Acupuncture And Baduanjin Combined With Arthroscopic Acromioplasty For The Treatment Of Acromion Impingement Syndrome

Purpose:To explore the clinical effect of acupuncture and moxibustion and Baduanjin combined with shoulder arthroscopic acromioplasty in the treatment of subacromial impingement syndrome.Material and method:From December 2016 to June 2018,30 patients with subacromial impingement syndrome underwent arthroscopic surgery in the Department of Orthopaedics,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine.Among them,there were 10 male patients and 20 female patients,aged 22-62 years,with an average age of 45.93 years.All patients had not received shoulder surgery before.All patients in this study received arthroscopic treatment of shoulder.All the patients were randomly divided into two groups by drawing lots.Group A was the control group,only treated by shoulder arthroscopy.After operation,symptomatic treatment such as anti-inflammation,detumescence,analgesia and routine functional exercise were routinely applied.Group B was the experimental group.In addition to the symptomatic treatment of the control group,acupoint acupuncture was also given after the operation.Lifting,inserting,twisting,reinforcing and reducing manipulation was performed.After getting qi,the needle was retained for 20 minutes twice a day for 15 days.Cooperate with Baduanjin kongfu exercises,once in the morning and once in the evening,10 groups at a time.Constant score and UCLA score were used to evaluate the pain and function of patients before operation,4 weeks and 12 weeks after operation,and statistical analysis was carried out.Results:1.All 30 patients were followed up at the 4th and 12 th weeks after operation.2.In group A(control group),UCLA score was(15.80 +1.78)preoperatively,(29.02 +1.18)4 weeks postoperatively,and(34.40 +0.51)12 weeks postoperatively.The Constant score was(65.73 + 6.82)preoperatively,(89.87 + 2.77)4 weeks postoperatively and(97.27 + 1.79)12weeks postoperatively.Group B(experimental group): UCLA score was(15.67 +2.09)preoperatively,(31.47+1.60)at 4 weeks postoperatively and(34.67 +0.49)at 12 weeks postoperatively.The Constant score was(65.47 + 6.66)before operation,(93.40 + 2.74)at 4 weeks after operation and(97.47 + 1.40)at 12 weeks after operation.The clinical symptoms and motor function of shoulder joint in the control group and the experimental group were significantly improved.The early recovery effect of group B(experimental group)was significantly better than that of group A(control group),with significant statistical significance(P < 0.05);however,according to the data score of 12 weeks,there was no significant difference between group A and group B(P > 0.05),and there was no difference between group A and group B(P > 0.05).It has statistical significance.Conclusion:1.The early therapeutic effect of shoulder arthroscopic surgery combined with acupuncture and moxibustion and Baduanjin kongfu method group is better than that of simple shoulder arthroscopic surgery combined with routine surgery and functional exercise.2.Combined use can not only effectively alleviate discomfort symptoms,but also accelerate the recovery of clinical effect,effectively alleviate the pain caused by the disease,improve the quality of life of patients.