The Clinical Study On The Treatment Of Periarthritis Of Shoulder Of Wind-cold-dampness Type With Qufeng Sanhan Lishi Prescription With Functional Exercise

Objective: Through the Qufeng sanhan lishi prescription with functional exercise for the treatment of the wind-cold-damp typecertification of scapulohumeral periarthritis,To observe the curative clinical,and provide a safe and effective treatment scheme with low side effects for the treatment of shoulder periarthritis of wind-cold-dampness type.Methods: Between March 2018 and January 2019,a series of 60 outpatient and resident patients who were diagnosed of the wind-cold-damp typecertification of scapulohumeral periarthritis by doctors of dongge and xianhu hospitai of the First Affiliated Hospital of Guangxi University of Chinese Medicine.According to the simple randomized control method,the patients were divided into experiment group and control group.the experiment group were treated with Qufeng sanhan lishi prescription with functional exercise,in addition,the control group were treated with simple functional exercise,two groups were treated fou four weeks.The Pain Visual Analogue Score(VAS)and Constant-Murley Score(CMS)of the two groups were comprehensively evaluated in two groups before treatment,After two weeks and four weeks of teratment,the clinical efficacy of the two groups was comprehensively evaluated according to the changes of pain visual analogue score(VAS)and Constant-Murley score(CMS)and the evaluation of Chinese medicine efficacy before and after treatment.SPSS 22.0 Statistical Software were used to analysis those experimental data.Rank sum test was used for rank data,chi-square test was used for enumeration data,t-test for measurement data,paired sample t-test for intra-group comparison and independent sample t-test for inter-group comparison.When P<0.05,it represents that the difference has statistical significance.When P < 0.01,it represents that the difference is significant.Results: 1.A total of 60 subjects were included in this study.They were divided into experiment group and control group with 30 cases each.No cases were excluded or excluded during the study,a total of 60 cases were completed.There was no significant difference in gender,location of disease,age,course of disease,VAS score before treatment and CMS score before treatment between the two groups(P > 0.05).2.The VAS scores of the experiment group before treatment,two weeks after teratment and four weeks after teratment were6.60+1.27,3.96±0.92 and 1.26±1.50,while those scores of the control group were 6.40±1.16,4.16±1.64 and 2.56±2.17.The VAS scores of two groups before treatment,two weeks after treatment and four weeks after treatment were tested with paired samples t test,P < 0.05,with statistical significance.3.The CMS Scores of the experiment group before treatment,two weeks after teratment and four weeks after teratment were46.76±8.72,66.60±7.35 and 86.43±7.89,while those scores of the control group were 48.60±6.24,62.90±10.62 and 75.8±14.98.The Constant-Murley Scores of two groups before treatment,two weeks after treatment and four weeks after treatment were tested with paired samples t test,P < 0.05,with statistical significance.4.Two weeks after treatment,there was no significant difference in VAS scores and CMS scores between the two groups,(P > 0.05).Four weeks after treatment,the VAS and CMS scores of the two groups were compared,P < 0.05,the difference was statistically significant.5.Four weeks after treatment,In the experiment group,16 cases were cured,12 cases were markedly effective and 2 cases were effective.The total effective rate was 100%.In the control group,8 cases were cured,12 cases were markedly effective,7 cases were effective and 3 cases were ineffective.The total effective rate was 90%.Statistical analysis showed that the treatment effect of the two groups had statistical significance(P <0.05),indicating that the treatment effect of the experiment group was significantly better than that of the control group.Conclusion: 1.There is no significant difference between Qufeng sanhan lishi prescription with functional exercise and simple functional exercise in treating periarthritis of shoulder of wind-cold-dampness type after two weeks of treatment.From the overall effect,the two treatment schemes have a certain effect.2.After four weeks of treatment,Qufeng sanhan lishi prescription with functional exercise can effectively relieve pain and improve shoulder joint function than simple functional exercise.It is a good,safe and low side effect treatment program,and is worthy of clinical application.3.Simple functional exercise also have a good clinical efficacy in treating shoulder periarthritis of wind-cold-dampness type,which is worthy of popularization and application.