| PurposeThe incidence of knee osteoarthritis is increasing year by year,and it is younger.The patient suffers from joint pain,joint dysfunction and even disability,which seriously reduces the quality of life of patients.However,the clinical effect of this disease is not Very ideal,the condition is easy to repeat,the treatment is long.The disease belongs to the category of "knee sputum" of traditional Chinese medicine.From ancient times to now,a large number of clinical practices have formed a relatively complete theoretical system and practical methods for etiology and pathogenesis,especially as acupuncture therapy for non-drug therapy is gradually recognized by the medical community.Clinical knee disease is diagnosed and treated.As an important part of traditional medicine,moxibustion is widely accepted by patients for its painless,safe and clinically effective features.It is widely used in the treatment of internal and external diseases,especially various types of pain.Moreover,with the research progress on moxibustion clinical and experimental at home and abroad,the mechanism research of moxibustion therapy has achieved fruitful results,providing a solid theoretical support for further improving clinical efficacy.This study is based on this background,based on the research progress and clinical experience of moxibustion,the selection of Baixiao moxibustion for treatment,the relevant clinical efficacy observation,objective evaluation of the clinical efficacy and application value of this therapy in the actual application of this disease.MethodThe case was obtained from the acupuncture department of Beijing Massage Hospital.The voluntary test patients who met the criteria for the diagnosis and inclusion of knee osteoarthritis were randomly divided into observation group and control group,and 35 cases in each group..The observation group(moth moxibustion group)was given moxibustion treatment for 4 weeks,and the control group(delayed blank control group)waited for 4 weeks without clinical intervention.By observing the overall pain VAS score,clinical symptom score,dynamic pain score,knee function activity score of the knee joint of the two groups,4 indicators before treatment,treatment / waiting 2 weeks,treatment / waiting 4 weeks,a total of 3 observation points The difference in scores,statistical analysis of the clinical efficacy of moxibustion treatment for this disease.At the end of the trial,patients in the control group were given compensatory moxibustion for 4 weeks without scoring.Observation group:Selection points: dubi(ST 35),neixiyan(EX-LE4),heding(EX-LE2),Yanglingquan(GB 34),Yinlingquan(SP 9),Zusanli(ST 36)Operation: Moxibustion was applied to the above acupuncture points on the affected side of the knee joint,and moxibustion was treated with Baixiao Moxibustion(produced by Chongqing Baixiao Medical Instrument Co.,Ltd.).Once a day,5 times / week,a total of 4 weeks of treatment,while giving patients health education.Control group: The patient was given a health education and was not allowed to wait for 4 weeks for clinical intervention.At the end of the trial,patients in the control group were given compensatory moxibustion for 4 weeks without scoring.Evaluation indexThe knee joint total pain VAS score and clinical symptom score were used as evaluation indexes,and the clinical symptom scores were divided into dynamic pain scores and joint function activity scores according to the scoring angle.Four scores were obtained before treatment,treatment/waiting for 2 weeks,treatment/ Waiting for 4 weeks,a total of 3 observation points for score recording,and refer to the "Guidelines for Clinical Research of New Drugs in Traditional Chinese Medicine" to calculate the evaluation of knee joint symptom scores.Calculation formula: reduction of points(nimodipine method)= [(pre-treatment symptom score-Symptom score after treatment)/ Pre-treatment symptom score] *100%.Clinical recovery: pain and other symptoms disappeared,joint activity is normal,the score is reduced by ?95%;markedly effective: pain and other symptoms disappear,joint activity is not limited,the score is reduced by ?70%,<95%;effective: pain and other symptoms basically disappear,The joint activity was slightly restricted,the score was reduced by ?30%,<70%;invalid: the symptoms such as pain and joint activity were not significantly improved,and the score was reduced by <30%.ResultWithin the group,the VAS score and clinical symptom scores of the knee joint were significantly lower in the observation group at 2 weeks and 4 weeks after treatment.The difference was statistically significant,indicating that moxibustion can significantly improve the cold and dampness resistance.Clinical symptoms of patients with knee osteoarthritis.Compared with the second week of treatment,the overall pain VAS score,clinical symptom score,dynamic pain score,and functional activity score evaluation index were significantly lower in the observation group.The difference was statistically significant,indicating that the observation group improved with clinical symptoms.Patients with prolonged course of treatment can be continuously improved,but the rate of improvement is slowed down.The difference between dynamic pain scores and functional activity scores before and after treatment is statistically significant.Moxibustion improves pain better than joint function.The control group waited for 2 weeks,and there was no significant change in the scores of the two observation points at 4 weeks.The difference was not statistically significant,indicating that the clinical symptoms of knee osteoarthritis patients could not be relieved within 4 weeks without treatment.Comparing between groups,after treatment/waiting for 2 weeks and 4 weeks,the overall pain VAS score and clinical symptom score of the knee joint in the observation group were significantly lower than the control group,and the difference was statistically significant.The total effective rate of the observation group was 96.77%,and the total effective rate of the control group was 6.25%.The difference between the two groups was statistically significant.Combined with the observation of the improvement of clinical symptoms,moxibustion can effectively improve the clinical condition of patients with knee osteoarthritis.symptom.After treatment in the observation group,8 patients(25.8%)were effective in 31 patients in the observation group,22 patients(70.97%)were effective,and the total effective rate was 96.77%.The control group was effective in 2 cases(6.25%),and ineffective in 30 cases(93.75%),including 6 cases(18.75%)with 0-30% reduction.The difference between the two groups was statistically significant,P<0.05.Better than the control group.The safety,ease of operation and comfort of the observation group and the control group showed that the patient had the highest satisfaction with the safety of Baixiao moxibustion,the overall satisfaction reached 93.6%,and the overall satisfaction with the operation convenience was 87.33%.The degree of satisfaction was 92.1%.Overall,the average satisfaction of patients with Baixiao moxibustion was 92.06%,reflecting the patient's satisfaction with this moxibustion method.Only one of the subjects had a large blisters of mung bean granules in the moxibustion treatment,which was not treated.After 1 week,the self-resolved,the scar disappeared after the scar,and the other patients did not have adverse reactions.Explain that Baixiao moxibustion has good safety.In conclusionThis time,patients with knee osteoarthritis were compared.The clinical symptoms scores and the overall pain VAS scores of the observation group before and after treatment were compared with the control group.The following conclusions can be drawn:(1)Moxibustion for the treatment of cold-dampness and stasis-type knee osteoarthritis can effectively relieve joint pain and improve joint function.(2)In patients with knee osteoarthritis,the symptom scores were not treated in any short period of time,and the overall pain VAS score was not significantly reduced.The pain and joint function of the patients could not be improved by themselves.(3)This therapy is easily accepted by patients in terms of safety,ease of operation,and comfort of moxibustion,and has good promotion. |
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