| Objective:To compare the therapeutic effect of Celecoxib capsule combined with self-manipulation on scapulohumeral periarthritis due to deficiency of qi and blood with Huangqi Guizhi Wuwu decoction combined with self-manipulation.To evaluate the clinical effect of Huangqi Guizhi Wuwu decoction combined with self-manipulation on scapulohumeral periarthritis by observing the pain visual analog score(VAS score),shoulder joint mobility score(Melle score)and TCM syndrome curative effect before and after treatment,and to supply clinical treatment with theoretical basis.Methods:A total of 50 patients with scapulohumeral periarthritis of deficiency of qi and blood diagnosed in the orthopaedic clinic of Jiangsu Provincial Hospital of Traditional Chinese Medicine from February 2019 to December 2019 were selected and finally included.According to the computer random number table method is divided into treatment group,control group 25 cases.The treatment group was treated with Huangqi Guizhi Wuwu decoction combined with self-manipulation therapy,while the control group was treated with Celecoxib capsule combined with self-manipulation therapy.VAS score and Melle score of patients were evaluated before treatment,1 week after treatment,2 weeks after treatment and 4 weeks after treatment respectively,and the curative effect of TCM syndromes of patients was evaluated after 4 weeks of treatment.SPSS25.0 was used for statistical treatment and analysis of various indexes.Results:(1)basic data:before taking the medicine,there was no statistical difference in gender,age,shoulder position and course of disease between the two groups(P>0.05),which was comparable.(2)VAS score:there was no significant difference in VAS score between the two groups before treatment(P>0.05),which was comparable.Comparison between groups:after 1 week of treatment,the VAS score of the control group was lower than that of the treatment group,the difference was statistically significant(P<0.05),indicating that the pain in the control group was improved more obviously after 1 week of treatment;after 2 weeks of treatment,there was no significant difference in VAS scores between the treatment group and the control group(P>0.05),indicating that the two groups had the same effect on pain improvement after 2 weeks of treatment;after 4 weeks of treatment,the VAS score of the treatment group was lower than that of the control group,with statistically significant difference(P<0.05),indicating that after 4 weeks of treatment,the treatment group has better effect in improving pain than the control group.Intra-group comparison:after intra-group comparison,the VAS scores of each recorded time point of the two groups of patients were found:the VAS scores of each group after 1 week,2 weeks and 4 weeks of treatment were all lower than their pre-treatment VAS scores,the VAS scores of each group after 2 weeks and 4 weeks of treatment were all lower than their VAS scores after 1 week of treatment,the VAS scores of each group after 4 weeks of treatment were all lower than their VAS scores after 2 weeks of treatment,the difference in the above intra-group comparison was statistically significant(P<0.01),which showed that the two schemes had significant analgesic effects,and the pain degree of the two groups of patients was significantly improved with continuous treatment.(3)Melle score:there was no significant difference in Melle score between the two groups before treatment(P>0.05),which was comparable.Inter-group comparison:after 1 week of treatment,the Melle score of the control group was lower than that of the treatment group,and the difference was statistically significant(P<0.01),indicating that the shoulder joint activity of the control group was significantly improved compared with the treatment group after 1 week of treatment;after 2 weeks of treatment,there was no significant difference in Melle between the treatment group and the control group(P>0.05),indicating that there was no significant difference in improvement degree of shoulder joint activity between the two groups after 2 weeks of treatment,and the curative effects of the two groups were equivalent;after 4 weeks of treatment,the Melle score of the treatment group was lower than that of the control group,and the difference was statistically significant(P<0.05),indicating that the treatment group is better than the control group in improving shoulder joint activity after 4 weeks of treatment Intra-group comparison:after intra-group comparison,the Melle score of each recorded time point of the two groups of patients found that the Melle score of each group after 1 week,2 weeks and 4 weeks of treatment was less than the Melle score before treatment,the Melle score of each group after 2 weeks and 4 weeks of treatment was less than the Melle score after 1 week of treatment,and the Melle score of each group after 4 weeks of treatment was less than the Melle score after 2 weeks of treatment,the differences in the above groups have significant statistical significance(P<0.01),which shows that the two therapeutic schemes have significant effects in improving shoulder joint mobility,and the improvement effect becomes more and more obvious with the treatment.(4)TCM syndrome curative effect:after 4 weeks of treatment,the treatment group cured 9 cases,improved 14 cases and failed to cure 2 cases,with a total effective rate of 92%;In the control group,5 cases were cured,16 cases were improved,and 4 cases were not cured.The total effective rate was 84%.The curative effects of the two groups were statistically analyzed and showed no statistical significance(P>0.05),indicating that the curative effects of the two groups in terms of TCM syndromes were equivalent and there was no significant difference.Conclusion:Huangqi Guizhi Wuwu Decoction combined with self-manipulation and Celecoxib capsule combined with self-manipulation have significant clinical effects in treating scapulohumeral periarthritis due to deficiency of qi and blood,both of which can effectively relieve pain and improve shoulder joint activity of patients.With the deepening of treatment,Huangqi Guizhi Wuwu Decoction combined with self-manipulation can improve the symptoms of patients more obviously.In addition,Huangqi Guizhi Wuwu Decoction combined with self-manipulation group has better safety.Therefore,Huangqi Guizhi Wuwu Decoction combined with self-manipulation in the treatment of scapulohumeral periarthritis due to deficiency of qi and blood has definite clinical effect and high safety,which is worthy of clinical application and promotion on the basis of syndrome differentiation. |
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