| Objective:The purpose of this study is to observe the clinical efficacy of acupotomy therapy combined with intra-articular hydraulic perfusion in the treatment of frozen phase of frozen shoulder,compare with the use of acupotomy therapy and intra-articular hydraulic perfusion alone,objectively evaluate the difference in efficacy,and provide a reliable basis for the treatment of frozen phase of frozen shoulder.Methods: A total of 90 patients who met the criteria of this study were randomly divided into three groups: experimental group,control group 1 and control group 2,with 30 patients in each group.The experimental group was treated with acupotomy combined with intra-articular hydraulic perfusion,control group 1 was treated with acupotomy,control group 2 was treated with intra-articular hydraulic perfusion,the treatment of the three groups was once a week,3 weeks as a course of treatment.Visual Analogue Score(VAS)and Constant-Murley shoulder function score(CMS)were used as observation indexes,including pain score,daily functional activity score(ADL),shoulder functional range of motion score(ROM),manual muscle testing(MMT)and the total score.The changes of observation indexes before and after treatment in the three groups were recorded to evaluate the clinical efficacy,and the adverse reactions occurred during the treatment and the recurrence of patients after follow-up were recorded in detail.SPSS 22.0 statistical software was used for data analysis.Results:1.Analyzing a series of data such as gender,age,diseased location and disease course of the three groups of patients,showed that there was no difference between the groups(P>0.05),indicating that the three groups can be compared.2.Before treatment,the VAS scores between the groups were compared,and the result was that there was no significant difference between the three groups(P>0.05),which was comparable.In comparison between groups,the VAS scores of the test group were better than those of the control group after 3 weeks of treatment(P<0.01),but the difference between the control group1 and the control group2 was not significant(P>0.05).Comparison within the groups,the VAS scores of the three groups after treatment compared with those before treatment,they all decreased,and the statistical difference was significant(P<0.01).It shows that these three treatment options can alleviate shoulder joint pain,and the improvement of the experimental group is better than that of the control group,but the treatment effect of the control group1 and the control group2 is similar.3.Before treatment,pain score,ADL score,ROM score,MMT score and total score in Constant-Murley shoulder joint function scale were compared among the three groups,and there was no statistical significance between the three groups after statistical analysis(P>0.05),which was comparable.Comparison between groups,the treatment group after 3 weeks each score was superior to the control group,with significant difference(P<0.01),the control group1 ADL scores,ROM scores,CMS scores increased higher than the control group2(P < 0.05).There was no significant difference in pain score and MMT score between control group1 and control group2(P>0.05).Compared within the group,the scores of the three groups after treatment were better than those before treatment,and the statistical difference was significant(P < 0.01).The results indicated that the three treatments could effectively improve the shoulder function,and the experimental group was better than the control group.The improvement of functional range and daily functional activities of shoulder joint in control group1 was better than that in control group2,but the improvement of pain and muscle strength was similar between control group1 and control group2.4.After 3 weeks of treatment,the efficacy of the three groups was analyzed.The cure rate of the test group was 80.00%,and the total effective rate was 96.67%.In control group1,53.33% of the cases were cured and significantly effective,and the total effective rate was 86.67%.In control group 2,cured and effective cases accounted for 40.00%,and the total effective rate was 80.00%.After statistical analysis of the three groups of data,the difference in efficacy was statistically significant(P<0.01),indicating that the three programs can effectively treat frozen phase of frozen shoulder.Another pairwise comparison showed that the efficacy of the experimental group was higher than that of the control group 1 and the control group2(P<0.05),but the efficacy of the control group1 and the control group2 was similar(P>0.05).5.A total of 77 patients were followed up,including 28 cases in the test group,1 case of recurrence,25 cases in the control group 1,4 cases of recurrence,and 24 cases in the control group 2 and 7 cases of recurrence.The recurrence rate of the three groups was statistically analyzed,and the difference was statistically significant(P<0.05).Another pairwise comparison showed that the recurrence rate of the test group was lower than that of the control group2(P<0.05),and the recurrence rate of the test group and the control group2 was not significantly different from that of the control group1(P>0.05).In terms of adverse reactions,there was needle sickness in all three groups.There were 2 cases in the treatment group,2 cases in the control group1,and 1 case in the control group 2.The analysis may be due to the fact that the treatment time was close to noon and the patients were in a state of fasting,leading to hypoglycemic needling sickness.After the treatment time was advanced,there was no needling sickness,so no statistical analysis was conducted.Conclusion: The data of this study showed that acupotomy combined with intra-articular hydraulic perfusion in the treatment of patients with frozen phase of frozen shoulder has a definite effect,can effectively improve the shoulder pain and joint mobility function of patients,improve the level of muscle strength and quality of daily life,and are better than acupotomy alone or articular cavity hydraulic perfusion,with high safety and low recurrence rate. |
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