Clinical Observation Of Wentong Jiening Decoction In Treating Periarthritis Of Shoulder Of Cold-dampness Type In Pain Stage

ObjectiveThis study intends to observe the clinical efficacy and safety of Wentong Jiening Decoction in treating periarthritis of shoulder of cold-dampness type,and investigates the effectiveness of Wentong Jiening Decoction in the treatment of periarthritis of shoulder.MethodsThis patients were included from January 2019 to November 2019,and diagnosed with periarthritis of shoulder of cold-dampness type and asked for conservative treatment of traditional Chinese medicine by the Department of Orthopedics,Zhangzhou Hospital of Traditional Chinese Medicine,Fujian University of Traditional Chinese Medicine,and the participants volunteered to participate in the test and signed the informed consent.Generated some numbers and put them into a sealed envelope.According to the order of patients 'admission,random lottery form was adopted to divide into control group and experimental group with 30 cases each..The following treatment were given separately: the control group received basic therapy and took the celecoxib capsules(200 mg each time,once a day),and the experimental group was supplemented with Wentong Jiening Decoction on the basis of the control group,and both groups were treated for 4 weeks.This study recorded and analyzed the two groups of patients before and after treatment with VAS scores,Constant-Murley comprehensive scoring system,peri-articular shoulder inflammation evaluation scale,TCM symptom scores,TCM syndromes efficacy and the disease's curative effect.The collates data were collected and analyzed by using SPSS23.0software.Results1.Pre-treatment evaluation: Compared the VAS scores,the CMS scores,the efficacy evaluation scales of periarthritis of shoulder and the comparison of TCM symptom scores of the two groups before treatment,the differences were not statistically significant(P> 0.05).2.VAS score: Post-treatment: The VAS scores of the two groups after treatment are lower than that before treatment,the differences were statistically significant(P < 0.05).Comparison within the group: The VAS score of experimental group was lower than that of control group,the difference was statistically significant(P < 0.05).3.Constant-Murley Comprehensive Score(CMS): Post-treatment: The scores of pain,ADL and ROM in CMS scores of the two groups were all higher than those before treatment,the differences were statistically significant(P < 0.05).Comparison within the group: The score of experimental group was higher than that of control group,the difference was statistically significant(P < 0.05).4.Efficacy Evaluation Scale for Periarthritis of the Shoulder: Post-treatment: In the efficacy evaluation scale of periarthritis of shoulder joint scores items of two groups,the scores of daily living ability,shoulder joint movement ability and shoulder joint pain were all higher than those before treatment,the differences were statistically significant(P <0.05).Comparison within the group: The score of experimental group was higher than that of control group,the difference was statistically significant(P <0.05).5.TCM syndrome score: Post-treatment: The TCM syndrome scores of two groups were lower than that before treatment,the differences were statistically significant(P <0.05).Comparison within the group: The score of experimental group was lower than that of control group,the difference was statistically significant(P <0.05).6.Results of analysis of efficacy of TCM syndromes:(1)Experimental group: Three cases were cured clinically,eleven cases were markedly effective,thirteen cases were effective,and three cases were ineffective.The total effective rate was 90%.(2)Control group:One case was cured clinically,five cases were markedly effective,eighteen cases were effective and six cases were ineffective,the total effective rate was 80%.There was a significant difference in the efficacy of TCM syndromes after treatment between the two groups,with statistically significant(P <0.05).7.Analysis results of total clinical efficacy:(1)Experimental group: Two cases were cured clinically,ten cases were markedly effective,fourteen cases were effective,and four cases were ineffective.The total effective rate was 86.67%.(2)Control group: One case was cured clinically,four cases were markedly effective,seventeen cases were effective,and eight cases were ineffective.The total effective rate was 73.33%.There was a significant difference in the total efficacy after treatment between the two groups,the comparison was statistically significant(P <0.05).The total effective rate of the experimental group was higher than that of the control group.ConclusionOn the basis of health education and functional exercise,Wentong Jiening Decoction combined with Celecoxib Capsule and oral administration of celecoxib alone both had an ameliorative effect on treating periarthritis of shoulder in the pain stage,and the clinical efficacy of Wentong Jiening Decoction combined with Celecoxib Capsule was better than that of oral administration of celecoxib alone.