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Chinese Journal of Joint Surgery(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (04): 509-513. doi: 10.3877/cma.j.issn.1674-134X.2019.04.021

Special Issue:

• Clinical Experience • Previous Articles     Next Articles

Evaluation of therapeutic effect of timing Chinese medicine and medicine stick massage on knee osteoarthritis

Shixiong Zhuo1, Zhenquan Sun1,()   

  1. 1. Orthopaedic department of Guangzhou Liwan District Orthopedic Hospital, Guangzhou 510140, China
  • Received:2018-08-07 Online:2019-08-01 Published:2019-08-01
  • Contact: Zhenquan Sun
  • About author:
    Corresponding author: Sun Zhenquan, Email:

Abstract:

Objective

To investigate the long-term clinical efficacy of Xiguan Zhenggu academic genre series of timing Chinese medicine and medicine stick massage therapy in 96 cases of moderate knee osteoarthritis.

Methods

A total of 192 patients with moderate knee osteoarthritis admitted to the orthopaedic department of Guangzhou Liwan District Orthopedic Hospital from February 2016 to October 2017 were enrolled, and patients who met the diagnostic criteria for knee osteoarthritis recommended by the American College of Rheumatology in 1995 were included. The patients with severe diseases of heart, cerebrovascular, digestive system, endocrine system and other primary diseases with mental disorders, and the patients with congenital malformation and severe trauma were excluded. The patients were randomly divided into the control group (96 cases)and the observation group (96 cases). The control group were treated with oral non-steroidal anti-inflammatory drug celecoxib capsule. The observation group were treated with Xiguan orthopedic academic genre therapy including regular Chinese medicine and massage. The clinical treatment effect of the two groups was observed. Before and after treatment, the visual analogue score(VAS) and the generic quality of life (GQOL-74) scale were compared. Data were analyzed by Chi-square test or two-way ANOVA.

Results

The total effective rate of the observation group was 93.75%, which was significantly higher than that of the control group (χ2=7.304, P <0.01). The VAS scores of the observation group were significantly lower than those of the control group (t=3.064, P <0.01). After six weeks of treatment, the social function, physiological function, psychological function and material life score of the observation group were significantly better than the control group, the difference was statistically significant (t=3.657, 3.587, 3.789, 3.658, P<0.05) at follow-up. The one-year data also showed that the quality of life in the observation group was also better than that in the control group, and the difference was statistically significant (t=4.826, 4.536, 4.955, 4.789, P<0.05).

Conclusions

For the patients with skeletal osteoarthritis, the principle of treatment used by Xiguan Zhenggu academic genre and Chinese medicine and medicine bar massage therapy is early detection and early treatment. The use of this therapy in the early stages of the disease is effective and can effectively improve the patient's pain, control the delay of the disease, and improve the quality of life of the patient, which is worthy of clinical application.

Key words: Medicine, Chinese traditional, Massage, Osteoarthritis, knee, Treatment outcome, Prognosis

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