Clinical Observation Of Acupoint Electrical Stimulation Combined With Drug Injection In The Treatment Of Frozen Shoulder In Acute Stage

Objective:Observe the clinical effect of the combination of electrical stimulation of acupoints and ultrasound-guided long biceps tendon sheath and acromion bursa on acute frozen shoulder treatment.Methods:1.Select 60 patients who meet the inclusion criteria and randomly divide them into treatment group and control group,30 cases in each group.2.The control group received ultrasound-guided long biceps tendon sheath and acromial bursa bursa injection,while the treatment group received acupoint electrical stimulation combined with ultrasound guided biceps long head tendon sheath and acromion bursa bursa injection.3.Select acupuncture points,acupuncture points and two local Ashi points for electrical stimulation at acupoints,each time for 30 minutes,once every other day,7 times as a course of treatment,a total of a course of treatment.4.The injection analgesic solution is prepared as 4ml:2%lidocaine 1ml+methylcobalamin injection 1ml（0.5mg）+compound betamethasone injection 1ml（7mg）+0.9%sodium chloride injection 1ml;each time two injection points were selected（biceps longus tendon sheath and acromion bursa）,2ml was injected at each injection point,and patients were instructed to rest for 30 minutes after the operation.Both groups were injected once.5.Collect the VAS scores and shoulder joint function scores of the two groups of patients before treatment（T₀）,day 1（T₁）,day 7（T₂）,and day 14（T₃）after treatment,and evaluate at T3 Patient treatment effect.Results:The results of VAS score,shoulder joint function score,and curative effect of the two groups of patients within 14 days are as follows.1.VAS scoringAfter treatment,the VAS scores of both groups of patients decreased.Within the group comparison,the VAS scores of T₁,T₂,and T₃ in both groups were lower than the T₀ score,and the differences were statistically significant（P<0.05）.Among the treatment groups,T₂ was lower than T₁,T₃ was lower than T₂,and the differences were statistically significant Significance（P<0.05）,the comparison of T₂ and T₁ in the control group,T₃ and T₂,the difference was not statistically significant（P>0.05）;the comparison between groups,T₁ two groups VAS score difference was not statistically significant（P>0.05）;T₂,T₃ treatment group VAS score is lower than the control group,the difference is statistically significant（P<0.05）,the treatment group is better than the control group.2.Shoulder joint function scoreAfter treatment,both patients’shoulder joint function scores increased.Within the group comparison,the shoulder joint function scores of T₁,T₂,and T₃ in both groups were higher than the T₀ score,and the differences were statistically significant（P<0.05）.Among them,T₂was higher than T₁ and T₃ was higher than T₂ in the treatment group.Statistically significant（P<0.05）,the control group T₂ compared with T₁,T₃ compared with T₂,the difference was not statistically significant（P>0.05）;between groups,T₁ two groups VAS score difference was not statistically significant（P>0.05）;Shoulder joint function scores of the T₂ and T₃treatment groups were higher than the control group,the difference was statistically significant（P<0.05）,the treatment group was better than the control group.3.Clinical efficacyThe total effective rate of the treatment group was 93.1%,and the total effective rate of the control group was 82.14%.Compared with the two groups,the treatment group was better than the control group,and the difference was statistically significant（P<0.05）.Conclusion:The observation of this study shows that electrical stimulation on acupuncture points can improve the effect of biceps longus tendon sheath and acromion bursa injection on acute frozen shoulder,promote pain relief,further improve shoulder joint mobility and improve dysfunction.Therefore,it is believed that acupoint electrical stimulation combined with biceps long head tendon sheath and acromion bursa injection should be popularized in the treatment of patients with frozen shoulder in the acute phase.