A Clinical Study On The Treatment Of Knee Osteoarthritis Through The Combination Of Prescription Of Reinforcing Kidney And Activating Blood And Arthroscopic Surgery

Objective:This thesis explores effectiveness of the Treatment of Knee Osteoarthritis through the combination of the Prescription of Reinforcing Kidney and Activating Blood and Arthroscopic Surgery through the observation on the change of the Lysholm scores. The research result can provide clinical basis for treating Knee Osteoarthritis.Methods:This thesis adopts the method of case-control study to observe the in-patients in Guangzhou TCM University orthopedic hospital from June2010to Feburary2012. These patients were consistent with diagnostic criteria and evaluated by the Lysholm scores once they entered the hospital. The patients of cartilage lesions grade Ⅲ were devided into treatment group and control group after Arthroscopic Surgery, and each group comprised30cases. Treatment group adopted the Treatment of Knee Osteoarthritis through the combination of the Prescription of Reinforcing Kidney and Activating Blood and Arthroscopic Surgery, while control group only made Arthroscopic Surgery. Then two groups both performed the same method of recovery and recorded the Lysholm scale results before surgery and2weeks after surgery. Follow-up study was conducted by the Lysholm seal ing on these two groups of patients4weeks,8weeks and12weeks after surgery. The results were recorded and analyzed by SPSS software according to statistics method.Results:1. The60cases are randomly divided into two groups. The gender, ages, weight and course of disease are no statiseical significance (P>0.05).2weeks after the arthroscopic surgery, the Lysholm scaling of two groups have statistical significance(P<0.05).4weeks after the arthroscopic surgery, the Lysholm scal ing of two groups have statistical significance (P<0.05).8weeks after the arthroscopic surgery, the Lysholm scaling of two groups have statistical significance(P<0.05).12weeks after the arthroscopic surgery, The Lysholm scaling of two groups have statistical significance(P<0.05).2. By comparison of clinical effect of two groups, the treatment group is superior to the control group via non-parametric Wilcoxon rank sum test, and two groups have statistical significance(P<0.05).3. the analysis of variance for repeated measurement data of the sample shows: Compared with the preoperative, postoperative Lysholm score in the two patients group have significant differences (P<0.05). During the treatment and by the Lysholm score, patients in the treatment group had significant differences from the control group(P<0.01). With treatment duration increase of the two group patients, the treatment group in the Lysholm score differs from the control group (P<0.05). Over time, the two groups of treatment have no interaction with hours. As the course of treatment extended, the differences between the two groups tend to enlarge.4. Two groups of patients had no obvious adverse reactions.Conclusion:1.The two groups could significantly improve the knee osteoarthritis patient’s physical signs and symptoms2. Treatment group overall efficacy is superior to control group. As time goes on, the efficacy of treatment group will he better than control group.