Clinical Study Of Acupuncture In The Treatment Of Knee Osteoarthritis Due To Liver And Kidney Deficiency Based On B-ultrasound Quantification

Objective:In this study,a randomized controlled study was used to compare the clinical effects of acupuncture at lumbar acupoints,local acupuncture and local acupuncture in the treatment of knee osteoarthritis before treatment,14 days after treatment and 28 days after treatment.Methods:The 40 patients included in this study were all from the outpatient department of the Acupuncture Department of Dongzhimen Hospital.The patients were randomly and similarly separated into two groups(test group and control group)by using a random number table method.The treatment method of the experimental group was acupuncture on the waist acupoints+local acupoints,while the control group was local acupoints.In the experimental group,Ashi,Yanglingquan,Yinlingquan,Liangqiu,Xuehai,Zusanli,Jiaji,Ganshu and Shenshu points of L2-L4 were selected,while in the control group,Ashi,Yanglingquan,Yinlingquan,Liangqiu,Xuehai and Zusanli points were choosed.The patient is supine,fully exposed to the acupoints,and after disinfection is completed,the needle is entered in turn,the needle depth is 0.5-0.8 inches and the gas is the degree,the needle was retained for 25 minutes.After 25 minutes,the patient was selected in the prone position,local skin disinfection was performed on the Jiaji point,Ganshu point and Shenshu point of L2-L4,and the needle was inserted in turn.The jiaji point was selected as the level-tonic and level-reducing technique,and the Ganshu point and Shenshu point were supplemented,and the needle was retained for 25 minutes.The operation method of the control group was the same as that of the experimental group in the supine state.Patients in two groups were treated for 28 days,3 times a week.After treatment,using TCM syndrome score to see more patients in the treatment of symptoms,using ultrasound results to see the change of synovial hyperplasia and slippery bursa effusion,and using FPS-R score to compare the pain of patients with the treatment process,objective evaluation of acupuncture acupoints in waist treatment of liver and kidney deficiency type of efficacy and safety of the patients with knee osteoarthritis.Results:1.Comparison within the group(1)Synovial thickness:The difference between the two groups of patients after 28 days of treatment was significantly different from that before treatment.The synovial hyperplasia of the knee joint was significantly relieved(P<0.05)?After 14 days of treatment,compared with before treatment,the experimental group(P>0.05).After 28 days of treatment compared with 14 days of treatment,P>0.05.In the control group,after 14 days of treatment,P>0.05 was compared with before treatment.After 28 days of treatment and 14 days of treatment,P>0.05,there was no statistical significance.(2)Synovial effusion depth:The difference between the experimental group after treatment(14 days and 28 days of treatment)and before treatment was statistically significant(P<0.05),but there was no significant difference between 28 days of treatment and 14 days of treatment(P>0.05);control group treatment After 28 days,compared with before treatment,the difference was statistically significant(P<0.05),In the control group,P>0.05 after 14 days of treatment compared with before treatment.After 28 days of treatment and 14 days of treatment,P>0.05,there was no statistical difference.(3)TCM syndrome scale scores:The comparison between the two groups before and after treatment was statistically significant(P<0.05).(4)FPS-R score:The comparison between the two groups before and after treatment was statistically significant(P<0.05).2.Comparison between groups:(1)After 14 days of treatment,the thickness of the synovial membrane,the depth of bursa effusion and the FPS-R score of the test group were not significantly improved compared with the control group(P>0.05).The scores of the TCM syndrome of the test group were compared with those of the control group,there is a significant improvement(P<0.05).(2)After 28 days of treatment,the synovial thickness,bursa effusion,TCM syndrome scale score and FPS-R score of the experimental group were significantly improved compared with the control group(P<0.05).Conclusion:For the treatment of knee osteoarthritis due to liver and kidney deficiency,acupuncture at waist points+local acupoints is better than simple acupuncture at local acupoints is more effective,which can significantly improve the thickness of synovium,reduce the fluid in the synovial bursa,relieve pain,improve symptoms and significantly improve the living standard.This treatment method of local acupuncture+lumbar acupoints can continue to be popularized and applied in clinical practice.The B-mode ultrasound adopted in this study can clearly analyze the changes of soft tissue in the knee joint of patients,which is worthy of further promotion in clinical application.