| Object:Knee osteoarthritis is one of the most common joint disease witch has the tendency of high morbidity,high disability,high growth rate and low age.This study based in TCM training,yijinjing training combined with intravitreal injection of sodium hyaluronate into the knee joint to alleviate symptoms and delay the development of the disease have important social significance.There are many clinical methods for the treatment of knee osteoarthritis,it is imperative to find a treatment method combining traditional Chinese and western medicine characterized by "simplicity,convenience,experience and inexpensiveness".Method:According to the inclusion criteria,eligible patients with early-middle stage knee osteoarthritis were randomly numbered according to the time of enrollment.The methods of yijinjing training combined with sodium hyaluronate injection into the joint cavity(hereinafter referred to as the treatment group)and simple sodium hyaluronate injection into the joint cavity(hereinafter referred to as the control group)were used for treatment respectively.The clinical effect of yijinjing training method on knee osteoarthritis was evaluated by subjective scale and objective index.Result:1.VAS scale score: There were significant differences in data between the two groups(P<0.05),It indicates that the two groups of treatment methods have the clinical effect of relieving the pain of patients;The difference between the two groups after treatment was statistically significant(P<0.05),the results showed that the treatment group was superior to the control group in reducing subjective pain;2.WOMAC scale score: The difference in intra-group comparison was statistically significant(P<0.05),indicating that both treatment methods in the two groups had clinical effects in alleviating pain and improving daily life activities,but the difference in morning stiffness was not statistically significant(P<0.05),suggesting that the two groups had no clinical effects in improving morning stiffness;3.WHOQOL-BREF score: Contrast group,two groups of patients also had an improved four dimensions,including treatment group in quality of life,health,psychological and physiological difference was statistically significant(P < 0.05),the treatment group is better than that of control group,but in social relations and environmental differences of no statistical significance(P < 0.05);4.Surface EMG signal: The difference between the treatment group and the control group was statistically significant(P<0.05),and there was no significant difference between the control group and the treatment group.The difference between the two groups was statistically significant(P<0.05),indicating that the treatment group was superior to the control group in improving muscle coordination,compliance and muscle strength,and the clinical effect was significant;5.Inflammatory factor of articular fluid: Compared between the two groups,the difference in SOD content was statistically significant(P<0.05),while the difference in HDAC2 content was not statistically significant(P>0.05),indicating that the content of SOD was increased.There was no significant change in the content of HDAC2,and the effect was not obvious.There was no significant difference between the two groups after treatment(P>0.05).Conclusion:The treatment methods of the two groups have clinical effects on the improvement of knee osteoarthritis in the early and middle stage,but under the guidance of the theory of TCM,the treatment group is significantly superior to the control group in improving joint activity,relieving pain,improving muscle coordination,and improving the quality of life.Conclusion: the treatment method combined with yijinjing training is safe,simple,convenient and feasible,and has no economic cost.It is suitable for patients to exercise at home and maintain joints by themselves,and is worthy of clinical promotion and popularization. |
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