| ObjectiveIn order to better alleviate postoperative pain in patients with humerus surgical neck, thereby promoting patients with postoperative functional exercise, this topic summarizes the nearly 20 years of floating needle treatment in intervention MTrP pain symptoms literature, understand the development of floating needle therapy and the mechanism of treatment. Given the limitations of humerus surgical neck fracture surgery treatment and acupuncture in the treatment of humerus surgical neck of postoperative pain research mechanism is not yet clear, the effect of floating needle therapy on postoperative pain and the treatment mechanism remains to be further in-depth study. So this topic through the prospectie, randomized controlled trial comparing the floating needle therapy and the traditional cupping therapy for the treatment of humerus surgical neck fracture effect, understand the characteristics of the floating acupuncture treatment and standardize the operation, to discuss the mechanism of postoperative MTrP humerus surgical neck fracture, in order to further clinical application.MethodsThis topic in the literature research part by reviewing related literature in recent years, the understanding of the present situation of the Chinese and western medicine for the treatment of humerus surgical neck fracture surgery and limitations, and discusses the floating needle MTrP therapy intervention research progress in the treatment of pain. Clinical research is divided into prospectie randomized controlled trials, met inclusion and exclusion criteria, a total of 79 patients according to random number table including were randomly divided into control group,42 cases,5 cases were lost to follow-up, floating needle treatment group (37 cases,2 cases were lost to follow-up, a total of 7 cases were lost to follow-up,72 patients as experimental cases included in the statistical research. Two groups of patients were studied in foundation treatment three days, the curative group once a day for 20 minutes at a time, floating needle treatment group 1 time every two days, every 2 to 3 minutes, retaining needle 8 hours, two groups of treatment 2 weeks. Two groups were compared after treatment and 3 months after treatment of VAS score, limb Constant score, the change of MTrP quantity difference.ResultsTwo groups of patients after treatment and 3 months follow-up after treatment of VAS score than before treatment significantly improved (P< 0.05), including floating needle group in VAS score improvement is better than that of electric acupuncture group after treatment (P< 0.05). According to the Constant scoring, the curative group differences between before and after treatment (P< 0.0.5),3 months follow-up after treatment has no obvious difference (P> 0.05); And floating needle group Constant score after treatment than 3 months after treatment (P< 0.05),3 months after treatment function is better than that of before treatment (P< 0.05), needle group after treatment, 3 months follow-up Constant score improvement was superior to electric acupuncture group (P< 0.05). In terms of number of MTrP, cupping groups before treatment, after the comparison (P< 0.05), there are differences, after treatment,3 months follow-up (P> 0.05), no difference. Floating needle treatment group before and after treatment and after treatment and follow-up of 3 months MTrP number comparison (P< 0.05), significant differences; Floating needle group after treatment,3 months follow-up MTrP quantity to improve the level of is better than that of electric acupuncture group (P< 0.05).Cone lusionFloating needle therapy a cupping treatment can effectively improve the function of the humerus surgical neck fracture, short-term curative effect is good, the long-term curative effect needs further research. Floating needle therapy at the same time significantly reduce the amount of MTrP well relieve postoperative pain patients, postoperative function of shoulder joint rehabilitation effect is obvious, and the short-term follow-up curative effect is ideal. Green at the same time due to the floating needle therapy, simple operation, high security, and easily accepted by patients effectively, worthy of clinical orthopaedic surgery application and promotion. |
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