The Curative Clinical Observation Of Prometaphase Knee Osteoarthritis By The Fu’s Subcutaneous Needling Combined With The "Muscles-bones Balance" Manipulation

Objective:To observe the clinical effect of the Fu’s subcutaneous needling combined with the "muscles-bones balance" manipulation in the treatment of prometaphase knee osteoarthritis(KOA),and to provide clinical evidence for the Fu’s subcutaneous needling combined with the“muscles-bones balance” manipulation in the treatment of KOA.Methods:In this study,a total of 70 patients with prometaphase KOA who met the inclusion criteria and were admitted to the clinic of pain management in Zhengzhou Orthopaedic Hospital from december 2018 to october 2019 were selected.Patients will be divided ramdomly into the control group and the treatment group,35 cases in each group.The control group was given the “muscles-bones balance” manipulation therapy alone which was started on the first day after enrollment,and then treated once every 2 days,a course of 7 times.The treatment group was treated with the Fu’s subcutaneous needling combined with the “muscles-bones balance”manipulation.In the treatment group,the “muscles-bones balance”manipulation treatment same as the control group,and the Fu’s subcutaneous needling treatment was started on the second day after enrollment,and was treated once every other day for a course of 7 times.The VAS score,WOMAC-score(WOMAC-pain,WOMAC-stiffness,WOMAC-function)and adverse reactions of the two groups was evaluated before and after treatment.In addition,the clinical symptoms of patients was followed up in 1 month after treatment.The clinical effectiveness was calculated according to WOMAC-score.In the study,SPSS25.0 software was used to analyze the data of each index,and evaluated the clinical efficacy from a statistical perspective.Results:There are 70 cases of KOA incorporated in this study.7 cases were lost,and 2 cases removed,finally 61 cases were finally completed.(1)After treatment,the VAS score,WOMAC-score,WOMAC-pain,and WOMAC-function of the control group were higher than those of the treatment group(P<0.05),but the WOMAC-stiffness was comparable to that of the treatment group(P>0.05);(2)After treatment,the VAS score,WOMAC-score,WOMAC-pain,and WOMAC-function of the control group were higher than those of the treatment group(P<0.05);While the D-value(before and after treatment)of those of the control group were lower than the treatment group(P<0.05);(3)After treatment,the WOMAC-stiffness score and D-value(before and after treatment)of the control group of was comparable to the treatment group(P>0.05);(4)Compared after and 1 month after treatment.the VAS score,WOMAC-score,WOMAC-pain,and WOMAC-function of the control group increased(P<0.05),but the WOMAC-stiffness was comparable(P>0.05);while the treatment group’s VAS score,WOMAC-score,WOMAC-pain,WOMAC-function and WOMAC-stiffness were all comparable(P>0.05).(5)Observation of adverse reactions: During the treatment,no serious adverse reactions occurred in two groups;(6)Comparison of curative effect: After treatment,the control group was cured in 4 case(10.8%),improved in 26 cases(70.3%),ineffective in 7cases(18.9%),the total effective number was 30(81.1%);the treatment group was 10 cases were cured(28.6%),23 cases improved(65.7%),ineffective 2 cases(5.7%),33 cases were effective(94.3%).According to rank sum test,the total effective rate of the treatment group was higher than that of the control group(P<0.05).Conclusions(1)Both the treatment of the Fu’s subcutaneous needling combined with the “muscles-bones balance” manipulation and the “muscles-bones balance”manipulation alone for prometaphase KOA have soft and clinical efficacy in relieving symptoms and improving patient’s living ability;(2)The Fu’s subcutaneous needling combined with the “muscles-bones balance” manipulation for the “muscles-bones balance” manipulation alone,it is better in alleviating the symptoms of knee pain,improving the daily functional activities of knees in prometaphase KOA,and the clinical effect is more durable in the short term;(3)The therapy of the Fu’s subcutaneous needling combined with the“muscles-bones balance” manipulation for the “muscles-bones balance”manipulation alone has no obvious advantage in alleviating the symptoms of joint stiffness in prometaphase KOA.