| ObjectiveThis study was to observe the clinical curative effect on treating knee osteoarthritis of the Fu’s Subcutaneous Needling(F-SN)combined with training of musculus quadriceps femoris.Compared with electric acupuncture combined with training of musculus quadriceps femoris,this study took visual analogue score(VAS),Lysholm score as the observation indexes,to explore the efficacy and diff’erences of two groups,discuss the advantages of FSN combined with training of musculus quadriceps femoris and provide more clinical evidences of using this moxibustion therapy.MethodsBy means of randomized control led clinical study,60 cases of knee osteoarthritis patients meeting the diagnostic criteria of traditional Chinese and western medicine were divided into experimental group and control group,30 cases in each group.The control group was treated with electric acupuncture combined with quadriceps femoris traini ng,while the experimental group was treated with floating acupuncture combined with quadriceps femoris training.The patients in both groups were treated 3 times a week and once every other day for a total of 4 weeks.The changes in the visual analogue(VAS)score and knee Lysholm score of the patients before treatment,after the first treatment,after the last treatment and the follow-up of 1 month and 3 months were observed.SPSS 21.0 statistical software was used for data processing,and the clinical efficacy of the experimental group and the control group were compared according to the statistical results.Finally,analysis,discussion and summary were conducted.Results1.Comparison of baseline data:there was no statistically significant differences(P>0.05)between the experimental group and the control group in gender,age(year),course of disease(month),VAS and Lysholm score before the treatment.2.Comparison of VAS:after the first treatment,after the last treatment,and at 1 and 3 months of follow-up,VAS of both groups were lower than those before treatment,and the differences with statistically significant difference between the two groups(P<0.05).The differences of VAS after the first treatment,after the last treatment,and after 1 and 3 months of follow-up were both significantly higher in the treatment group than in the control group,which was statistically significant(P<0.05).It showed showed that both groups could relieve the knee joint pain of patients,and the experimental group had significant advantages in the first,short-term and long-term effects,and the degree of pain relief was more obvious.3.Comparison of Lysholm scores:after the last treatment,and after 1 and 3 months of follow-up,Lysholm scores were higher than compared with those before treatment,that of the situation before treatment,and the difference in the group was statistically significant(P<.05).Lysholm scores of the two groups after the last treatment and follow-up of 1 month and 3 months were compared,the experimental group was significantly better than the control group,and the difference was statistically significant(P<0.05).It showed that both groups could improve the patients’ knee function,while the experimental group had more obvious short-term effect and better long-term effect.4.Comparison of clinical efficacy:the total effective rate of the experimental group after the last treatment was up to 93.33%,and that of the control group was up to 80.00%.The difference in clinical efficacy between the two groups after treatment was statistically significant(P<0.05).In experimental group,the total effective rate of clinical effieacy reached 90.00%and 80.00%after 1 and 3 months of following-up,and 66.67%and 53.33%in control group,which were statistically significant(P<0.05).It showed that the experimental group had better short-term and long-term clinical efficacy than the control group.5.Comparison of the total of cured patients:11 people,treatment group cure patients cured by 1-3 times of the patients have 1 person,cured by 4-6 times of three people,cured by 7-9 times of four people,cured by 10-12 times of three people,and the control group clinical cure patients,three people were cured by 10-12 times,through independent sample rank and inspection,similar between the two groups have statistical significance(P<0.05).ConclusionThe study found that both group had good short-term clinical efficacy.But the short-term curative effect and long-term effect of experimental group were superior to that of the control group,and the pain-relief after treatment was significantly,for the first time in the cured patients treatment also significantly less than the control group,the total number of FSN that not only in pain relief and improve the function of knee has the characteristics of fast and efficient,also have more advantages in the aspect of maintaining the long-term curative effect,and has reduced the treatment times,saving the cost of medical treatment,is worth popularizing in clinical and further in-depth study. |
