Place De La MÃ©decine Alternative Et ComplÃ©mentaire Chez Les Patients Gonarthrosiques, Ã€ Propos De 105 Cas Au Congo Brazzaville
Authors: Romaric Ledier Angalla Affleck , Norbert Lamini , HonorÃ© Ntsiba , Ekoya Akoli , KidÃ©dÃ© Chabel Nkouala , Bakale Francina Omboumahou , Anah PrÃ©cieu SalÃ©mo 
Published: February 2021

Objective: To describe characteristics of complementary and alternative medicine (CAM) in patients with knee osteoarthritis. Materials and Methods: A cross-sectional, descriptive, and analytical study was carried out on patients with knee osteoarthritis. This was followed by Rheumatology consultation at the University Hospital of Brazzaville from 2017 to 2018 within a period of one (1) year. The diagnosis of knee osteoarthritis was made European Scientific Journal, ESJ ISSN: 1857-7881 (Print) e - ISSN 1857-7431 January 2021 edition Vol.17, No.3 www.eujournal.org 53 on the basis of ACR 1986 criteria. The elements of the CAM were obtained by questioning the patients. Results: Out of the one hundred and five cases, 101 were female (96.2%) and 4 were male (3.8%). The sex ratio was 0.03. The mean age was 56, 44 +/- 10, 29 years (range 30-80 years). Knee osteoarthritis was bilateral (86.7%), unilateral right (9.5%) and left (3.8%). 68 patients (64.8%) used CAM, 97.1% women and 2.9% men. 77.5% of patients used CAM during the diagnosis, 15.5% before diagnosis, and 7% after. The type of CAM are: massages of essential oils (72%), scarifications (61%), thermal cures (51.5%), phytotherapy (22%), cupitherapy (17.6 %), and acupuncture in 10.3% of cases. 58.2% of patients used CAM to relieve pain, 18.4% to cure, 15.3% to improve function, and 7.1% of cases to reduce the side effects of treatment. Conclusion: Our study reports a great diversity of CAM types used in knee osteoarthritis, which is dominated by essential oils in topical application.
Objectif : Rapporter les caractÃ¨res de la mÃ©decine complÃ©mentaire et alternative (CAM) chez les patients gonarthrosiques. MatÃ©riels et MÃ©thodes : Etude transversale, descriptive et analytique portant sur les patients prÃ©sentant une gonarthrose et suivis en consultation de Rhumatologie au CHU de Brazzaville de 2017 Ã  2018, soit 1 an. Le diagnostic de gonarthrose Ã©tait retenu sur la base des critÃ¨res ACR 1986. Les Ã©lÃ©ments de la CAM ont Ã©tÃ© obtenus par lâ€™interrogatoire des patients. RÃ©sultats : Nous avons inclus cent cinq cas, dont 101 de sexe fÃ©minin (96,2%) et 4 cas de sexe masculin (3,8%). Le sexe ratio Ã©tait de 0,03. Lâ€™Ã¢ge moyen Ã©tait de 56 ,44+/-10 ,29 ans (extrÃªmes European Scientific Journal, ESJ ISSN: 1857-7881 (Print) e - ISSN 1857-7431 January 2021 edition Vol.17, No.3 www.eujournal.org 52 30-80 ans). Le siÃ¨ge de la gonarthrose Ã©tait bilatÃ©ral (86,7%), unilatÃ©ral droit (9,5%) et gauche (3,8%).68 patients (64,8%) ont fait recours Ã  la CAM dont 97,1% des femmes et 2,9% dâ€™hommes. 77,5% des patients ont utilisÃ© la CAM au cours de lâ€™annonce du diagnostic, 15,5% avant le diagnostic et 7% aprÃ¨s. Le type de la CAM Ã©tait : les massages dâ€™huiles essentielles (72%) des cas, les scarifications (61%), les cures thermales (51,5%), la phytothÃ©rapie (22%), la cupitherapie (17,6%) et lâ€™acupuncture dans 10,3% des cas. 58,2% des patients utilisaient la CAM pour soulager la douleur, 18,4% pour guÃ©rir,15,3% pour amÃ©liorer la fonction et 7,1% des cas pour attÃ©nuer les effets secondaires des traitements. Conclusion : Notre Ã©tude rapporte la grande diversitÃ© des types de CAM utilisÃ©s dans la gonarthrose, dominÃ©s par les huiles essentielles en application topique.