| Objective:This study aims to observation,comparison and evaluation of Cangguitanxue and Warming-acupuncture in Du Bi,Nei Xi Yan points based,simple oral western medicine for the treatment of phlegm and blood stasis type of the Retrograde Osteoarthrosis of Knee Joint(KOA)clinical efficacy.For the clinical treatment of the Retrograde Osteoarthrosis of Knee Joint(KOA)provides a new method of psychosomatic work.Methods:According to the inclusion criteria to choose cases,using the random number table method divided into treatment group and control group,two groups of 30 cases each.The treatment group treated by Cangguitanxue and Warming-acupuncture in Du Bi,Nei Xi Yan points based,the control group with oral administration of Western medicine "ARCOXIA "(The Etoricoxib Tablets)treatment.Treatment group therapy 3times a week,6 times for a period of treatment,control group is one period of treatment for 14 days;Both groups for each treatment interval between 3days.Respectively in the two groups of patients before and after 2 course of treatment and 3 months after treatment the Nimodipine Efficacy Evaluation Methods(NEEM) and the TESS table observing side effects,Both scoring statistics analysis comparison before and after the treatment,and curative effect.Result:1 After the treatment,treatment group total effective rate was 96.67%,of which 15 cases were markedly effective,effective 8 cases,1 had no effect.Control group total effective rate was 83.33%,of which 10 cases were markedly effective,13 patients effectively,and ineffective in 5 cases.After statistical treatment,P=0.01,there were statistically significant,suggesting that the overall efficacy of the treatment group was better than that of the control group(P<0.05).2 3 months after treatment,treatment group total effective rate still was 96.67%.Control group total effective rate dipped to 76.67%,of which 10 cases were markedly effective,14 patients effectively,and ineffective in 7 cases.After statistical treatment,P=0,there were statistically significant,suggesting that the long-term efficacy of the treatment group was better than that of the control group(P<0.01).3 Compared in the two groups before and after treatment group,two groups of patients also had an improved on painful symptoms,the VAS score were significantly reduced,difference compared with before treatment(P<0.05),two kinds of treatment methods to improve the patients’ painful symptoms have curative effect.There was no significant difference between the two groups’ score(P> 0.05),indicating that the treatment group and the control group had significant effect on improving the symptoms of painful;4 Two groups of patients after treatment the JOA and the ISOA score were lower,compared with before treatment,there was statistical difference(P<0.05).Two kinds of treatment methods to improve the patients’ KOA symptoms have curative effect.There was a significant difference between the two groups in the JOA and the ISOA score(P<0.05),suggesting that the treatment group was better than the control group in improving kneejoint function;5 After tow groups treatment,There was 12 cases totally in control group appear different degree of adverse reactions,the adverse reaction rate was 40%.There was only 2 case had side-effects in treatment group.The main side-effects were gastrointestinal symptoms such as constipation,loss of appetite and anorexia,and nervous system dizziness.Compared two groups’ TESS score indicating that the treatment group was better than the control group in side-effects control.Conclusion:1 The treatment group was better than the control group in improving kneejoint function;2 The long-term efficacy of the treatment group was better than that of the control group;3 The treatment group was more safe than the control group in side-effects.4 Cangguitanxue and Temperature-acupuncture treatment the KOA with syndrome of phlegm and blood stasis effect is obvious,and is a simple,safe and effective method;... |
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