Clinical Research On Acute Periarthritis Of Shoulder With Acupuncture By Jiantong Point

ObjectiveTo evaluate and compare the curative effect and dominance of acupuncture by Jiantong point, on acute periarthritis of shoulder. And to find the best acupuncture prescription of acute periarthritis of shoulder.MethodsNinety cases of acute periarthritis of shoulder were chosen, and divided randomly into Group I (n=30, treated with traditional acupuncture.), Group II (n=30, treated only with Jiantong point.), and GroupIII (n=30, treated with traditional acupuncture plus Jiantong point.)All of them were treated once a day. Seven days was a course. After treated for two courses, they were followed up after the treatment for one month. The main symptoms and physical signs of acute periarthritis of shoulder, the score of MPQ, and the quality of life (WHO QOL-BREF) were compared between the three groups, before and after every course of treatment. The short-term and long-term curative effect was observed. The measurement data was analyzed by t test, and the enumeration data was analyzed by chi-square test.Results1. The general information before treatmentThere were ninety cases with forty-there male and forty-seven female. The youngest was four-five years old, and the eldest was seventy-there years old. All the case of the three groups had no difference of sexuality, age, course of disease and all the index of curative effect.2. The comparison of curative efficacyTreated by two courses, the Group I cured four examples, and six examples had excellent effect, twelve examples had been better, and eight examples had no effect. The Group Ⅱ cured twelve examples, and seven examples had excellent effect, nine examples had been better, and two example had no effect. The Group Ⅲ cured twenty examples, and eight examples had excellent effect, one examples had been better, and one examples had no effect. All the three methods of treatment had good effect on acute per arthritis of shoulder. And the Group Ⅱ and Group Ⅲ had better than Group I, white the Group Ⅲ has the best effect.3. The comparison of shoulder pain assessment (McGill Pain Questionnaire)By statistical analysis, after the three courses treatment, all the patients of the three groups have been greatly improved (P=0.00<0.01) Followed for one month, all the patients’McGill pain Questionnaire score never changes. That means the shoulder pain do not get back yet, all the three methods have a low relapse rate.After the first course treatment, the McGill pain Questionnaire score of the three group has statistically significant difference (P<0.05). Group Ⅲ has the best effect, and the Group Ⅱ has the better effect, white the Group I has a little change of the McGill pain Questionnaire score. So that, we can think that the Jiantong point with balance acupuncture is faster in improving the shoulder pain, than the traditional acupuncture therapy. After the second course treatment, the McGill pain Questionnaire score of the Group Ⅰ has difference, comparing with Group Ⅱ and Group Ⅲ (P<0.01), white Group Ⅱ and Group Ⅲ has no difference in the McGill pain Questionnaire score.4. The comparison of the feeling of the shoulder painIn this research, the patients’feeling of shoulder pain is almost tenderness, swelling pain, and the spasm of referred pain. After the treatment, the three group has no difference in improving the feeling of tenderness, and the feeling of swelling pain(P>0.05). But they have significant difference in releasing the spasm of referred pain(P=0.04<0.05). Group Ⅲ has the best effect, and the Group Ⅱ has the better effect, on releasing the spasm of referred pain.5. The comparison of shoulder joint functionBy statistical analysis, after the three courses treatment, all the patients of the three groups have been greatly improved in the shoulder joint function (P=0.00<0.01). Followed for one month, all the patients’shoulder joint function score never changes. That means the shoulder joint function do not get worse yet, all the three methods have a low relapse rate.After the first course treatment, the shoulder joint function score of the three group has statistically significant difference (P<0.01). Group Ⅲ has the best effect, and the Group Ⅱ has the better effect, white the Group I has a little change of the shoulder joint function score. So that, we can think that the Jiantong point with balance acupuncture is better in improving the shoulder pain, than the traditional acupuncture therapy. After the second course treatment, the shoulder joint function score of the Group I has difference, comparing with Group Ⅱ and Group Ⅲ (P<0.01), white Group Ⅱ and Group Ⅲ has no difference in the shoulder joint function score.6. The comparison of the quality of life (WHO QOL-BREF)All the three groups have remarkable effect on improving the quality of life, by the analysis of the World Health Organization Quality of Life-BREF score (P<0.01). And the result also shows that the score of Group Ⅲ is significantly improved, which has the statistical significant difference. And Group Ⅱ has the better effect on raising the quality of life than Group Ⅰ. ConclusionsAcupuncture has remarkable effect on the acute per arthritis of shoulder, with the balance acupuncture of the Jiantong point having better effect. The balance acupuncture of the Jiantong point plusing the traditional acupuncture can inforce the effect, so we should extend the application of the Jiantong point on curing the acute periarthritis of shoulder.