| Purpose:By comparing the primary lesions of grade ? knee osteoarthritis patients treated with warm needles and silver needles through conductive pain theory and the efficacy of sodium hyaluronate injection in treating this disease,exploring and summarizing the advantages of silver needles for Class ? knee osteoarthritis,and providing theoretical and clinical evidence for improving the clinical efficacy of this disease.Materials and methods:The grade ? patients with knee osteoarthritis in 90 cases were collected from March 2017 to December 2017 in each sub-center: Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,the No.202 Hospital of the Chinese People's Liberation Army,and the North Hospital of the Shenyang Military Region General Hospital,according to the previous work and clinical conditions,the number of case assignments in each hospital were: 36 cases in Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,30 cases in the No.202 Hospital of the Chinese People's Liberation Army,and 24 cases in the North Hospital of the Shenyang Military Region General Hospital,patients were randomly divided into a warm-needle group,a sodium hyaluronate group,and a silver-needle group using a random number table method.Each group had 30 patients.The warm-needle group and the silver-needle group were subjected to acupuncture according to the original lesion point detected by the conduction pain theory.The warm-needle group was treated with 0.35 mm x 50 mm,0.35 mm x 75 mm millimeter needles from Xin Xinglin along the bone surface or joint space at an interval of 1cm.Acupuncture treatment was performed with reinforcing and relieving techniques.A 2 cm moxa stick was inserted into the tail and the needle was retained for 30 min.Once a day,10 days for a treatment course,treatment interval of 2 days,treatment for 3 courses.The silver-needle group selected the customized 22# silver needle with a diameter of 1.1mm×75mm produced by Shanghai Fuxin Science and Technology Development Co.,Ltd.,material contains silver(80%),copper,zinc and other alloys.After local skin anesthesia was performed on each of the primary lesion points with anesthesia guns,the silver needles were removed along the bone surface or joint space using a puncture closure method to eliminate focal points and adhesions.Insert a 2cm moxa lighter at the tail of the needle.The surgeon took a 50 mm syringe and drew sterile water to cool the needle body until the patient got their tolerance.After the treatment,the needle was disinfected with iodophor,the bleeding eye of a needle was pressed for several minutes,and covered the eye of a needle with a sterile dressing.Once a week,5 times for a treatment course,treatment for a course.The drug used in the sodium hyaluronate group was shipeite.After 20 g/L lidocaine local anesthesia,the needle was advanced on the external side of the humerus,the joint effusion was drained,and sodium hyaluronate was injected.The needle hole was covered with sterile gauze for 1 day.And passively move the knee joint to spread the liquid.Treatment once a week,5 times for a treatment course,treatment for a course.Before and after treatment,the VAS pain visual analog score,WOMAC osteoarthritis index,JOA knee joint function score,and body surface temperature around knee joint were observed.The curative effect was evaluated according to VAS score,visited the patients 3 months after the end of the treatment.Result: 1.VAS scores in all groups showed that VAS scores in all groups were significantly lower after treatment(P<0.05).Compared with warm-needle group and sodium hyaluronate group,the follow-up VAS score under silver-needle group treatment was significantly lower(P<0.05).Compared with sodium hyaluronate group,the warm-needle group had no significant difference in VAS scores between the treatment group and the follow-up group(P>0.05).2.The WOMAC scores in each group showed that the WOMAC scores were significantly lower in each group after treatment(P<0.05).Compared with warm-needle group and sodium hyaluronate group,the silver-needle group had significantly lower WOMAC score(P<0.05).Compared with the sodium hyaluronate group,the warm-needle group had was significant difference in WOMAC score the follow-up group(P<0.05).3.The JOA scores in each group showed that after treatment,the JOA scores in all groups increased significantly.After statistical tests,all groups had statistically significant differences(P<0.05),compared with warm-needle group and sodium hyaluronate group.The JOA scores in the silver-needle group after treatment were significantly higher,the difference was statistically significant(P<0.05).Compared with the sodium hyaluronate group,the JOA score in the warm-needle group was not significantly different between the treatment group and the follow-up group(P>0.05).4.Efficacy evaluation results: The total effective rate of the warm-needle group was 76.67%;The total effective rate of the sodium hyaluronate group was 66.67%;The total effective rate of the silver-needle group was 90%.After chi-square test,it had statistical significance(P<0.05).The silver needle group was significantly better than the warm needle group and sodium hyaluronate group.5.The temperature of the 11 individuals observation points around the knee joint after treatment in the three groups was significantly lower than before treatment(P<0.05).Compared with warm-needle group and sodium hyaluronate group,the body surface temperature of the silverneedle group was significantly lower after treatment and at follow-up period,and the difference was statistically significant.(P<0.05).Compared with the sodium hyaluronate group,there was no significant difference in surface temperature between the warm-needle group and the followup period(P>0.05).Conclusion: 1.Warm-needle acupuncture,sodium hyaluronate injection,and silver-needle acupuncture can all reduce the VAS and WOMAC scores and improve the JOA score in patients with grade ? knee osteoarthritis.2.Silver-needle acupuncture treatment for grade ? knee osteoarthritis clinical has better efficacy than warm-needle acupuncture and sodium hyaluronate injection;3.Warm-needle acupuncture,sodium hyaluronate injection,and silver-needle acupuncture can reduce the temperature around the knee joint in patients with grade ? knee osteoarthritis.4.The silver needle acupuncture for treating grade ? knee osteoarthritis has better clinical longterm efficacy than warm-needle acupuncture and sodium hyaluronate injection. |
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