| Objrctive:Comparative observation of patients with knee osteoarthritis by lumbar di ministry"V"type of needle knife release and knee joint local pine needle knif e solution before and after the treatment of knee joint pain,functional activitie s such as the change of the index,explore lumbar di ministry"V"type of need le knife release effect of surgery for the treatment of knee osteoarthritis,and to evaluate the treatment of distal needle knife take security and rationality,for l umbar di ministry"V"type of needle knife release provide clinical basis for tr eatment of the disease.Methods:Sixty patients with early and middle stage knee osteoarthritis who met the inclusion and exclusion criteria were collected from the inpatient or outpatient department of the National Hospital of Hubei University of Traditional Chine se Medicine from June 2019 to November 2020,and were divided into observ ation group(n=30)and control group(n=30)according to random number t able method.Observation group with lumbar di ministry"V"type of needle kn ife release surgery for lumbar di ministry muscle fascia attachment points for l oose solution treatment,according to the anatomic structure choose vertical sp inal muscular starting point(vertical sacral spinal muscular spinalis starting po int~3(the center of the sacral crest point 1,near the center of the sacral crest ope n 2 cm point~2),vertical spinal muscular chest muscle iliac crest of the lateral e dge of point~2,longest vertical rib spinal muscular loins iliac muscle iliac crest the lateral edge of point~2),the period of thoracic lumbar fascia point(the highe st point of the lower back iliac crest),posterior spine point~2as a needle knife t herapy point;The control group used the knee joint local pine needle knife solu tion technique was carried out on the adhesion of the knee joint local scar high stress points loose solution treatment,choose according to knee joint anatomy of the lateral patellar ligament,patellar ligament,the lateral retinaculum point s,patellar ligament medial retinaculum points,the medial collateral ligament,t he lateral collateral ligament points,rectus muscle tendon of stocks,shares insi de muscle tendons tendons,bone lateral points,goose foot capsule points as th e needle knife therapy.VAS score and WOMAC score were recorded before tr eatment and 3 days after treatment,respectively,and the therapeutic effects of acupotomology treatment at different treatment points were compared betwee n the two groups.A follow-up visit was conducted 8 weeks after treatment to c ompare VAS score,WOMAC score and recurrence.Meanwhile,the adverse re actions of patients were recorded to evaluate the safety of acupotomology ther apy.Results:1.VAS score:After treatment,VAS score in 2 groups was significantly d ecreased compared with before treatment(P<0.05),and there was no statistica l significance between the observation group and the control group(P>0.05);2.WOMAC score:After treatment,WOMAC score and total score of 2 gr oups were significantly decreased compared with before treatment(P<0.05).E xcept WOMAC daily life score of the observation group was better than that o f the control group(P<0.05),other WOMAC pain,stiffness score and total sco re had no statistical significance between 2 groups(P>0.05).3.Clinical efficacy:After treatment,in the control group,1 case was clini cally controlled,12 cases were significantly effective,15 cases were effective,and 2 cases were ineffective.The total effective rate was 93.3%,and the contr ol significant rate was 43.3%.In the observation group,there were 1 cases of cl inical control,22 cases of remarkable effect,7 cases of effective and 0 cases o f ineffective.The total effective rate was 100%and the control penetrance rate was 76.7%.There was no significant difference in the total effective rate betw een the two groups(P>0.05),but the control screening rate of the observation group was significantly higher than that of the control group(P<0.05).The clin ical efficacy of lumbosacral"V"acupotomolysis was higher than that of acupo tomolysis in the treatment of early-middle KOA.4.Follow-up 8 weeks after the end of treatment:VAS score and WOMA C score were higher in both groups than after treatment(P<0.05),and the cont rol group was significantly higher than the observation group,the difference w as statistically significant(P<0.05);During the follow-up,there were 4 cases o f recurrence in the control group,the recurrence rate was 14.29%,and 1 case i n the observation group,the recurrence rate was 3.33%.The recurrence rate in the observation group was significantly lower than the control group.5.No serious adverse reactions occurred in the two groups during the tre atment process,and both acupotomology treatment methods were safe and fea sible.Conclusion:1.Both lumbosacral"V"type release and local acupotomy release of kne e joint can effectively relieve the pain symptoms and improve the functional a ctivity of knee joint in patients with KOA,and the short-term efficacy of both treatment methods is similar.However,in terms of long-term efficacy,lumbos acral"V"type release is more effective.2.Acupotomology distal point is effective in the treatment of knee osteoa rthritis.It can not only relieve knee pain in the short term,but also improve joi nt function.Moreover,the curative effect is long lasting,the long-term treatme nt effect is good,and there is no obvious adverse reaction,and the safety is hig h,which is worthy of clinical promotion. |
