Clinical Study Of Loosening Junction Of Tendon Point In Knee Jiont Osteoarthritis By Edged Needle

ObjectiveBy collected the clinical case, to analysis the effection of blade needle therapy for KOA patients with knee osteoarthritis VAS score and the influence of the Lysholm knee functional score, to make a brief summary and judge the curative effect.Methods:Collected 70 cases of KOA patients with knee osteoarthritis, divided randomly into two groups, treatment group (group one) and control group (group two),35 cases in each group.Treatment group received Edged needle loose treatment, control group received ordinary acupuncture treatment.Specific operation were as follows:treatment group:(1). To find the tendon point:that was sensitive point, they are attachment points of the flexor muscles, extensor muscles and adduction muscle group and abductor muscle group near the knee. They mainly located around the patella, inner thighs and waist hip, which was of the lesion side rich tensor fascia, and glutes of middle muscle attachment points in ilium, shares of adduction muscle group were along the attached on the outside of the pubic bone, and under the knee joint and lateral collateral ligament attachment points within the patellar fat pad. (2)Knee osteoarthritis patients lay prostrate (hip treatment point) or lay supine (knee treatment point) on the treatment bed, took a needle blade (cutting direction consistent with the parts of the muscle fiber to the needles), insert perpendicular to the skin and successively through the epidermis layer, the subcutaneous fat, muscle fascia layer, muscular layer and so on, until met resistance. If patient without obvious discomfort, gave slitting, shovel, peeling operation, until there were no resistance or resistance are significantly reduce, withdraw the needle until there was no longer bleeding stick hemostatic stick on the hole. Treated 3 times a week, qod,2 weeks.Control group:acupuncture therapy:main point:ashi point around the knee joint, inner and outer knee eye,Ququan point,acupuncture method:take knee flexed position, acupuncture LiangQiu point, Xuehai point, yinlingquan point,Zusanli point, sanyinjiao point conventional acupuncture, even reinforcing-reducing method. once a day, halfhour a time, take a day off over the weekend,2 weeks of treatment.Observed two groups of patients with knee osteoarthritis symptoms VAS score、the knee joint clinical score, recorded they and evaluated efficacy.Results:1. Compared with before treatment, analyzed by Paired t test, P<0.05, VAS scores had difference had statistical significance. The edged needle loosening treatment and acupuncture treatment can reduce knee osteoarthritis patients’ VAS scores obviously.2. Compared with The treatment group, analyzed by t test, P<0.05, VAS improved scores had difference had statistical significance. The edged needle loosening treatment can reduce more VAS score than acupuncture treatment significantly.3. According to the Lysholm knee joint function assessment method, analyzed by rank-sum test Z=-2.160, P=0.031. Eeffective rate of both groups were 96.7%、 80%, analyzed by x2 test, x2=5.192, P=0.026, effect of edged needle loosening treatment was significantly better than acupuncture treatment.Conclusion:The edged needle loosening treatment for KOA had good curative effect, better than the ordinary acupuncture treatment, not only can quickly improve the function of knee localized pain, activity, and the operation is simple, short course, high safety, no iatrogenic injury, patients are easy to accept, so it is worth clinical application.