Clinical Study On The Treatment Of Knee Osteoarthritis By "Invigorating Spleen And Tonifying Kidney" Acupuncture Combined With Daoyin Exercises

Objective:To observe the clinical efficacy of "invigorating spleen and tonifying kidney" acupuncture combined with Daoyin exercises and simple acupuncture in the treatment of knee osteoarthritis,and scientifically analyze whether there is any difference in the therapeutic effects between the two,and verify the "invigorating spleen and tonifying kidney" acupuncture combined with Daoyin exercises is more effective in the treatment of knee osteoarthritis,and to provide an effective treatment for knee osteoarthritis in the future.Method:A total of 60 patients with knee osteoarthritis from September 2020 to November 2021 in the Department of Rehabilitation and Orthopaedics of Hubei Provincial Hospital of Integrated Chinese and Western Medicine were randomly divided into observation group（n = 30）and control group（n= 30）.The observation group was treated with "invigorating spleen and tonifying kidney" acupuncture combined with Daoyin exercises: the acupuncture of "invigorating spleen and tonifying kidney" took Pishu（bilateral）,Shenshu（bilateral）,Guanyuan,Zusanli,Dubi,Neixiyan,Xuehai,Liangqiu,Yinlingquan and Yanglingquan.Twirling and tonifying therapy was performed after acupuncture at Pishu,Shenshu,Guanyuan and Zusanli,and flat tonifying and relieving therapy was performed after acupuncture at Dubi,Neixieyan,Xuehai,Liangqiu,Yinlingquan and Yanglingquan,all acupoints were performed once every 10 minutes,and the needles were retained for 30 minutes.Daoyin exercises include straight leg raising training,prone and hook leg training,side recumbent leg lifting training,leg swing training.Acupuncture treatment once a day,Daoyin exercises 2 times a day,5 days is a course of treatment,a total of 4 courses of treatment,the interval between each two courses is 2 days.The control group was treated with simple acupuncture,and the acupoint selection,operation method and treatment time were the same as those in the observation group.WOMAC score,VAS score,ROM measurement and SF-36 score were performed in both groups at the time of entering the group and after 4 courses of treatment.The statistical software SPSS26.0 was used to scientifically analyze the changes before and after the evaluation results of each observation index in the two groups,the difference of the evaluation results of each observation index and the difference of clinical curative effect between the two groups.Result:1.There were no statistically significant differences in sex constituent ratio,age,BMI,course of disease,condition（Kellgren ＆ Lawrence grades）,disease site,WOMAC score,VAS score,ROM,and SF-36 score before treatment between the two groups（P>0.05）.2.Comparison of the observation indexes before and after treatment: compared with those before treatment,the WOMAC score and VAS score of the two groups decreased significantly,while the ROM and SF-36 scores increased significantly after treatment,and the differences were statistically significant（P<0.05）.3.Comparison of the observation indexes between both groups after treatment: compared with the control group,the WOMAC score and VAS score decreased more significantly,and the ROM and SF-36 score increased more significantly in the observation group after treatment,and the differences were statistically significant（P<0.05）.4.Comparison of clinical efficacy: the total effective rate of the observation group was 93.33%,including 0 cases cured,7 cases markedly effective,21 cases effective and 2cases ineffective;the total effective rate of the control group was 83.33%,including 0 cases cured,2 cases markedly effective,23 cases effective and 5 cases ineffective.There was no significant difference in the total effective rate between the two groups（P>0.05）,but there was significant difference in the comprehensive effect between the two groups（P<0.05）.5.In the observation group,2 patients developed muscle soreness due to the increase of exercises,which improved after rest,while in the control group,1 patient had mild subcutaneous bruising after acupuncture treatment,and then dissipated spontaneously.There were no serious adverse reactions in both groups.Conclusion:The comprehensive therapy of "invigorating spleen and tonifying kidney" acupuncture combined with Daoyin exercises and simple acupuncture therapy can effectively treat knee osteoarthritis with high safety.In addition,the "invigorating spleen and tonifying kidney" acupuncture combined with Daoyin exercises is superior to simple acupuncture in improving clinical symptoms,joint function and quality of life of patients,which is worth popularizing in clinic.