| Objective:Reference randomized, parallel-group study mode,Compa- rison of integrated TCM treatment,the use of Chinese medicine(Rabbits treated),external medicine (Consumer injury Papua cream compound Bauhinia),to the knee of the characteristics of osteoarthritis, on the basis of optimizing the development of knee osteoarthritis in Chinese medicine treatment,KOA standard treatment for Chinese medicine to provide effective evidence based medicine.Method:60 cases selected patients with symptoms consistent with KOA,randomly divided into three groups,group received oral administration of traditional Chinese medicine treatment of rabbits treated orally for 4 weeks,external groups to eliminate external injuries Papua Bauhinia Chinese herbal compound ointment for 4 weeks,group to be integrated in rabbits treated with traditional Chinese medicine and external use cream compound Bauhinia consumption combined injured Papua comprehensive treatment for 4 weeks.During the application of health measurement scale SF-36 (Chinese version) and the International Scale of knee osteoarthritis WOMAC score, and observed clinical symptoms and signs and symptoms of improvement, a comprehensive and objective evaluation of Chinese patients with different treatment methods before and after treatment on the survival of KOA quality.Results:60 cases of patients with knee osteoarthritis through clinical observation, in the WOMAC scale:the treatment group before and after treatment of the three groups of patients were WOMAC scale score can decrease (P<0.05).After treatment between the two groups in joint pain comprehensively group and external groups were significantly different (P=0.048), integrated group and the oral group, internal group and external groups showed no significant difference (P> 0.05); the joint stiffness, daily activity level, the difficulty of daily activities between the three groups in three areas between the two groups were not significantly different.Quality of life:the treatment group compared before and after the combined group:patients in physical function, physical function, emotional function, social function, bodily pain, mental health, energy, general health dimension were significantly improved compared with before treatment (P<0.05) Oral group and external groups:patients in physical function, social function, bodily pain, mental health, energy, general health dimension were significantly improved compared with before treatment (P<0.05), in physiological function, emotional function both before and after treatment no significant improvement (P>0.05).Between the two groups before and after treatment:an integrated group and the oral group in physical function, physical function, emotional function, energy, general health points difference has decreased significantly (P<0.05); consolidated group and external group of physiological functions, physical functions and emotional functions of the points difference has decreased significantly (P<0.05); oral group compared with the external aspects of quality of life of the differences were not significant.Conclusion:The results showed that three patients with Chinese medicine treatment program on KOA joint pain, the stiffness, the daily activities, daily activities difficult, the quality of life scores improved significantly and so has the role of both; WOMAC scale aspects of the treatment results of the three groups showed no significant differences; life quality improvement of Chinese patients in the combined therapy group of physiological functions, physical function, emotional function, energy, general health and other dimensions of obvious advantages, and other significant difference between the two groups; oral and topical groups did not differ between groups large. In this study, a more objective evaluation of clinical efficacy of the method, including quality of life, including the establishment of the efficacy of multi-dimensional evaluation system, to provide Chinese medicine for disease and quality of life in sub-healthy state of the evidence, to reflect the control of Traditional Chinese Medicine The KOA has real performance and efficacy of Chinese medicine for the establishment of evaluation system KOA provides a theoretical basis. |
