| Degenerative osteoarthritis of knee is one of the most common diseases of the elderly and worsen the quality of life. With the advance of science, the life expectancy of people has been prolonged. Therefore, the incidence of degenerative osteoarthritis of knee increase . There are several options for treating degenerative osteoarthritis of knee from traditional and modern medical methods, but the curative effect can not be confirmed and recurrence rate is high. The most patients of degenerative osteoarthritis of knee progressing preferred to accept the non-operative treatments. As character of the disease progression, the most patients of degenerative osteoarthritis of knee need operative treatment to solve their problems finally.With the intra-articular injection of hyaluronic acid has rapidly gained popularity recently, its effect of getting the good results and better life quality , decreasing the speed of degeneration are noted. However, it's shortcomings include high price and frequent injections.With respect of traditional Chinese medicine, the osteoarthritis of knee belongs to the syndrome of root cause deficiency and manifestation excess, adopting the treatment both manifestation and root cause is necessary.Acupuncture with moxibustion has the treatment effect and can get the purpose of the treatment both manifestation and root cause . Besides, it also can decrease the complications of long-term drug intake.Therefore,acupuncture with moxibustion is a good choice for treatment of these patients. If we combine the acupuncture, moxibustion with hyaluronic acid to treat these patients, the effect maybe better compare with used alone .Maybe the frequency of injection and the possible operation can be reduced,and lower the social loading and increase the patients'benefits, it provides the best treatment choice. The patients in our trials were randomized into 3 groups, the first group is acupuncture with moxibustion group, the patients in this group received 3 times acupuncture with moxibustion treatment weekly. The second group is hyaluronic acid group, the patients in this group received injection of hyaluronic acid once every week. The third group is combined group, the patients received acupuncture with moxibustion and hyaluronic acid injection. Every groups enrolled 30 cases , the trials period is five weeks. The knee function scale and 3 symptom items (swollen, tenderness and stiffness) were used to evaluate these patients in pre-test, the end of secondweek, the end of forth week, and the end of fifth week respectively.The results of study were stated as below:1. All three methods for treating osteoarthritis of knee are effective .(1)According to the results of this study, after 5 weeks treatment, the patients in every group got obvious improvement statistically in clinical presentation , no matter the knee function test or symptoms presentation .(2)With the treatment time , the patients' function of knee improved progressively.(3)According to the statistical results , the efficacy of hyaluronic acid injection is better than that of acupuncture with moxibustion.2.The combined group is superior in the improvement of knee function and symptoms to acupuncture with moxibustion group and hyaluronic acid group. Based on the results of this test, we find that the combined group can get cumulative effect from the other two different treatment methods. Not only get the mean of the treating manifestation on acute stage ,but also the connotation of treating root cause on chronic stage. Much improvement in the function score and the symptoms in the patients of combination treatment, make us believe that combined treatment is better than single treatment. This viewpoint provides a new option for treating these patients.In conclusion, As the efficacy of combined treatment was superior, the patients' life quality, pain relief , spirits and emotion statement improved and the expenses of medical treatment be reduced.
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