| Knee osteoarthritis(KOA)is a kind of axenic chronic inflammation,which is an articular cartilage anaplasia change as the core,including cartilage,synovial joints,muscle,joint capsule.The World Health Organization(WHO)had called that knee osteoarthritis was the unconquerable disease,which seriously disturbed life and work.The effect of surgery is dissatisfied,especially for the influence of the health.The Traditional Chinese Medicine hold that the KOA is liver and kidney deficiency,caused by wind-cold-wet pathogenic factor and blocked the joints.The advantages of The Traditional Chinese Medicine treatment is obvious,which is little side effect and prominent efficacy.Moreover,it has been widely used and recognized in the clinical practice.Objective:The research is to observe the clinical effect of the stone needle plus acupuncture,evaluated scientifically and objectively,which compared drugs,acupuncture with Stone plus acupuncture,get the conclusion of advantage and disadvantage among the three groups,analyzed the mechanism.Methods:All the cases came from the first of traditional Chinese medical Baoding hospital.There were 120 cases who being the knee osteoarthritis of the diagnostic criteria and clear diagnosis.According to a randomized trial principle,the samples were random divided into three groups.According to 1:1:1 ratio,the drug group 40 cases,taking GS twice a day,for two weeks.40 cases in the control group,giving conventional acupuncture treatment,40 cases in the experiment group,based on conventional acupuncture treatment combing the stone needle method.Use the knee pain visual analog scale(VAS).The Western Ontario and McMaster Universities Osteoarthritis Index score(WOMAC),and traditional Chinese medicine syndrome pentad score quantization scale.Finally,collected the cases and analysis data,draw the statistically conclusion.Results:1 The result data statistics: the drug group's VAS score(6.73±1.09)?WOMAC score(61.05±10.18)?the traditional Chinese medicine syndrome pentad score quantization scale(TCMSPSQS for short)(19.83±2.06)before treatment;drug group's VAS score(1.13±0.94)?WOMAC score(37.88±12.90)?TCMSPSQS(15.85±2.12)after treatment.Comparing with the group's VAS score ?WOMAC score?TCMSPSQS score before treatment,they had a obvious difference after treatment(P<0.01).the control group's VAS score(6.78±1.12)?WOMAC score(63.08±11.82)?the TCMSPSQS score(19.65±1.64)before treatment;control group's VAS score(1.10±1.01)?WOMAC score(35.92±14.72)?TCMSPSQS score(15.80±1.79)after treatment.Comparing with the group's VAS score ?WOMAC score?TCMSPSQS score before treatment,they had a significant difference after treatment(P<0.01).The treatment group's VAS score(6.28±1.50)?WOMAC score(58.35±10.84)?the TCMSPSQS score(19.18±2.01)before treatment;treatment group's VAS score(1.13±0.94)?WOMAC score(37.88±12.90)?TCMSPSQS score(15.85±2.12)after treatment.Comparing with the group's VAS score ?WOMAC score?TCMSPSQS score before treatment,they had a significant difference after treatment(P<0.01).The treatment group was best among all of groups in expelling pathogenic cold from channel in long-term effect,being a significant difference.Among three groups' VAS score ?WOMAC score?TCMSPSQS score had significant differences after treatment(P<0.05).The treatment group was better than the control group in relieving the pain and decreasing the VAS score after three months(P<0.01).In addition,the treatment group was always better than the drug group in improving clinical symptoms and decreasing the WOMAC score for the three-month effect,having the significant difference(P<0.05).2 The efficacy analysis results: drug group: clinically cured in 3 cases(7.5%),markedly improved in 7 cases(17.5%),effective in 12 cases(30%),ineffective in 18 cases(45%),markedly effective rate of 25%,the total effective rate of 55%.Control group: clinically cured in 7 cases(17.5%),markedly improved in 9 cases(22.5%),effective in 16 cases(40%),ineffective in 8 cases(20%),markedly effective rate of 40%,the total effective rate of 80%.Treatment group: clinically cured in 11 cases(27.5%),markedly improved in 13 cases(32.3%),effective in 9 cases(22.5%),ineffective in 7 cases(17.5%),markedly effective rate of 60%,the total effective rate of 82.5%.Comparing the efficacy of three groups after the treatment,there was a significant difference among the three groups(P<0.05).It is illustrated that the result of treatment group surpassed the drug group by applying on the segmentation Chi-square,having a significant difference(P<0.0125).Conclusion:1 Comparing with the group's VAS score ?WOMAC score?TCMSPSQS score before treatment,they had a significant difference after treatment(P<0.01).The therapy group was best among all of groups in expelling pathogenic cold from channel after the treatment,being a significant difference.Among three groups' VAS score ?WOMAC score?TCMSPSQS score had significant differences after treatment(P<0.05).The treatment group was better than the control group in relieving the pain and decreasing the VAS score after three months(P<0.01).In addition,the treatment group was always better than the drug group in improving clinical symptoms and decreasing the WOMAC score for the three-month effect,having the significant difference(P<0.05).2 It is determined that conventional acupuncture treatment combing the stone needle method could treat the osteoarthritis and worth extension on applying the medical field. |
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