| Objective: To explore the clinical efficacy of warm acupuncture and moxibustion combined with Wuma ointment in the treatment of knee osteoarthritis of cold-dampness obstruction type,so as to provide theoretical support for clinical treatment of cold-dampness obstruction knee osteoarthritis.Methods: According to the inclusion and exclusion criteria,90 patients with cold-damp stagnation knee osteoarthritis treated in the Department of Orthopaedics and Traumatology of Guangxi Orthopaedic Hospital from June 2021 to November 2022 were randomly divided into three groups: tendon focus warm acupuncture group,Wuma ointment hot application group and Combined group of the two.30 patients in each group were treated with basic health education,one course of treatment a week,and two courses of treatment.To evaluate the clinical efficacy and safety of warm acupuncture combined with Wuma ointment in the treatment of cold-damp type knee osteoarthritis by comparing the differences of VAS score,WOMAC score,range of motion of knee joint and TCM syndrome scores before treatment,1 and 2 weeks after treatment,and 2weeks after treatment(follow-up).Results: 1.All patients completed follow-up and none had serious adverse reactions or complications.There was no significant difference in general condition,VAS score,WOMAC score(including pain,stiffness,joint function,total score),range of motion of knee joint and TCM syndrome scores among the three groups before intervention.2.The patients in each group were consistent in the comparative analysis of VAS score and WOMAC score(including pain,stiffness,joint function and total score).(1)intra-group comparison: the VAS scores and WOMAC scores(including pain,stiffness,joint function and total score)of the three groups after 1 and 2 weeks of treatment and 2 weeks after treatment(follow-up)were significantly different from those before treatment.VAS score and WOMAC score(including pain,stiffness,joint function and total score)decreased gradually with the progress of the course of treatment.There was no significant difference in VAS score and WOMAC score(including pain,stiffness,joint function and total score)between the three groups after 2 weeks treatment and 2 weeks after treatment(p > 0.05).(2)comparison between groups: in the comparison between groups after 1 and 2 weeks of treatment and 2 weeks after treatment(follow-up),the scores of VAS and WOMAC(including pain,stiffness,joint function and total score)in the combined group were lower than those in the other two groups(p < 0.05).There was no significant difference between warm acupuncture group and Wuma ointment hot compress group.3.In the comparison of the range of motion of the knee joint in each group,(1)comparison within the group: there were significant differences in the range of motion of the knee joint in the three groups after 1 and 2 weeks of treatment and 2 weeks after treatment(follow-up)(p < 0.05).And the range of motion of the knee joint gradually increased with the progress of the course of treatment(p <0.05).The range of motion of knee joint in the combined group after 2weeks of treatment was not significantly different from that of 2 weeks after treatment(follow-up)(p > 0.05).The range of motion of knee joint at 2 weeks after treatment(follow-up)in the tendon focus warm acupuncture group and Wuma ointment hot application group was lower than that after the second week of treatment(p < 0.05).(2)comparison between groups: in the comparison between groups after 1and 2 weeks of treatment and 2 weeks after treatment(follow-up),the range of motion of knee joint in the combined group was higher than that in the other two groups(p < 0.05).There was no significant difference in curative effect between warm acupuncture group and Wuma ointment hot compress group(p > 0.05).4.In the comparison of TCM syndrome scores of patients in each group,(1)comparison within the group: the TCM syndrome scores of the three groups after 1 and 2 weeks of treatment and 2 weeks after treatment(follow-up)were significantly different from those before treatment(p < 0.05).And with the progress of the course of treatment,the score of TCM symptoms gradually decreased(p < 0.05).The TCM syndrome scores of the three groups after 2 weeks of treatment were compared with those of 2 weeks after treatment(follow-up)(p > 0.05).There was no significant difference between the two groups(p > 0.05).(2)comparison between groups: after the first week of treatment,the TCM syndrome scores of the combined group and the tendon focus warm acupuncture group were better than those of the Wuma ointment hot compress group(p < 0.05).There was no significant difference in the curative effect between the two groups(p > 0.05).After 2 weeks of treatment and 2 weeks after treatment(follow-up),the curative effect of the combined group was significantly better than that of the warm acupuncture group and the Wuma ointment hot application group(p <0.05),and the curative effect of the warm acupuncture group was significantly better than that of the Wuma ointment hot compress group(p < 0.05).5.After two courses of treatment,the total effective rate of the tendon focus warm acupuncture group,the Wuma ointment hot compress group and the two combined group was 93.3%,90%,96.67%,respectively,and there was significant difference between the combined group and the other two groups(p < 0.05).There was no significant difference in the constituent ratio of curative effect between the tendon focus warm acupuncture group and the Wuma ointment hot compress group(p > 0.05).Conclusion: Warm acupuncture and moxibustion combined with Wuma ointment has definite clinical effect in the treatment of cold-damp obstruction knee osteoarthritis,and they have synergistic effect,which can obviously relieve knee joint pain,stiffness and other symptoms.it is worth popularizing and applying in clinic to improve knee joint function,range of motion,TCM symptoms and so on. |
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