Observation On The Clinical Curative Effect Of Knee Pain Ointment Combined With Acupoint Application In The Treatment Of Knee Synovitis (phlegm Fluid Injection Type)

Objective:To observe the clinical efficacy of knee pain ointment combined with acupoint application in treating Knee Joint Synovitis(KS)with syndrom of phlegm-dampness oozing in the body,and to summarize the mechanism and characteristics of knee pain ointment combined with acupoint application.To provide a more powerful clinical basis for the development of this treatment method and clinical application.Methods:Patients with KS with syndrom of phlegm-dampness oozing in the body of the knee joint in the Department of Orthopedics,Dongfang Hospital,Beijing University of Chinese Medicine were used as the research subjects.Sixty patients who met the inclusion criteria between June 2019 and February 2020 were randomly divided into three groups,with 20 patients in each group.The three groups were the combination treatment group,the knee pain ointment group,and the acupoint application group(inner Eye of the Knee).In the course of treatment,6 cases from the combination treatment group,2 cases from the knee pain ointment group and 7 cases from the acupoint application group were no longer involved.A total of 45 cases were completed,including 14 cases in the combination treatment group,18 cases in the knee pain ointment group,and 13 cases in the acupoint application group.The course of treatment was 14 days:?Combination treatment group:Oral administration of knee pain ointment three times a day,combined with acupoint application once a day;?The knee pain ointment group:Oral administration of knee pain ointment three times a day;?The acupoint application group:Acupoint application,once a day.Observation indicators:VAS pain scores,knee WOMAC scale scores,and floating patella test scores of the three groups of patients before and after treatment.The evaluation indexes of the three groups of patients before and after treatment were compared and do statistical analysis.Results:1:Based on the statistical comparison of the gender and age of the baseline data,the results suggest that there is no statistical significance about the gender and age among the groups(P>0.05).2:VAS pain score:There was no statistical difference between the three groups before treatment.The VAS score after treatment was in accordance with the normal distribution.Using one-way analysis of variance,there was a statistical difference between the three groups(P=0.001<0.01).A pairwise comparison showed that the combination treatment group and the knee pain ointment group had a statistical difference of P=0.000<0.01,and the combination treatment group had a low score,indicating that the improvement of VAS score by the combination treatment is more significant than the improvement of knee pain ointment group.Compared with the acupoint application group,P=0.001<0.01,there was a statistical difference between the combination treatment group and the acupoint application group.The score of the combined treatment group was low,indicating that the combination treatment improved the VAS score more significant than the acupoint application group.There was no statistical difference between the group of knee pain ointment and the group of acupoint application(P=0.99>0.05).3:WOMAC score:Using the difference value comparison method:the combination treatment group is compared with the knee pain ointment group,P=0.02<0.05,showing that there is a statistical difference,and the difference value of the combination treatment group is large,indicating that the improvement of WOMAC score by the combined treatment is more significant than that of knee pain ointment group.Compared with the acupoint application group,P=0.011<0.05,showing that there was a statistical difference,and the difference value of the combination treatment group is large,indicating that the improvement of the WOMAC score by the combined treatment is more significant than the acupoint application group.There was no statistical difference between the group of knee pain ointment and the point application group(P=0.716>0.05).4:Classification of the floating patella test:After two weeks of treatment,the ? level occupancy rates of the combined treatment group,the knee pain ointment group and the acupoint application group were 71.4%,44.4%,and 61.5%,respectively.Simply comparing the level ? occupancy rate,the combined treatment group was superior to the other two groups,and the acupoint application group was superior to the knee pain ointment group.Conclusion:Combined with knee pain ointment and acupoint application,it is more effective in lowering VAS and WOMAC scores,reducing pain and improving patient's life than only using one method of these two for treating KS with syndrom of phlegm-dampness oozing in the body Clinically,it is more effective than single-use knee pain ointment or acupoint application.And these three treatment methods can effectively relieve the degree of knee swelling Significance:It provides a more effective,simple and cheap treatment method for clinical treatment of KS with syndrom of phlegm-dampness oozing in the body.