| ObjectivesFrozen shoulder is a common basic clinical of pain, shoulder movement disorder. Its incidence more females than males, belong to the scope of TCM "Arthralgia", occurs in about50years of age in the elderly. Common in patients with shoulder stiffness and the case of thermal pain reduction, the case of cold pain increased, night pain, severe and so on. This topic with a "C" shaped needle knife overall lysis treatment of frozen shoulder, on the basis of clinical observations, the detection of serum interleukin factor-6(IL-6), interleukin-factor-10(IL-10) and tumor necrosis factor-α (TNF-α) content, and to explore the mechanism of the "C" shaped needle knife overall lysis treatment of frozen shoulder, to provide the experimental basis for acupuncture therapy of this disease.Methods80patients were Hubei University of Chinese Medicine outpatient the Guo Yi Tang acupotomology Branch, are in line with the frozen shoulder diagnostic criteria developed by the State Administration of Traditional. According to the doctor the order, check the random number table,80cases were randomly divided into observation group and control group,40cases in each group. The treatment group "C" shaped needle knife overall lysis treatment,1treatment every7days, were treated three times. The control group were treated with massage therapy, treatment times/day for six consecutive times for a course of treatment, rest one day between the two courses. Observation period of two weeks, respectively, before treatment, and fifth weekend of the observations of measurement to observe the improvement in clinical efficacy, the main symptoms and signs in the two groups after treatment, serum IL-6, IL-10and TNF-a content changes, and for comparison.Results1.40cases in the observation group,34cases of cure,85.0percent; effective in four cases, accounting for0.0%; effective one cases, accounting for2.5%; and1case,2.5%; total efficiency of97.5%. Control group of40cases,24cases cured, accounting for60.0%; effective in5cases (12.5%); effective four cases, accounting for10.0%;7cases, accounting for7.5%; the total efficiency of825%. Groups Statistically, significant differences (P<0.05). Constant-Murley shoulder score, before and after treatment within the group, after statistical processing showed significant differences (P<0.01). Observation group and control group between the two groups in the project of "pain","daily activities" Statistically, a highly significant difference (P<0.01); other assessment projects with Total Project significant difference (P<0.05). Indicate that the clinical effects of the treatment group than the control group.2. Serum IL-6, IL-10and TNF-α levels of impact:After treatment, the serum IL-6, IL-10and TNF-α levels showed a downward trend, and close to a normal level, compared with before treatment, very significant difference (P<0.01). That the treatment group balance in patients with serum IL-6, IL-10and TNF-a content.Conclusions1."C" shaped needle knife overall lysis treatment of frozen shoulder, can significantly improve the clinical symptoms and signs of frozen shoulder, were significantly better than the control group.2."C" shaped needle knife overall lysis treatment can make the frozen shoulder in patients with serum IL-6, of IL-10and TNF-a to restore balance, alleviate the inflammatory response of the shoulder joint, thus improving the nutrition and metabolism of the shoulder joint, to cure the purpose of the frozen shoulder.3. Clinical practice shows that overall, needle knife lysis for treatment of periarthritis of shoulder with good curative effect, high cure rate, for frozen shoulder treatment provides a new thinking and new method, is worth the clinical promoted application. |
