A Clinical Study On The Treatment Of Knee Osteoarthritis By Lavage Of Joint Cavity With TCM Minimally Invasive Needle Knife Mirror Combined With Safflower Irrigation Liquid

Purpose : In recent years,as a new technique,minimally invasive acupotomoscope endoscopy of traditional Chinese medicine has been applied in the treatment of osteoarthritis,which can effectively treat the symptoms of joint pain,stiffness and movement disorder.Because this technology has not been fully popularized in clinical practice,the effectiveness of its treatment and the duration of continuous remission have not been proved clinically.Therefore,this paper objectively evaluated the clinical feasibility and efficacy of minimally invasive acupotomoscope endoscopy combined with safflower rinse fluid lavage in the treatment of knee osteoarthritis by prospective study control.Material and method:Shenyang hospital in October 2017-October 2019 the inpatient and outpatient service of 60 patients with knee osteoarthritis(both accord with standard of diagnosis,into,out),using the random number table method to clinical 60 patients were divided into 2 groups,one group of traditional Chinese medicine(TCM)for acupotomoscope endoscopy joint safflower rinses lavage joint cavity 30 cases,contrast group of safflower rinses lavage joint cavity 30 cases.In the experimental group,after local anesthesia,the operation of releasing adhesion was performed with minimally invasive acupotomoscope endoscopy of traditional Chinese medicine,and the joint cavity was continuously irrigated with safflower rinse solution.In the contrast group,after local anesthesia,the joint cavity was lavished with safflower rinse solution.After surgery,2ml of chitosan was injected into the articular cavity in both groups.On the second day after the operation,both groups of patients received routine functional exercise.The two groups of patients were followed up,and the Visualanalogue scale(VAS)and WOMAC rating scale were used to evaluate the degree of pain and function of the knee before surgery,1 week after surgery and 2 weeks after surgery.According to the scores of each group,the knee joint swelling and pain relief and functional recovery of the two groups were compared,and the results were evaluated Results:VAS scores before treatment were 6.73�2.03 and 6.23�2.05,respectively,with no statistically significant difference between the two groups(P >,0.05).After surgery,VASscores in the experimental group and contrast group decreased with the extension of treatment time.Compared with the same group before surgery,VAS scores in the experimental group and contrast group decreased significantly at 1 week after surgery and 2 weeks after surgery,with statistically significant difference(P < 0.05).VAS scores were 3.53�1.14 and 1.03�1.07 in the experimental group at 1 week and 2 weeks after the operation,and 4.60�1.73 and3.37�1.16 in the contrast group at 1 week and 2 weeks after the operation,respectively.The total score of WOMAC in the contrast group was 72.33�5.09.The total preoperative WOMAC score of the treatment group was 71.27�3.97,and the difference between the groups was not statistically significant(P >,0.05).After treatment,the total score of WOMAC in the two groups decreased gradually with the increase of treatment time,showing statistical significance(P < 0.05).The total score of WOMAC in the contrast group was60.37�2.47 and 43.43�2.85,respectively,1 week and 2 weeks after the operation.The total score of WOMAC in the experimental group at 1 week and 2 weeks after the operation was49.90�4.93 and 19.10�4.00,respectively.The score of the experimental group at each time point was lower than that of the contrast group,and the difference between the two groups was statistically significant(P < 0.05).Conclusion:In the treatment of knee osteoarthritis,minimally invasive acupotomoscope endoscopy and safflower lavage can effectively relieve the pain and stiffness of knee joint and improve the function of knee joint.However,combination therapy is more effective than safflower rinse alone.Therefore,minimally invasive acupotomoscope endoscopy of traditional Chinese medicine is an economical,effective,safe,simple and convenient treatment with the advantages of fast postoperative functional recovery,which is worthy of clinical promotion and application.