| Objective:Based on the theory of meridians and tendons,we observe the clinical efficacy of acupotomy on foot-yangming meridian-type KOA,and explore the reasons why acupotomy improves the flexion and extension dysfunction of foot-yangming meridian-type knee osteoarthritis from the perspective of patellar joint mechanics.Provide ideas and methods.Method:From December 2019 to December 2020,92 patients of cases of foot-yangming meridian-type KOA patients who met the diagnostic criteria,inclusion criteria,syndrome differentiation,exclusion criteria and who were hospitalized in the Oncology Department of the Affiliated People’s Hospital of Fujian University of TCM,were collected and divided into test group and control group by random number table method,with 46 cases in each group.Test group: acupotomy treatment+functional exercise+health education;control group: patellar pushing technique+functional exercise+health education.The selection of needle-knife points refers to Dong Baoqiang’s team to summarize the most common meridian lesions(inferior patella,medial tibial condyle,subpatella,external patellar,and Heding sub-compression pain points)of foot-yangming meridian-type knee osteoarthritis.Needle-knife treatment is performed once a week,4 weeks as a course of treatment;patellar pushing manipulation once a day,4 weeks as a course of treatment;patients are instructed to exercise knee function,10-20 times/group,3 groups/day.Before treatment,1 week after the end of the treatment course and 3 months after the end of the treatment course,the two groups of patients were evaluated by WOMAC pain item,stiffness item,and activity function item scores,and the knee joint was also performed before treatment and 3 months after the end of the treatment course.Film and patella axial film to evaluate the improvement of clinical symptoms and changes in the mechanical angle of the patella joint.Use SPSS 21 entry and statistical processing.Result:1.The project actually completed 90 cases,including 45 cases in the test and the control group.There was no statistical difference between the two groups in age,gender,course of disease,knee position and K-L classification were comparable,because the P value was less than 0.05.2.On the Q angle,the patella inclination angle,and the patella coordination angle,the two groups were compared before the treatment and 3 months after the end of the treatment.P values were all less than 0.05,suggesting that the two treatment methods can improve the lower limb force line.Three months after the end of the treatment,the two groups were compared between the two groups.On the Q angle and the patella inclination angle,the P value was less than 0.05,and the patella coordination angle p value was more than 0.05,suggesting that the experimental group is better than the control group in improving the lower limb force line.3.In the WOMAC pain item,stiffness item,and activity function item scores,the two groups were compared with the pre-treatment group 1 week after the end of the treatment course,3 months after the end of the treatment course,and the P values were all less than 0.05,suggesting that both groups can alleviate pain,Improve joint stiffness and joint mobility;the two groups were compared between the two groups 1 week after the end of the treatment course and 3 months after the end of the treatment course.In the WOMAC pain item and the movement function item,the P values were all less than 0.05,indicating that the test group is reducing The effect of pain and improvement of knee joint mobility is better than the control group;in the WOMAC stiffness item,the value of P after the end of the treatment course is less than 0.05,and the value of P after the end of the treatment course is greater than 0.05,suggesting that the test group is in relief in the near future The effect of knee stiffness is better than that of the control group,and there is no significant difference between the two groups in a long period of time.4.In terms of knee mobility,the two groups were compared within the group before treatment and3 months after the end of the treatment,P values were both less than 0.05,suggesting that both groups can effectively improve knee mobility.The two groups were compared between the two groups 3months after the end of the treatment,and the P value was less than 0.05,indicating that the experimental group was better than the control group in improving the knee mobility.5.In the overall efficacy evaluation,3 cases were cured in the test group,20 cases were markedly effective,17 cases were effective,and 5 cases were ineffective.The total effective rate was 88.9%;in the control group,1 case was cured,17 cases were markedly effective,19 cases were effective,and 9cases were ineffective.The efficiency was 80.0%,P is less than 0.05,indicating that the experimental group is better than the control group in treating foot-yangming meridian-type KOA.Conclusion:Based on the theory of meridians and tendons,the needle knife can loosen and unblock the KOA tendon nodes of the foot Yangming meridian and tendon type.The needle knife can effectively improve the mechanical angle of the patellofemoral joint,thereby adjusting the lower limb force line,improving the knee joint flexion and extension function,and effectively reducing KOA The patient’s pain improves the patient’s quality of life,has a significant clinical effect on KOA patients,and provides new ideas and methods for the clinical treatment of KOA with acupotomy. |
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