| Objective:The relationship between local acupoint and pressure point and its pressure law were discussed by palpation of the number,location and pain of local pressure points in knee joint.To provide new ideas for clinical diagnosis and treatment of knee osteoarthritis.Method:Select patients with knee osteoarthritis from December 2016 to December 2017 in the outpatient department or inpatient department of Beijing Third Affiliated Hospital of Traditional Chinese Medicine.A total of 52 patients who met the criteria were collected according to the diagnostic criteria,inclusion criteria,and exclusion criteria.Palpate the patient's knee to record the area and number of pressure points falling in,and use a subjective pain scale to perform VAS scores on the pressure points in the acupoint area.The clinical data database was established using Epidate 3.1 software.SPSS 21.0 software was used to perform statistical analysis using frequency,spearman correlation coefficient and other test methods.Result:1.Basic informationA total of 52 KOA patients were included,52 knees,28 left knees and 24 right knees.The maximum age was 70 years and the minimum was 44 years.The total average height was 163.73±7.09cm,the average age was 59.44±7.41 years,and the average body mass index was 26.85±2.42.There were 24 males with an average height of 168.58±5.32 cm,an average weight of 73.96±4.90 kg,a mean body mass index of 26.04±1.69,and 28 females,an average height of 159.57±5.65 cm,an average weight of 70.04±6.79 kg,and an average body mass index 27.54±2.75.2.The relationship between knee pressure points and local acupoints in KOA patients2.1 The frequency of pressure points falling into acupoints and non-acupointsIn 52 patients,the total number of pressure points was 299,the pressure point in the acupoint area was 257,and the non-acupoint area was 42.Among them,only 9 knee points and at least 2 tender points were involved in a single knee.The maximum number of tender points in non-acupoint areas is 2 and the minimum is 0.The average number of tender points in the acupoint area was 4.94±1.80,and the average number of pressure points in the non-acupoint area was 0.81±0.69.The two sets of data did not meet the normal distribution,and the non-parametric test had significant differences(P<0.01).The probability of appearing in the acupoint area is obviously greater than other parts.2.2 KOA knee joint acupressure frequency and tendernessThe frequency of tender points in the acupoint area is in the descending order of:Yin Ling Quan(),Inner Knee Eye,Knee Knee,Outer Knee Eye,Yin Gu,Wei Yang,Floating Kau,Qu Quan,Liang Qiu,Yang Ling Quan.,Venezuela,Blood Sea,Knee Yang Guan,Zusanli,Heding.Among them,there are 9 acupoints with relatively frequent tenderness frequency accounting for more than 6%of the total tenderness points.They are Yinlingquan,Inner Knee Eye,Knee Knee,Outer Knee Eye,Yingu,Weiyang,Floating Skull,Ququan,Liangqiu..The VAS scores of the acupressure pain of acupoints from high to low were:inner knee,Yin Lingquan,knee clearance,Yingu,outer knee eyes,Weiyang,Fuyu,Ququan,Liangqiu,Venezuela,Yanglingquan,Blood Sea,Zusanli,Knee Yang Guan,Heding.The spearman correlation analysis was conducted on the frequency of tenderness in the acupoint area and the tenderness vas score in the acupoint area.The results showed that the correlation coefficient R was 0.987.There was a significant positive correlation between the two(0.5<R<1),P<0.01.It showed that the frequency of acupoint tenderness was consistent with the degree of tenderness.Conclusion:1.Knee Osteoarthritis Knee local tender points are mostly found in the area where the fourteen points are located.2.There was a positive correlation between tenderness and tenderness in local acupoints of knee osteoarthritis.3.The results of this study provide a basis for the diagnosis and treatment of KOA using local acupoints in the external treatment of traditional Chinese medicine and open up new ideas for clinicians to treat KOA. |
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