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A Randomized,Parallel Control Study Of The Combination Of Chinese Traditional Chinese Medicine And Simple Needlework For The Treatment Of Cold,Wet And Blocked Knee Osteoarthritis

Posted on:2018-01-09Degree:MasterType:Thesis
Country:ChinaCandidate:Z J NiuFull Text:PDF
GTID:2334330518967311Subject:Orthopedics
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Objective:Based on TCM syndrome differentiation treatment principle of the theory of heat and cold of needle knife combined traditional Chinese medicine(TCM)type heat treatment and dampness bizu knee osteoarthritis clinical efficacy and safety.Methods:Adopt forward-looking,block randomized,parallel-group study methods,on January 1,2016 to December 31,2016,Beijing xuanwu hospital of traditional Chinese medicine orthopedics outpatient service in patients with knee osteoarthritis,according to diagnostic criteria,X-ray imaging of the knee osteoarthritis classification standard and standard of traditional Chinese medicine screening in 60 cases,the standards were hidden by using the envelope method,were randomly divided into treatment group and control group,30 cases each treatment group with needle knife therapy was hurt jin bi pain come loose hot compress,the control group only with needle knife therapy,are two weeks,two groups of treatment cycle treatment before and after the treatment,after treatment,and in January,a total of 3 times visits,respectively from the symptom score,vital signs,and aspects of curative effect evaluation of treatment-related adverse events,symptom scores by university of western Ontario and ord test osteoarthritis index(WOMAC)scale(2015 OARS guide)to determine.Using the test of the measuring data is calculated using the mean or plus or minus the standard deviation(ąS).The data were tested by X2,and the differences in the effectiveness of the two groups were tested by X2.The excellent degree of efficacy after treatment was ordered multiple classification variables,with Wilcoxon rank and test.All the data were statistically analyzed using spssl9.Result:The baseline data of the two groups of patients in the age group,the distribution of the disease,the distribution of disease,and the distribution of the disease were comparable in comparison.There was no significant difference in the WOMAC score before treatment,with a comparability(X2 = 0.458,P = 0.838).Incorporating clinical curative effect of healing,powerfully and effectively as a treatment effective,respectively analysis of needle knife + TCM hot compress and needle knife group at different time points of effective treatment,the results showed that the treatment of two groups at the end of the treatment effectiveness were 93.33%,93.33%(X2 = 0.351,P = 0,351),1 months after the two groups of efficient treatment were 93.33%,96.67%(X2 = 0.351,P = 0.351),there were no statistically significant difference.After the treatment of two groups of patients,the efficacy of the treatment was ordered,and the results were based on the rank and test.Treatment at the end P = 0.033,P = 0.037 after January treatment,the two groups have significant difference in the effectiveness of the two groups,the acupuncture and Chinese medicine are better than the needle group.Conclusion:For the purpose of this study,after treatment,needle knife and needle knife + TCM hot compress group are some recent results have been achieved,the indicators were improved significantly compared with before treatment,two groups of efficient is no significant difference.The efficacy of the two groups of patients was related to the treatment method,the needle and the traditional Chinese medicine was better than the needle group.
Keywords/Search Tags:heat, Needle knife, Knee osteoarthritis, Cold and wet block
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