A Clinical Controlled Observation Of Ultrasound Guided Brachial Plexus Anesthesia With Manual Relaxation For The Treatment Of Frozen Shoulder

Objective:To compare the difference between phacoemulsification combined with functional exercise and acupuncture and massage combined with functional exercise for the treatment of condensate shoulder under ultrasound-guided brachial plexus anesthesia,and to provide a more powerful basis for the treatment of stagnation by brachial plexus anesthesia.Methods:The subjects were from the patients who were admitted to the inpatient department and outpatient department of the Department of Orthopaedics,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine from May 2018 to February 2019.They were divided into treatment group and control group according to the randomized method of the district group.The treatment group was treated with ultrasound-guided brachial plexus anesthesia with manual release and functional exercise,and the control group was treated with acupuncture and massage combined with functional exercise;Both patients underwent shoulder flexion,extension,abduction,external rotation,posterior extension and internal rotation angle,MPQ and Constant-Murley scores at 0 weeks of treatment,1 day,2 weeks,4 weeks,and 12 weeks after treatment,and a record of patient satisfaction.Statistical analysis was performed using SPSS 24.0 statistical software,and the difference of the test level P<0.05 was statistically significant.Results:Forty-five patients were enrolled in the study,all of which were followed up.No shedding or adverse time occurred.There was no significant difference in the baseline,gender,age,and duration of the patients between the two groups.The difference was not statistically significant(P>0.05).The baseline of the two groups was consistent and comparable.Comparison of overall efficacy:In the experimental group,the cure rate(recovery+markedly effective)was 97.8%,and the control group was cured(recovery+markedly effective)13.3%.The chi-square test was performed on the overall efficacy of the patients between the two groups.The difference between the two groups was statistically significant(?~2=71.148,P<0.05).The chi-square test was performed on the satisfaction of patients between the two groups.The difference between the two groups was statistically significant(?~2=60.116,P<0.05).The PRI values of different visit points after treatment in the treatment group and the control group were statistically significant compared with 0 weeks of treatment(P<0.005).After treatment,the PRI values of each visit point were compared,and the difference was statistically significant(P<0.005).The VAS values of different visit points after treatment in the treatment group were significantly different from those at 0 weeks of treatment(P<0.005).There was no significant difference in the control group after treatment with VAS at 0 weeks(P=0.073>0.05),the difference was statistically significant at 2 weeks,4 weeks,and 12weeks after treatment(P<0.05).After treatment,the VAS values of each visit point were statistically significant(P<0.05).The PPI values of different visit points after treatment in the treatment group were significantly different from those at 0 weeks of treatment(P<0.005).There was no significant difference in PPI between the control group and the 0 week after treatment.=0.148>0.05),the difference was statistically significant at 2 weeks,4 weeks,and 12weeks after treatment compared with 0 weeks of treatment(P<0.05).After treatment,the PPI values of each visit point were statistically significant(P<0.05).The difference between the Constant-Murley scores of different visits and the 0 weeks after treatment in the treatment group was statistically significant(P<0.005);the difference between the control group and the 0-week Constant-Murley score was compared between the treatment and the treatment.There was no statistical significance(P=0.092>0.05).The difference was statistically significant at 2 weeks,4 weeks,and 12weeks after treatment compared with 0 weeks of treatment(P<0.005).After treatment,the Constant-Murley scores were statistically significant(P<0.05).The Wilcoxon signed rank test was used to compare the angles of the shoulder joints before and after treatment in the two groups.The results were expressed as the median.The difference between the treatment points of the treatment group and the control group after treatment was compared with the 0-week shoulder joint.Statistically significant(P<0.05);Mann-Whitney U test was used to compare the two groups.The results were expressed as median.The differences of the shoulder joints between the two groups were statistically significant after treatment.(P<0.05),combined with the rank mean,the treatment group was considered to be superior to the control group in improving the movement of the shoulder joints in all directions.Conclusion:1.Ultrasound-guided brachial plexus anesthesia with manual release and functional exercise for sacral shoulder and acupuncture and massage combined with functional exercise can reduce the pain of strait patients,improve shoulder function,improve the angle of movement of the shoulder joint,shorten the natural course of sphincter,but The former is better than the latter.2.Ultrasound-guided brachial plexus anesthesia is an effective method for the treatment of stagnation.It is effective,safe and practical in the treatment of stagnation.It is improving pain,shoulder function and shortening scapular nature.There are obvious advantages in terms of the course of the disease.