| Purposes and significance:Comparison is made between clinical effects before and after treatment by using electronic moxibustion combined with acupuncture and needle warming moxibustion to tune up Yang energies and treat knee osteoarthritis caused by Yang deficiency and cold coagulation, to provide further clinical guidance as well as theoretical reference and new ideas of dialectic treatment for knee osteoarthritis, with a view to finding a safe, effective and convenient treatment measure for knee osteoarthritis.Method:A random number table was generated with software spss18.0 by a simple random method and a total of 60 patients, admitted to the acupuncture and moxibustion department and wards, diagnosed with knee osteoarthritis caused by Yang deficiency and cold coagulation were divided into two groups, namely treatment group (electronic moxibustion combined with ordinary acupuncture group) and control group (needle warming moxibustion group),30 in each group. Each group received 5 courses of treatment (one week for a course). A person was appointed to score pressing pain in knee by visual analogue scale (VAS) and measure the Western Ontario and McMaster Universities (WOMAC) osteoarthritis index and range of motion for the two groups of patients before treatment; and scored the patients by questionnaire again after systemic treatment of the third and fifth course respectively; and performed statistical analysis of the data at last to get conclusions.Result:1. Before treatment, statistics show that there was no significant difference in comparison baselines, scores and measured values between the two groups (P>0.05).2. Before treatment, there was significant difference in scores and measured values between the two selected groups compared with before treatment (P>0.05).3. After the third and fifth course of treatment, comparative analysis of three scoring scales is as follows:(1) According to comparison between two scores of pressing pain in knee by VAS, there was significant difference between two scores of pressing pain in knee of KOA patients by VAS (P<0.05), and the degree of pressing pain relief in knee of the treatment group (electronic moxibustion combined with ordinary acupuncture group) was significantly better than that of the control group (needle warming moxibustion group).(2) WOMAC osteoarthritis scale was used to evaluate structures and functions of knee mainly from three points, namely pain, stiffness, and joint function, so a statistical comparative analysis was made to these three points and aggregate scores.In terms of pain, the statistical comparative analysis showed no significant difference (P >0.05); in terms of pain relief, the curative effects were equivalent.In terms of stiffness, the statistical comparative analysis showed significant difference between the two groups after the third and fifth course of treatment (P<0.05), in terms of stiffness improvement, the treatment group had better effects than the control group.In terms of living ability improvement (namely joint function), the two groups had equivalent effects in improvement of the joint function after the third course of treatment (P> 0.05), but after the fifth course of treatment, there was significant difference between the two (P<0.05) and the treatment group had better effects than the control group.In terms of aggregate scores, the statistical comparative analysis showed significant difference between the two groups based on scores obtained after the third and fifth course of treatment (P<0.05), and the treatment group had better effects than the control group.(3) In terms of measured range of motion, the motion range of the both groups was significantly improved after treatment compared with before according to measurement (P< 0.05), but there was no significant difference between the two groups (P>0.05).(4) Evaluation of curative effects after treatment:According to the score comparative analysis based on WOMAC scoring scales after treatment, the treatment group (electronic moxibustion combined with ordinary acupuncture group) had better clinical effects that the control group (needle warming moxibustion group) (P<0.05), with cured and markedly effective rate and effective rate of 80% and 100% respectively for the treatment group,50% and 90% for the control group; in terms of the total improvement rate, the treatment group had better effects than the control group (P<0.05).Conclusion:The two ways to treat knee osteoarthritis caused by Yang deficiency and cold coagulation both have positive curative effects. In terms of the degree of pressing pain relief, stiffness degree and joint function improvement, electronic moxibustion has some advantages, and it has made some progress in labor saving, moxibustion quantity control and determination of parts to be treated with moxibustion as well as other aspects. It has enhanced applicability of moxibustion therapy technology and lowered clinical operation risks with some other advantages such as high security and practicability, being acceptable by the patients, so it is worthy of clinical promotion and research. |
PDF Full Text Request