| Objective:Knee osteoarthritis(KOA)is one of the common causes of knee pain at present,and occurr common and frequently in orthopedics.With the development of population aging in modern society and changes in human lifestyles,the incidence of knee osteoarthritis continues to increase.In severe cases,people even lose their ability to work and cause people to suffer A great distress,not only affects people's quality of life,but also increased the economic burden on families and society.Thus,this problem causes widespread social and international attention.To this end,to seek a treatment of quick,easy and high efficacy is the most urgent task.The subject observed and evalated the clinical efficacy of Chinese tendon-regulation palasy technique under the guidance of Professor Du SQ,to clear its clinical features and advantages and to improve the clinical effect of knee osteoarthritis,for its Clinical application of evidence-based medical basis.At the same time,to explore the academic innovation and clinical curative effect of Professor Du's "small angle rotary extend trust press palasy technique",to develop and improve the palasy technique and to inherit and develop Professor Shuangqing Du's clinical experience of knee osteoarthritis.Methods:One hundred and twenty two patients with knee osteoarthritis selected from the orthopedics department in Hebei Provincial Hospital of Traditional Chinese Medicine who met the diagnosis inclusion and exclution criteria were randomly divided into treatment group(61 cases)and control group(61 cases).The treatment group was treated with Chinese tendon-regulation palasy technique combined with Chinese herbal fumigation,while the control group was treated with Chinese herbal fumigation combined with diclofenac sodium sustained release tablets,both took 15 days as a course.Resuls:1.Safety test: two groups of patients showed no significant changes in blood,urine,routine,liver and kidney function,ECG before and after treatment.Patients in the control group had transient symptoms of palpitation and nausea during the treatment,and had no other allergic or adverse reactions.2.Analysis of patients in two groups before treatment : the comparison of gender,age,BMI,X-ray grade and clinical course showed no statistically significant difference,P> 0.05.3.VAS pain scores was compared between the two groups before and after treatment and 3 months after treatment.The two groups were comparable since the VAS pain scores before treatment were not statistically significant(P>0.05).The VAS pain scores of the two groups were significantly decreased,with significant differences(P<0.05),indicating that both treatment methods can treat knee osteoarthritis,but after treatment,the treatment group compared with the control group(P>0.05)was not statistically significant.The two groups were followed up for 3 months after treatment.the treatment group compared with the control group(P>0.05)was not statistically significant.4.HSS scores was compared between the two groups before and after treatment and 3 months after treatment.The two groups were comparable since the HSS pain scores before treatment were not statistically significant(P>0.05).HSS scores in both groups after treatment were obvious higher than before,with significant difference(P<0.05).But the clinical efficacy of the treatment group was significantly better than that of the control group after treatment(P<0.05),indicating that the clinical efficacy of the treatment group was higher than that of the control group.The two groups were followed up for 3 months after treatment.The HSS score in the treatment group was significantly better than that in the control group(P<0.05),indicating that the long-term efficacy of the treatment group was much higher than that of the control group.5.Efficacy comparison: The total effective rate of the control group was 80.0%;while that of the treatment group was 95.0%.The total effective rate of two groups were statistically significant(P<0.05),and the treatment group was better than the control group.Conclusions:Tendon-regulation palasy technique combined with Chinese herbal fumigation and Chinese herbal fumigation combined with diclofenac sodium sustained release tablets are both able to treat blood stasis type of knee osteoarthritis.However,the former is significantly superior to the latter,and the long-term therapeutic effect accounts for obvious advantages.In short,through the clinical research to achieve the purpose of our subject,clear the clinical effect of the treatment of early and middle blood stasis type of knee osteoarthritis with the treatment of Tendon-regulation palasy technique combined with Chinese herbal fumigation,which provides reference and basis for clinical application. |
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