Observattion Of The The Clinical Effecacy Of Treating Knee Osteoarthritis With Three Different Acupoint Selection Methods Respectively

ObjectiveTo observe the clinical efficacy in treating knee osteoarthritis respectively with local acupoints, remote acupoints and the combination of local and remote acupoints.MethodsAccording to the diagnostic criteria and inclusion criteria, a total number of67patients were chosen, with a loss of6cases. The actual number of patients who finished the treatment was61. Those Patients were randomly divided into Local acupoints Group (20cases), Remote apupoints Group(21cases) and Combination of Local and Remote acupoints group (Combination Group for short,20cases). For patients in the Local acupoints Group, acupoints such as Du Bi, Xi Yan, Liang Qiu, Xue Hai adjacent to the lesion knee were choosen. For patients in the Remote acupoints Group, acupoints belong to the Shu Points of Foot Yang Meridians such as Xian Gu, Tai Bai, Shu Gu, Tai Xi, Zu Linqi, Tai Chong were choosen. For Patients in the Combination Group, local and remote acpuoints used in the Local acupoints Group and Remote acupoints Groups were choosen. All acpupoints in this research use electroacupuncture after routine acupuncture. Data of each group including15meter's walking time, movement pains (reflceted by VAS points) and WOMAC score (including pain, stiffness, and function parts) were collected and given statistical analysis so as to compare clinical effects of treating KOA with three different acupoint selection methods respectively.ResultsBaseline data of each group were compared, the age, sex, invasion site and patient's condition were comparable.1. After2courses of treatment, the three groups all could increase15meter's walking time, but the Remote Group and Combined Group were more effective.4courses later, there are no significant difference between the three groups in increasing15meter's walking time.2.1. After2courses of treatment, the three groups all could decrease the VAS score, but the Remote Group and Combined Group were more effective.4courses later, there are no significant differences between the three groups in increasing VAS.3. Ater2treatment courses, the three groups could reduce the WOMAC (Pain part).4courses later score received further improve. Joint Stiffness part:the three groups have no significant effect on joint stiffness part. Function part:the three groups have no significant effect on joint function until4treatment courses were finished.4. The three goups'Clinical Efficacy comparision were based on the total score of WOMAC. The Remote acupoints Group and Combined acupoints Group have better clinical effect after2treatment courses while4courses later, they had no significant differences.ConelusionThe three groups have no significant influence on the joint stiffness of KOA patients. The Romote acupoints Group and Combined acupoints group has a better and quick effect on the15meters'walking time and pain while4treatment courses were needed in improving the function of knees. After4treatment course, there were no significant differences between the three groups in improving WOMAC.