|
Objective: the main object of study, observed 60 cases of degenerative arthritis of the knee in patients after treatment after of acupoint application and EA, knee pain and movement disorder symptoms improve clinical degenerative arthritis of the knee treatment options provide the necessary basis. Method: in strict accordance with the inclusion, exclusion criteria, collected 60 cases of degenerative arthritis of the knee were randomly divided into a treatment group of 30 patients in the control group of 30 patients. All of the subjects from the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, acupuncture clinic. Research methods: treatment group, electro-acupuncture therapy combined with acupoint application. The electroacupuncture main point: within the knee eye, lateral geniculate eyes, a sea of ??blood, Yanglingquan Zusanli crane top. Distribution Point: line the paralysis plus wind City, Qu pool; Tongbi increase vertebral; Zhongwan the Bi Qiu Hui; liver and kidney deficiency ACP Creek Sanyinjiao. Operation of the electro-acupuncture: acupuncture points routine disinfection with 1.0-1.5 inch needle fast needle needling depth is generally 1.0-1.5 inch acupuncture gas connected to the electro-acupuncture treatment instrument, using dense wave stimulation intensity to patients feeling comfortable and appropriate, electro-acupuncture stimulation 20 minutes after the needle. Sticking therapy followed by patching drugs to pass through the active Chinese medicine-based, grinding to a fine powder made the mushy side length 2cm 0.5cm thick square sheet against the water, after local points of routine disinfection, with tape Fixed drug in selected acupuncture points. The study points selected Shenshu bilateral Yaoyangguan knee ipsilateral ipsilateral liangqiu; Vital Chi Room bilateral knee Yang Guan ipsilateral Ququan ipsilateral divided into two groups alternately chosen. Sticking time is generally for 4 hours. Treatment three times a week, three weeks continuous treatment. The control group for the electro-acupuncture treatment. Clinical evaluation of indicators insall knee Rating Scale and the Lysholm knee score. Results: 1. Treatment group of 30 patients, 6 males, female 24 cases; ages 43-75 years old, the shortest course in June, and a maximum of 6 years; 30 patients, 6 males and 24 females, age 46-75 years old, the shortest duration of six months, up to eight years. The two groups were no significant differences in gender, age, duration (P gt; 0.05), the samples from the same population, comparable. By t test, evaluation of the efficacy of treatment in both groups before was no significant difference (P gt; 0.05), said that samples from the same population, comparable to synchronize research. 3. Efficacy comparison: degenerative arthritis of the knee 60 patients before and after treatment, according to Lysholm knee score and insall knee rating scale evaluation, the efficacy results of the evaluation show treatment group, clinical cure in 4 cases, accounting for 13.33%, effective 10 cases, accounting for 33.33 %, effective 14 cases, accounting for 46.67%, 2 cases, accounting for 6.67% of the total effective rate was 93.33%; clinical recovery of the control group patients, accounting for 0.00%, effective in 4 cases, accounting for 13.33%, effective in 18 cases, accounting for 60.00% , 8 cases, accounting for 26.67%, the total effective rate was 73.33%. Rank sum test, the efficacy of the treatment group compared with the control group efficacy compare the presence of a significant difference (P lt; 0.05) acupoint application combined with electroacupuncture for treatment of degenerative arthritis of the knee were significantly better than the efficacy of electroacupuncture treatment of the disease. Conclusion: degenerative knee inflammation-prone in the elderly, because the liver and kidney deficiency, blood deficiency basis, resulting in a lack of righteousness, not solid guard outside, feel the wind, cold, wet exogenous pathogens, resulting in meridian Bi resistance, blood runs sluggish, causing the muscles around the knee, the bones and joints pain, numbness, heavy, burning, flexion and extension negative, the very umbrella joint swelling deformation based symptoms. Acupoint application of percutaneous drug absorption regulatory role of the therapeutic effect and meridian points, to eliminate the effect of arthritis, edema, and kidney, strong bones and muscles; electro-acupuncture can promote blood running blood circulation, Tongluozhitong effect. The combination of both the treatment of degenerative arthritis of the knee is more efficacious.
|