Clinical Observation Of The Treatment Of Patellar Softening By Acupuncture And Moxibustion

Objective:1.Through literature review, master the etiology, pathogenesis,diagnosis and the latest treatment progress of Chondromalacia of patella and summarize the commonly-used treatments of Chondromalacia of patella.2.Through literature review, summarize the theoretical source of Elbow-knee cross correspond acupoints,and explore the mechanism of this therapy.3. By looking treatments of this disease by Elbow-knee cross correspond acupoints as clinical treatment, evaluate the effects of this therapy for the disease, and provide new simply-operated and effective treatments for this disease.Method:1.Literature review:Classify the research profile of this disease,including etiology,pathogenesis,diagnosis,auxiliary examinations,treatments and so on,and summarise in two aspects, which are Modern Medicine and Traditional Medicine; summarize the theoretical source and mechanism of the method.2.Clinical observation: Randomly divide the outpatients who satisfy the inclusion criteria into the treatment group and the control group. The treatment group has 20 patients (33 knees with Chondromalacia of patella), with 3 males (4 knees) and 17 females (29 knees). The control group has 20 patients (35 knees),with 4 males (6 knees) and female 16 (29 knees).The treatment group is to receive acupuncture treatments by using Elbow-knee cross correspond acupoints; the control group is to receive regular acupuncture treatments. This study only observes the first three times’ treatments and evaluates the patients’ partial symptoms and knee joints’ functions with the pain Visual Analogue Scale (VAS) evaluation and Lysholm Score. The patients fill in the VAS form by themselves before and after the each times’ treatment. Lysholm Score is evaluated by the third person before the first treatment and after the last treatment.When the treatments are over, compare and analyse the results by using SPSS 17.0 statistical software.Results:1. Compare the three times’ VAS scores of the treatment group by t test, t=15.901,P=0.000,the differences are statistically significant(P<0.05). Compare the three times’ VAS scores of the control group by t test, t=12.507,P=0.000,the differences are statistically significant(P<0.05).Compare the differences between the two groups by t test, t=2.710,P=0.009,the differences are statistically significant(P<0.05).2.Respectively compare the VAS Scores of the three times’treatments of the treatment group and the control group,the differences have statistically significance (P<0.05); wherein compare the VAS scores between the two groups, the differences are statistically significant (P<0.05).3.Compare the three times’Lysholm Scores of the three times’treatments of the treatment group by t test, t=-11.696,P=0.000,the differences are statistically significant(P<0.05). Compare the three times’Lysholm scores of the three times’treatments of the control group by t test, t=-17.048,P=0.000,the differences are statistically significant(P<0.05).Compare the differences between the two groups by t test, t=2.534,P=0.015,the differences are statistically significant (P<0.05).4.Among the three times’Lysholm scores of the treatment group and the control group, respectively compare the items,such as locking, instability, pain,stair climbing, squatting items of the treatment group and the control group,the differences are statistically significant(P<0.05); wherein compare the instability, stair climbing, squatting items between the two groups, the differences are statistically significant (P<0.05).5.Compare the efficacy of the treatments between the treatment group and the control group by applying chi-square test, x 2=9.903,P=0.019,the differences are statistically significant (P<0.05). In the treatment group, the clinical control rate is 35.00%, markedly effective rate 55.00%, effective rate 5.00%, inefficiency 5.00%, the total efficiency 95.00%;in the control group, the clinical control rate is 15.00%, markedly effective rate 35.00%, effective rate 45.00%, inefficiency 5.00%, the total efficiency 95.00%.Conclusions:l.Both Elbow-knee cross correspond acupoints and conventional acupuncture can relieve the pain. The overall effects of relieving the pain by using Elbow-knee cross correspond acupoints are better than those by conventional acupuncture after the three times’treatments. And, respectively the effect of relieving the pain by using Elbow-knee cross correspond acupoints are better than those by conventional acupuncture after the treatment every time.2.Both Elbow-knee cross correspond acupoints and conventional acupuncture can improve knees’functions.The effects of improving knees’functions by using Elbow-knee cross correspond acupoints are better than those by conventional acupuncture after the three times’treatments. And, the effects of Elbow-knee cross correspond acupoints in instability, squatting, and stair climbing items have better effects.3.Both the two treatment methods have high effective rates. Through further analysis of the efficacy of the results of the treatments, the clinical efficacy of Elbow-knee cross correspond acupoints in curing Chondromalacia of patella is better than that of conventional acupuncture.4.Elbow-knee cross correspond acupoints is relatively safe and simple, in addition to good clinical effect,and it is worth promoting as a routine clinical treatments.