| Objective: To compare the short-term clinical efficacy of the traditional Chinese medicine Shentong Zhuyu Decoction combined with Wei’s Manipulation and Celecoxib plus Wei’s Manipulation in the treatment of patients with Qi stagnation and blood stasis patella instability.Methods:This subject refers to the principle of randomization in clinical trials.The cases are from Ruikang Hospital,Guangxi University of Traditional Chinese Medicine.from March 2019 to March 2021 and meet the inclusion criteria.60 outpatient and inpatient patients with qi stagnation and blood stasis patella instability screened by exclusion criteria will be randomly divided into treatments 30 cases in the group and 30 cases in the control group.The treatment group was treated with Shentong Zhuyu Decoction plus Wechsler’s Manipulation.One sachet of Shentong Zhuyu Decoction a day was taken twice in the morning and evening,half an hour after meals,and Webster’s Manipulation once every 2 days;the control group was treated with Weichsler Manipulation.Combined with celecoxib capsules orally;the above treatment was continued for 3 weeks.One case was finally dropped,59 cases were included,29 cases in the treatment group and 30 cases in the control group.After 3 weeks of treatment,the observation indexes were evaluated and recorded.The data obtained was processed with SPSS25.0 statistical software,and the overall efficacy of the two groups of patients after treatment was compared.Results:(1)The two groups of patients were statistically analyzed for the age,gender,location of disease,course of disease,body mass index,VAS score,knee Lysholm score,knee range of motion,Q angle,patella index and other indicators before treatment,P>0.05,The difference is not statistically significant and comparable;(2)After the treatment,the two groups of patients achieved good clinical effects.The paired T-test before and after treatment was compared: VAS score,knee joint range of motion,knee joint score were significantly better than before treatment(P<0.05);Q There was no significant difference between the horn and patella index before treatment(P>0.05),and the change was not obvious.(3)Comparison of various clinical observation indexes after treatment in the two groups:(1)VAS score: There was no statistical difference between the two groups after treatment(P>0.05),indicating that there was no significant difference in pain relief between the two groups.(2)Lysholm score: The score of the treatment group was higher than that of the control group(P<0.05),and the difference was statistically significant,indicating that the treatment measures of the treatment group were better than the control group in terms of improving knee joint function.(3)Knee range of motion: The range of motion of the treatment group was higher than that of the control group(P<0.05),and the difference was statistically significant,indicating that the treatment group had better measures to improve the range of knee motion,which was better than the control group.(4)Q angle: Comparison of Q angle between the two groups of patients after treatment,there was no statistical difference between the two groups(P>0.05).(5)Patella index: Comparison of patella index between the two groups of patients after treatment,there was no statistical difference between the two groups(P>0.05).(6)Comparison of overall effective rate: The total effective rate in the treatment group was 89%,and the total effective rate in the control group was73%.There was no statistically significant difference in the quantitative scores of clinical symptoms between the two groups(P>0.05).It can be seen that the short-term efficacy of the treatment group and the control group is not significantly different,and the difference is not big.Conclusions: 1.The two groups of patients with qi stagnation and blood stasis type patellar instability have significant effects in relieving pain symptoms and improving knee function scores,but the combination of Shentong Zhuyu Decoction combined with Wechsler’s manipulation is better than celecoxib combined Webster’s Manipulative Therapy. 2.Shentong Zhuyu Decoction combined with Webster’s Manipulation is better than Celecoxib combined with Webster’s Manipulation in improving knee mobility,although the patellar index and Q angle are not significantly changed.The short-term total effective rate of Shentong Zhuyu Decoction combined with Webster’s Manipulation and Celecoxib combined with Webster’s Manipulation is roughly the same,and the Chinese medicine group is better than the Western medicine group. 3.The combination of Shentong Zhuyu Decoction and Webster’s Manipulation in the treatment of patients with qi stagnation and blood stasis type patella instability has obvious results in the short-term treatment,high safety,and no obvious adverse reactions.It is worthy of further clinical research and promotion. |
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