| 1 Objective Knee osteoarthritis(Knee osteoarthritis KOA) is a common orthopedic disease, and is a kind of clinical disease, multiple in the elderly population [1]. Survey shows that foreign population under the age of 25 in the incidence of less than 5%, but in 80 years of age more than 90% people have the [2], in Chinese, statistics show: Rural knee osteoarthritis incidence was significantly higher than that of urban, especially with clinical symptoms of [3], in twentieth Century 60, 70 in the world had basic research on osteoarthritis, understanding the pathological changes in a certain extent. But because of its complex pathogenesis, genetic predisposition, diseases related to various parts of the synovial membrane, cartilage and subchondral bone of [4]. The research work once troubled. Therefore, to continue treatment of KOA, has important practical significance. Acupuncture therapy is a kind of nearly thirty years of development of the emerging minimally invasive closed lysis has been confirmed with the release of local soft tissue adhesion, antispasmodic and analgesic effect, but also has the effects of acupuncture, KOA to achieve dynamic balance. Acupotomy operation is convenient, effective, has a great advantage in the treatment of knee osteoarthritis. K-L osteoarthritis score radiologic diagnosis system as the radiological diagnosis of the most popular standard, proposed by Kellgren and Lawrence1957, in 1961 was adopted as the international standard for diagnosis of osteoarthritis, so far in the clinical diagnosis and treatment of classification is widely used in [5], at the same time, with the development of medical technology and improve people’s knowledge on the KOA of the people. Gradually found some deficiencies of the K-L standard, K-L standard and other new radiology standard for evaluation appears [6]. On the basis of the recent development of acupotomology and clinical further research and understanding of the modern medical imaging combined with KOA, the patients belonging to KOA patients were enrolled in the study, the knife under the guidance of the theory of KOA in different stages of X-ray(Kellgren/Lawrence group) were treated in the period after the end of treatment, treatment of the difference before and after the groups and the efficacy of KOA in patients with different stages of x-ray.2 Methods Hospital of orthopedics and traumatology and orthopedics department of Huoqiu County Hospital of traditional Chinese medicine for the diagnosis of knee osteoarthritis and require inpatient and outpatient do acupotomologic therapy as the research object from January 2015 to January 2016 with the Anhui University of traditional Chinese medicine of traditional Chinese medicine and Western medicine, randomly selected 80 patients, using the Kellgren/Lawrence group method for radiological staging, were divided into five groups. The 0 period of stage I and II, III, IV, five. After entering the group to fill out the CRF. The five groups were in the same acupuncture therapy and the therapy once a week for 4 weeks, before and after the treatment, WOMAC knee score table to evaluate patients respectively.3 Results A total of 80 patients entered the study observation, 0 patients entered, 10 cases, 30 cases of group I and group II in 20 cases, 15 cases of group III and IV group of 5 cases, 5 groups were treated and 1 cases in the treatment group I fall off. The knee score before and after treatment were analyzed and evaluated statistically using SPSS20.0 statistical software. Clinical data collection statistical results with the three line table shows, group data scores were compared with t test between groups were compared using single factor analysis of variance between groups, the treatment effect compared with rank test, P<0.05 had significant difference. The results are as follows: five groups of patients with gender distribution, age distribution by statistical analysis: all P > 0.05, no significant difference, comparable; the five groups of patients with duration distribution analysis by X2 test results were: after P<0.05, there was significant difference, with the correlation of knee osteoarthritis patients with disease duration and X-ray the change of common image. Independent samples t test. Comparison of P<0.05 WOAMC score of each group, there was significant difference, indicating compliance with the knee osteoarthritis patients with different stages of X-ray corresponding symptoms and signs of change. The clinical efficacy of the five groups after the analysis and evaluation, group 0, group I, II, III group and IV group, the total efficiency had significant difference(P <0.01), indicating that 0 groups, group I, II, III group is better than the clinical efficacy in group IV; group 0, group I and III groups. The total effective rate was statistically difference(P <0.01), that effect is better than that of group 0, group I group. The integral compared with before treatment, five groups of WOMAC score after treatment were significantly decreased(P <0.01); group I and group II before and after treatment with group III score difference were statistically significant(P <0.01), the remaining two two were not statistically significant comparison.4 Conclusion The statistical analysis and evaluation showed that after Acupotomy a course of treatment, after treatment scores were statistically significant, that Acupotomy has good curative effect in the treatment of osteoarthritis of the knee, but group pairwise comparison suggests the radiological staging for poor treatment effect in patients with stage III and IV with symptoms heavier, so in for acupuncture treatment for knee osteoarthritis can choose(0, I, II) in patients with mild symptoms and radiographic score of the front. In this study, there are still many shortcomings, the small sample size of the study, the treatment method for single needle knife therapy, the lack of long-term follow-up,so in this subject can add some combined treatment, it is necessary to track and observe the long-term curative effect. |
PDF Full Text Request