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Preliminary Study On Knee Osteoarthritis Treatment By The Tendons Sticking

Posted on:2011-11-20Degree:MasterType:Thesis
Country:ChinaCandidate:Z Y YiFull Text:PDF
GTID:2144360305962929Subject:Orthopedics scientific
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Objective:Patients with knee osteoarthritis study, using case-control clinical research methods, strict quality control, the object of the inclusion criteria for diagnosis, exclusion criteria and efficacy standards strictly regulate, adopt the practice of Chinese medicine Babu posted mainly supported by, acupuncture, medicine Oral and other comprehensive treatment program, evaluate its effectiveness, safety, and the system order by the tendons of knee osteoarthritis sticking method. Application of theory to guide the knee joint by tendons osteoarthritis Babu sticking therapy to determine the method of treatment by the tendons sticking.Methods:In this study, in February 2009-February 2010 during the Traditional Chinese Medicine University Affiliated Orthopaedic Hospital outpatient and hospitalization in patients with knee osteoarthritis to investigate, from 115 cases of patients with knee osteoarthritis, according to osteoarthritis Treatment Guidelines (2007 edition) diagnostic criteria for knee OA and dialectical theory by the tendons, selected 90 patients with KOA Meridian tendons were applied by the tendons sticking therapy. With osteoarthritis of the knee by tendons syndrome theory as a guide, Babu affixed to external application, then randomly divided into 3 groups, respectively, by the tendons sticking by SMD 1,2,3 block cream. Assessed using the WOMAC function, tested once a week, continuous observation of one month, January 1, after summing up functional status. The clinical observation of the Stomach Meridian tendon lesion group, according to the national Ministry of Health issued the "Guidelines for clinical research new Chinese medicine,& quot; SPSS11.5 software used to establish a database, and using analysis of variance and rank sum test. In the third section, through clinical observation, analysis of this most common disease in the meridians by the tendons under the guidance of sticking effects, in order to summarize common initial lesion by the tendons sticking method, provide a basis for further study.Results:The survey obtained 115 valid data, which Meridian is osteoarthritis of the knee tendons were 90 cases of illness,4 cases of skin allergies and can not complete the clinical observation combined. The results are as follows:1. After 4 weeks, WOMAC score A, B, C three groups were significantly lower than before treatment, B group and C group was higher than the number of group A, group, the difference was significant (P<0.01);2. A, B, C three groups before treatment, pain score, stiffness score, activity score and total score of difficulty, after analysis of variance, P>0.05, no significant differences, comparable. A, B, C three groups after treatment, pain score, activity score and total score of difficulty, after analysis of variance, P<0.01, suggest a significant difference; stiffness score score after treatment comparison, P>0.05, suggest no difference.3. Stomach Meridian widespread patellar tendons around the knee, we found clinically that many patients with early manifestations of KOA to the main patellofemoral lesions, mainly around the knee in front of the patella and the medial painConclusion:This study investigated 90 cases of polio KOA Meridian tendon meridians sticking patients with therapy, the following conclusions:1. Patients with knee osteoarthritis Meridian bar, full sun by the tendons, Foot Shaoyang meridians, the four feet of Yin Meridian tendon tendon syndrome after single and multiple complex syndrome, in all these meridians lesions, tendon lesions Meridian most extensive, so we were focusing on the meridians of clinical observation and treatment;2. In clinical practice, we guide the use of dialectical meridians of Chinese medicine Babu posted outside the rule of knee osteoarthritis, In addition under the'pain as the Meridian'line topical pain points, Also changed according to the law by the tendon transfer, changes in its transmission line through parts of paste through the tendons of one or two creams to prevent the trans-mission change. Under this approach, we have made in the clinical use of a good time effect. According to pain compared to a single point of topical therapy has its advantages, effects more clearly, especially in the relief of knee pain and functional activities. 3. Given the number of cases in this study is limited, and the long course, the condition of heavy knees after a few more bars for the joint disease, analysis of them is very complex, in order to simplify the problem and improve the feasibility study, so select this syndrome The most common tendon lesions Meridian clinical observation, the initial induction Meridian tendon lesions of knee pain and lesions mainly around the front of the patella and medial-based, but still require long-term clinical observation and scientific multi-center clinical trials research, to systematically build a complete system of mer-idians syndrome.
Keywords/Search Tags:Osteoarthritis, knee, by reinforcement, External
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