The Clinical Curative Observation Of Needle Warming Moxibustion On Knee Osteoarthritis

Background:Knee osteoarthritis is common in the elderly in osteoarthropathy, the main pathological changes of articular cartilage degeneration. It is a chronic aseptic inflammation bring trouble to the bone, synovium and joint capsule and joint other organizational structure, On the edge of the limitations of articular cartilage destruction and joint osteophyte formation. Knee osteoarthritis is slow, resulting in joint dysfunction, with knee joint pain, swelling, stiffness, dysfunction as the main clinical manifestations. It has nothing to do with regional, ethnic, and age, obesity, trauma, inflammation, and genetic factors, its final morbidity was 53%, the serious influence the patient’s quality of life. The WHO has in the first Decade of this century would be a "Bone and Joint Decade", in order to promote Bone and Joint disease, including the disease prevention and control. At present western medicine to the disease, there is no satisfactory effective therapy, and acupuncture treatment of this disease curative effect is varied, simple, exact curative effect.Objective:In 60 patients with knee osteoarthritis as the main research object of this topic, temperature observation acupuncture (knees three needle moxibustion therapy) for the treatment of knee osteoarthritis clinical effect, for clinical treatment of knee osteoarthritis to provide a more effective, safe and economic method, no side effect and convenient.Methods:This test using small sample randomized controlled studies, the research object of March 2014 to December 2014 to the Hong Kong fractures and spinal specialist clinic patients of meet the diagnostic criteria and inclusion criteria of knee osteoarthritis patients. Based on the principles of random distribution, according to the medical order, singular into the treatment group, the number included in the control group,60 KOA patients divided into treatment group and control group, each group 30.Treatment group with warm acupuncture (knees three needle moxibustion therapy) therapy, acupuncture prescription:Knees three stitches(Dubi、Liangqiu、 Xuehai)、Zusanli. Operation method:With supine position, use the side of the knee joint natural straight (in patients with knee pad a rest make the risk of knee is natural knees), find local skin after routine disinfection, with 2 inches of filiform needle, Pierce points quickly, using flat or level of technique, after obtaining qi, retaining needle at the appropriate depth, then there shall be a set of warm acupuncture on the needle handle, share two Duan Yi each treatment. Tell her shelter in patients with cold, eating, living, avoid weight. Treatment time:The next day for a treatment,6 times for a period of treatment, treatment of two period of treatment.Control group:pure acupuncture therapy.acupuncture prescription:Knees three stitches (Dubi、Liangqiu、Xuehai)、Zusanli. Operation:the patient supine, suffer from knee unbend natural (is having a rest knee pad, make the risk of knee in natural state knees), find local skin after routine disinfection, with 2 inches of filiform needle, Pierce points quickly, using flat or level of skill, after obtain qi,retaining needle for 30 minutes. Two groups of treatment is same.Reference Lequesne osteoarthritis rating scale, the WOMAC osteoarthritis integral scale, VAS scale and the Chinese medicine new medicine clinical research guiding principles (2002 revision)in the standard, the curative effect of poliomyelitis in patients before and after treatment respectively for curative effect evaluation, and score between the two groups before and after treatment and comparison, and then the data after sorting, using statistical software spass17.0 processing.Results:1. Through statistical processing,compare two groups before treatment, two groups of patients with differences of gender, age, course of disease were no statistical significance (P>0.05), showed comparable between the two groups.2. Before the treatment, two groups of comparison, there was no significant difference Lequesne-Mery score (P>0.05), shows that two groups of comparable; Lequesne-Mery score after treatment, two groups of patients were significantly lower (P<0.05),indicating that both treatment group could improve patients symptoms, and treatment group curative effect is better than that of control group (P<0.05).3. VAS scale before treatment comparison:f=0.014, P=0.731, according to two groups of comparable;Score after treatment;Statistically significant difference between the two groups is Visible, two groups of patients after treatment than before treatment pain index were significantly reduced (P<0.05), that is, two groups of treatment are to alleviate symptoms of knee joint;Pain index to compare the two groups after treatment have obvious difference (P<0.05).4. WOMAC osteoarthritis index score, treatment before comparison:f=0.769, P=0.376, there was no significant difference WOMAC score in both groups (P>0.05), shows that two groups of comparable;WOMAC score after treatment, two groups of patients were significantly lower (P<0.05),and the two groups after treatment WOMAC score difference was statistically significant (P<0.05), the treatment group than the control group WOMAC integral decrease more. 5. The treatment group total effective rate was 86.7%, control group total effective rate is 53.3%, after statistics analysis and comparison, the difference statistically significant(P<0.05), indicating that the treatment group curative effect is better than the control group.Conclusion:1. Needle warming moxibustion can significantly reduce the number of patients with knee osteoarthritis Lequesne-Mery scores, the WOMAC integral and VAS scale scores.2. Needle warming moxibustion therapy for knee osteoarthritis, to improve the symptoms of knee joint clinical aspects effect is superior to simple acupuncture group, main performance in reducing the knee joint pain, eliminating swelling in the knee joint, improvement of morning stiffness, improve the knee joint activity degree and were superior to conventional acupuncture control group.3. Needle warming moxibustion is an effective therapy for treatment of knee osteoarthritis, and green, natural, non-toxic side effects, high repeatability.