| Objective:To observe the clinical effect of internal treatment with Chinese medicine huayu clearing damp recipe combined with Chinese medicine ironing and plaster on Knee Osteoarthritis at early stage,providing theoretical reference and data support for further clinical promotion and application.Methods:The 60 cases of KOA,which were included in the study,were in the first affiliated hospital of the first affiliated hospital of the University of Tradi-tional Chinese Medicine.The time limit for diagnosis and treatment was from Apr.2018 to December 2018,and the syndrome differentiation of TCM is the syndrome of blood stasis and dampness.30 cases were divided into experimental group and control group according to the random number table method.Experimental group:The traditional Chinese medicine is used for removing blood stasis and eliminating dampness,and is taken orally,day 1,morning and evening,and 200 ml each time.And the surface layer can cover the thin quilt and keep the temperature.The five sides of the hospital in the hospital were put on the knee,once a day,each time(6±2)hours.In the control group,the traditional Chinese medicine for removing blood stasis and removing dampness was used as the experimental group,and the same time,it was combined with the simulating agent for iron and iron,the simulating agent was applied to the treatment,and the operation method was the same as that of the experimental group.The experimental group and the control group were treated for 2 weeks.The clinical observation index was used for the visual scale of the osteoarthritis index(WOMAC),the pain visual simulation score(VAS)and the measurement of the knee diameter of the McMaster University in Western Ontario.The above-mentioned indexes were observed and evaluated 4 weeks after treatment and after 2 weeks of treatment,respectively.The statistical analysis of the data and the data was carried out by SPSS 20.0.The comparison between the data groups was(x~2).The measurement data was expressed by(?x+s).The comparison between the two groups was t-test.When P<0.05,the difference between the two groups was statistically significant.P>0.05 indicates no statistical significance.Results:1.A total of 60 patients who met the inclusion criteria in this study were randomly divided into the experimental group(30 cases)and the control group(30 cases).There was no significant difference in gender,age and course of disease between the experimental group and the control group(P>0.05).2.There was no significant difference in WOMAC scores between the two groups before treatment(P>0.05).Two weeks after treatment and four weeks after treatment,the WOMAC scores(joint pain score,joint stiffness score,daily activity score and comprehensive score)of the two groups were all decreased compared with those before treatment(P<0.05).After the comparison between the two groups,it was found that the improvement of all scores in the experimental group was significantly better than that in the control group(P<0.05),indicating that the symptoms of KOA patients in both groups were alleviated,and the effect of the experimental group was better.However,4weeks after treatment,there was no statistically significant difference in the scores of joint stiffness between the two groups(P=0.09>0.05),indicating that the treatment mode of huayu clearing damp prescription combined with Chinese medicine ironing and application can only relieve knee joint stiffness in a short term,and the effect cannot be lasting,but the overall effect will not be affected.3.Before treatment,VAS scores of the experimental group and the control group were compared,and the difference was not statistically significant(P>0.05).Two weeks after treatment and four weeks after treatment,VAS scores of the two groups were compared,and the results showed that the experimental group was significantly smaller than the control group(P=0.014,P=0.000were both<0.05,which was statistically significant).4.Before treatment,the knee joint diameter of the two groups were compared,and the results showed that P=0.757>0.05,indicating that the difference was not statistically significant.After treatment for 2 weeks and 4weeks,the diameter of the knee in the experimental group was smaller than that in the control group(P<0.05).5.After treatment,the total effective rate of the experimental group was93.33%,significantly higher than that of the control group(76.67%,P<0.05),indicating that the experimental group had better clinical effect.Conclusion:The treatment of early KOA with huayu clearing damp prescrip-tion combined with Chinese medicine ironing and sticking can effectively relieve the symptoms of knee joint pain and swelling,improve joint function and have a significant effect. |
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