| Objective: To observe the effect of warm acupuncture combined with ZhengqingFengtongning injection on knee osteoarthritis(cold dampness and obstruction syndrome).By comparing the clinical symptoms,signs and related laboratory examination data of the two groups of patients before and after treatment,the effectiveness of this method are evaluated,so as to explore an effective method for treating knee osteoarthritis(cold dampness syndrome).Method: This study screened 62 patients with knee osteoarthritis who met the criteria for inclusion in this study from the inpatient department and outpatient department of the Acupuncture Department of Wuhan Traditional Chinese Medicine Hospital from October 2018 to August 2019.The sequentially numbered patients were randomly divided into an observation group and a control group,with 31 cases in each group.Control group treatment method: use a 5ml disposable syringe to extract Zhengqing Fengtongning injection 1ml + 2%lidocaine 1ml + saline 1ml for backup,flex the affected knee,use iodophor to disinfect the affected Dubi acupoint,disinfect three times,Insert the needle into the acupuncture point of the vertical point of the syringe.After the feeling of emptiness occurs,push the medicine without suction and then push in the medicine.Afterthe injection is completed,remove the needle and press the needle hole for a while.Put an infusion sticker on the needle hole to prevent contamination.The operation of acupoint injection at Yanglingquan is the same as that at the Dubi acupoint(no knee flexion,Drug can be injected after aspiration without returning blood).The operation interval between two points is greater than40min;7 days is a course of treatment.2 courses,once every other day,7 injections after the end of the two courses;Observation group treatment method: Use warm acupuncture treatment in addition to the control group treatment method,and selected acupoints for Dubi,Neixiyan,Yinlingquan,Liangqiu,Xuehai,Heding,insert Short moxa on the needle handle at the four points of Heding,Dubi,Neixiyan,Yinlingquan about 2-3 cm away from the patient's skin.Place a piece of hard paper under the moxibustion area to prevent ash from falling and scalding the skin Each time the above four points are treated with 2 moxibustion,7 days is a course of treatment,a total of 2 courses of treatment,once a day,a total of warm acupuncture 14 Times.After two courses of treatment,Observe the WOMAC score,TCM symptom score,total effective rate and monitoring of adverse reactions before and after treatment in the two groups of patients,and analyze the above indicators through SPSS 22.0 to evaluate the effectiveness of the method.Result:1.Comparison of WOMAC score:(1)The pain,stiffness,dysfunction and total score of WOMAC score of the observation group after treatment were significantly lower than before treatment,and the difference was statistically significant(P <0.05);(2)After treatment,the pain,stiffness,dysfunction and total score ofWOMAC score in the control group were significantly lower than the treatment before treatment,the difference was statistically significant(P <0.05);(3)The pain,stiffness,dysfunction and total score in the WOMAC score of patients in the observation group after treatment were significantly lower than the score after treatment in the control group,and the difference was Statistical significance(P <0.05).2.Comparison of TCM symptom scores:(1)After the treatment,the TCM symptom scores of the two groups of patients were improved compared with before(P <0.05),indicating that both treatment methods can effectively relieve the patients' symptoms;(2)After the two groups of treatment Compared with the symptom score,the improvement of the observation group was significantly better than that of the control group(P <0.05).3.Comparison of total effective rate: In the two groups of patients,the observation group was invalid in 4 cases,effective in 10 cases,markedly effective in 15 cases,clinical control in 2 cases,the total effective rate was 87.09%;the control group was invalid in11 cases,effective There were 9 cases,11 cases were markedly effective,0 cases were clinically controlled,and the total effective rate was 64.51%.After statistical test,the difference was statistically significant(P <0.05).4.Adverse events: liver and kidney function and blood routine were normal before and after treatment in both groups of patients.Until the end of treatment in all cases,2 patients in the observation group and 1 patient in the control group experienced itching at the injection site after receiving acupoint injection treatment for 5After-20 minutes,the itching symptoms disappeared and no relevanttreatment was given,so it was not considered to be excluded from this study,and other adverse events did not occur.Conclusion: Through statistical calculation and analysis of the relevant scoring indicators of this study,and observation of the effect of warm acupuncture combined with Zhengqing Fengtongning injection on knee osteoarthritis,the following conclusions can be drawn:1.Both methods have certain effects.The effect of warm acupuncture combined with Zhengqing Fengtongning acupoint injection is better than that of pure Zhengqingfengtongning acupoint injection.2.Acupuncture combined with warm acupuncture and moxibustion plus ZhengqingFengtongning injection is better than pure Zhengqingfengtongning injection on acupoint injection in improving knee pain,stiffness,joint function,and TCM symptom score.3.The clinical effect of this study is good,and the trial has not been terminated due to adverse events or observation objects have been eliminated,so this treatment method can be used for clinical reference. |
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