Observation On The Curative Effect Of Treating Periarthritis Of Shoulder With Wind And Cold And Dampness Syndrome With Round Needle And Warm Needle Combined With Functional Exercise

Objective:The purpose of this study was to investigate the clinical effectiveness of the combination of round needle and warm needle in the treatment of periarthritis of shoulder caused by wind,cold and dampness by observing the relief of shoulder pain and improvement of shoulder joint function.To explore the new effective treatment of periarthritis of shoulder,constantly optimize the treatment of periarthritis of shoulder,further improve the clinical effect of periarthritis of shoulder,benefit the patients.Methods:To see a doctor in the hospital of hainan province acupuncture and orthopaedic patients with periarthritis of shoulder,conform to the periarthritis of shoulder diagnostic criteria of traditional Chinese medicine and traditional Chinese and western medicine diagnostic criteria,and clear diagnosis of periarthritis of shoulder the wind cold dampness syndrome patients as the research object,selected from 60 cases,according to the medical order by using random Numbers will be 60 patients were randomly assigned to treatment group and control group 30 cases each.During the study,1 case was shed in the control group and no case was shed in the treatment group.Point selection was the same in the two groups.After point selection in the treatment group,round sharp needle and warm needle were used for treatment,while in the control group,millimeter needle and electric needle were used for intervention.Both groups were combined with functional exercise.Formulated by reference to the state administration of traditional Chinese medicine Chinese medicine new medicine clinical research guiding principles in the standard for clinical curative effect on periarthritis of shoulder the determination of total curative effect,using visual analogue scale(VAS)to evaluate the extent of the two groups before and after the treatment of shoulder pain relief,the Constant-Mur ley score(CMS)shoulder function of shoulder joint of motion(ROM),strength(MMT),index of daily life(ADL)three levels of activity of shoulder joint function assessment.The scores of the two groups before and after treatment were compared,and statistical analysis was conducted to compare the clinical efficacy.Results:1.For the comparison of general clinical data,the gender,age,course of disease and pre-treatment shoulder joint VAS score,ROM,MMT and ADL score of the two groups were compared between the groups,and the difference was not statistically significant(P>0.05),indicating that the baselines of the two groups were consistent,with good clinical homogeneity and comparability.2.VAS scores in the two groups decreased significantly after treatment compared with before treatment,and the difference between the two groups was statistically significant(P<0.05),indicating that treatment methods in both groups could effectively relieve shoulder joint pain.However,the treatment group was superior to the control group(P<0.05),indicating that the combination of round needle and warm needle combined with functional exercise had more advantages in relieving shoulder pain.3.ROM,MMT and ADL scores of shoulder joint in the two groups were significantly higher after treatment than before treatment,with statistically significant differences(P<0.05),indicating that both groups could improve shoulder joint function.However,the treatment group was significantly better than the control group(P<0.05),indicating that the round needle was better than the millimeter needle in improving the function of shoulder joint.4.Comparison of clinical efficacy between the two groups:5 cases were cured in the treatment group,16 cases showed obvious effect,7 cases were effective,2 cases were ineffective,and the total effective rate was 93.33%.In the control group,3 cases were cured,10 cases showed obvious effect,8 cases were effective,and 8 cases were ineffective,the total effective rate was 72.4%,the difference was statistically significant(P<0.05),indicating that both groups could effectively alleviate shoulder pain and improve shoulder joint function,but the overall efficacy of the treatment group was significantly better than that of the control group.Conclusion:This topic with warm round the needle combined with functional exercise for treatment group,needles acusector joint functional exercise as the control group,the study shows that two groups have certain clinical curative effect in the treatment of periarthritis of shoulder,can effectively relieve the pain in the shoulder and improve the function of shoulder joint,but the overall efficacy of treatment group is better than that of control group,showed that temperature round the needle joint functional exercise in curative effect more significantly improve the function of shoulder joint pain and activities.