| Objective: to evaluate the clinical efficacy of beryllium needle combined with thunder fire moxibustion in the treatment of knee osteoarthritis(KOA),so as to provide a new clinical treatment plan and reference.Methods: 100 cases of KOA patients were enrolled in the rehabilitation department of hongdu hospital of traditional Chinese medicine in nanchang city from January 2018 to December 2019.The subjects were randomly divided into experimental group and control group.Experimental group(n=50 cases): beryllium needle with thunder fire moxibustion treatment.Operation: identify the patient’s tender point and mark the tender point as the insertion point.The operator presses the left thumb next to the insertion point and holds the beryllium needle in the right hand.The direction of the insertion needle is perpendicular to the skin and then pierces.when the penetration occurs,the operator looks for a sense of sinking and acerbity and stagnation.Do not twist,do not retain the needle,quickly pull out.1 time /3 days,7 times is one course of treatment.Control group(n=50 cases): ordinary acupuncture combined with thunder fire moxibustion treatment.Operation method:blood sea,liangqiu,yangling spring,yinling spring,inner genu eye,outer genu eye,crane roof,foot three li,three Yin jiao and other acupoints were taken and marked at the same time.Needle insertion:blood sea,liangqiu,yangling spring,yinling spring direct stab1-1.2 inches,inner knee eye,outer knee eye backward and oblique stab 1 inch,crane head direct stab 1 inch,foot three li,three Yin cross direct stab 1-1.2 inches.The needle was retained for 30 min.1 time /3 days,7 times is one course of treatment.Two groups of thunder fire moxibustion were taken foot sanli,knee eye,yangling spring,blood sea,liang qiu,crane roof,a is point and other relevant acupuncture points.Use actual moxibustion until the skin is red,the deep tissue is hot.Both groups received 1 course of treatment.The TCM syndrome scores,WOMAC and Lysholm knee scores of patients in both groups were measured before treatment and at the end of 1 course of treatment.Nimodipine method was used for efficacy evaluation.SPSS20.0 was used for statistical analysis.Results:1.General data comparison: there was no statistically significant difference between the two groups in gender,age,course of disease,affected side(left/right),TCM syndrome score,WOMAC and Lysholm knee joint score,etc.(P >,0.05),suggesting comparability.2.Comparison of TCM syndrome scores: there was no significant difference in TCM syndrome scores between the two groups before treatment(P>,0.05).The scores of the two groups after treatment were statistically significant compared with those before treatment(P<0.05).The comparison between the groups after treatment was statistically significant(P<0.05),indicating that beryllium needle combined with thunder fire moxibustion was superior to ordinary acupuncture combined with thunder fire moxibustion in improving the score of TCM symptoms in KOA patients.3.WOMAC score comparison: there was no statistically significant difference between the two groups before treatment(P>,0.05).The scores of the two groups after treatment were statistically significant compared with those before treatment(P<0.05).The comparison between the groups after treatment was statistically significant(P<0.05),indicating that beryllium needle combined with thunder fire moxibustion was superior to ordinary acupuncture combined with thunder fire moxibustion in improving WOMAC score of KOA patients.4.Comparison of Lysholm knee joint score: there was no statistical significance in Lysholm knee joint score between the two groups before treatment(P>,0.05).The scores of the two groups after treatment were statistically significant compared with those before treatment(P<0.05).The comparison between the groups after treatment was statistically significant(P<0.05),indicating that beryllium needle combined with thunder fire moxibustion was better than ordinary acupuncture combined with thunder fire moxibustion in improving the Lysholm score of KOA patients.5.Comparison of clinical efficacy: in the experimental group,there were 18 cases of clinical control,17 cases of obvious efficacy,and 12 cases of effective efficacy,with a total effective rate of94.00%;in the control group,there were 14 cases of clinical control,15 cases of obvious efficacy,and 10 cases of effective efficacy,with a total effective rate of 78.00%.The difference was statistically significant(P<0.05).6.Safety comparison: in this study,there were no adverse reactions between the experimental group and the control group during the whole treatment period.Conclusion:1.Compared with ordinary acupuncture combined with thunder fire moxibustion,beryllium needle combined with thunder firemoxibustion has an advantage in improving traditional Chinese medicine symptoms,knee joint pain,stiffness and dysfunction in KOA patients.2.Compared with ordinary acupuncture combined with thunder fire moxibustion,beryllium needle combined with thunder fire moxibustion has advantages in improving the overall efficacy of KOA patients. |
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