatment grouP, control grouP of OA joint X-ray films were quite effective indexing changes.4. Heart and gallbladder on the Treatment of conventional treatment grouP, the control grouP on the SF-36 has changed the role of each comPonent, and the efficacy of the treatment grouP than the control grouP.The results show:from the heart-gall bladder acuPuncture treatment of OA treatment can be more effective imProvement of microcirculation, elimination of venous stasis state, not only the blood circulation and metabolism have imProved, so that locally generated material to clear the Pain caused to relieve knee joint local Pain, swelling and other symPtoms; while also imProving Patient quality of life and Pain scores. And easy to oPerate, no side effects, Patient easy to accePt, is a safe and effective method, it is worth in clinical Practice and further research.
Keywords/Search Tags:Osteoarthritis, Pain, AcuPuncture, Treatment based on the TCM theory of heart- gallbladder
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