| ObjectiveOur objective was to observe the curative clinical effect of the periarthritis of shoulder (PAS) in the Qi stagnation and Blood stasis type treated by Huoxue Tongbi Decoction, a TCM prescription, combined with" Low-speed functional exercise on shoulder". The paper aims to introduce a safe and effective therapy for this disease by a randomized controlled clinical research method.MethodsPatients in this study were diagnosed of periarthritis of shoulder (The Qi stagnation and Blood stasis type) by doctors of the orthopedic clinic department of the First Affiliated Hospital of Guangzhou University of TCM from February 2015 to November 2015. A total of 90 patients were randomly divided into two groups who were basically treated with "Low-speed functional exercise on shoulder" in a course of four weeks. Addtionly, the treatment group were treated with Huoxue Tongbi Decoction(1 bag/time,1 time/day, before exercise, four weeks for a course). All patients were followed up after four weeks’treatment and again 3 months after the treatment, and we counted recurrence rate for both groups. We observed the daily life ability score, the shoulder joint activity function score, the shoulder joint pain score and the total score of two groups before and after treatment, the newcomer recurrence rate between the two groups within 3 months, and recorded adverse reactions. We used statistical methods for data processing and analysis, measurement data (as mean+standard deviation) by the t test and count data by the chi-square test. The statistical tool is SPSS 19.0. Confidence interval was 95%, so when P<0.05, it represents that the difference is existent, while when P<0.01, it represents that the difference is significant.ResultsAt the end of the study, we collected results of the assessment and follow-up results of the two groups and the two sets of data were statistically analyzed as follows:Firstly, the daily life ability scores of the treatment group before and after treatment were 19.43±2.99 and 31.61±3.97, while those scores of the control group were 19.40±3.05 and 27.43±2.75 respectively. As a result, there is no difference between two groups before treatment. However, after the treatment daily life ability scores of both groups were lower than before. The difference was statistically significant, which showed both treatments can relieve pain. And when the daily life ability scores after treatment were compared between groups, P<0.01, which showed that there was a significant difference and the treatment group can relief disfunction better.Secondly,the shoulder joint activity function scores of treatment group before and after the experimental was 13.24±2.06 and 24.61±5.30 respectively; the scores of the control group were 13.63±2.46 and 20.31±2.73;The shoulder joint activity function scores of the two groups before treatment showed no difference. After treatment, the scores of both groups was lower than before treatment. What’s more, after treatment, there was a significant difference between the two groups in shoulder joint activity function scores. The result is P<0.01, which suggested that treatment group was more significantly improved than the control group.Thirdly, the shoulder pain scores of the treatment group before and after the experimental were 10.23±5.05 and 27.95±7.95, respectively, while the scores of the control group were 9.50±5.04 and 19.77±8.75. As a result, the shoulder pain scores of the two groups showed no difference before treatment, while after treatment, the scores of both groups was lower than before treatment. In addition, after treatment, there was a significant difference in shoulder joint activity function scores between the two groups. Statistical reuslt is P<0.01, which suggested that the two groups of shoulder pain had been released, while treatment group was more significantly improved.Fourthly, the total scores of treatment group before and after the experimental were 42.90±4.82 and 84.18±13.21 respectively, while scores of the control group were 42.79±4.37 and 67.86±11.19. Shoulder pain scores of the two groups before treatment showed no difference, while the scores after treatment of both groups was lower than before treatment. And after treatment, there was a significant difference in shoulder joint activity function scores between the two groups. The result is P<0.01, which suggested that the two groups of shoulder pain had been released, while treatment group was more significantly improved.Fifthly, the total score of the treatment group was 93.18% and that of the control group was 87.50%. By comparison, there was a significant difference in the total efficiency between the two groups, P<0.05, which suggested that efficacythe of treatment group was better than the control treatment groups.Sixthly, the total effective rate of the treatment group was 93.75% and the rate of the control group was 92.50%. By comparison, there was a significant difference in the total efficiency, P<0.05, which indicated that efficacy of the treatment group was better than the control treatment groups.Seventhly, after three months, the recurrence rate of the treatment group was 12.18%, while the rate of the control group was 36.67%. By comparison, P<0.05, which suggested that the test relapse rate of the treatment group was significantly lower than the control group.ConclusionAfter the comparison of scores, we may draw the conclusions of this study:Firstly, the combination of The Huoxue Tongbi Decoction and "Low-speed functional exercise on shoulder" had more advantage in relieving pain and improving function than only using the Low-speed functional exercise on shoulder.Secondly, the comeparation between the recurrence shows a explicit difference, demonstrating that The Huoxue Tongbi Decoction and "Low-speed functional exercise on shoulder" can help to reduce the recurrence than only using exerciseThirdly, The Huoxue Tongbi Decoction plays a simple, effective, economic and safe role in promoting the rehabilitation and reducing the recurrence, so it is worth the further study and promotion. |
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