| Objective :In this study,two different methods were used to treat subacromial bursa（SAB）,mainly by centro-square needling at the Naoshang point and by conventional acupuncture.The changes of the Constant Murley Shoulder Joint and Visual Analog Scale were used to evaluate the effectiveness of centro-square needling at the Naoshang point method as the main treatment,in order to provide a better treatment method for patients with subacromial bursitis.Methods: Using a simple random control method,select data from2020.12-2021.12 on Patients with subacromial bursitis admitted to the outpatient department of acupuncture and moxibustion in Huayuanshan District,Hubei Provincial Hospital of Traditional Chinese Medicine.According to the diagnostic criteria and inclusion criteria,78 patients with subacromial bursitis were randomly divided into groups.For the treatment group（naoshang acupuncture point raising method）and the control group（Conventional acupuncture）,there are 39 cases in each group.The treatment method of the treatment group: the filiform needle firstly pierced the naoshang acupoint,the depth was based on the degree of Needing Sensation,and the upward needling method was adopted.Obliquely puncture the upper,lower,left,and right acupoints of the main needle,respectively,Jianyu,Jianliao,naohui,and Jianyu 3 cun directly below,The tip of the needle faces the naoshang point,2-3 cun deep,the remaining points are routinely acupuncture,and the TDP photo is taken at the same time when the needle is retained.Ejaculation,treatment every other day,3 times a week.2 weeks is a course of treatment,with a total of 2 courses of treatment.Treatment methods for the control group: Select: Jianyu,Jianliao,Jianzhen,Jianqian,Yanglingquan,Ashi points,Conventional acupuncture was used for the above acupoints,the needles were retained for30 min,and the acupuncture was performed for 3 times during the period.Exist Assessment of patients’ shoulder pain visual analogue scale before treatment,2 weeks after treatment,and4 weeks after treatment VAS,CMS and efficacy were used as observation indicators,and further progress was made.Statistical analysis was performed,and then an objective evaluation was made on the overall curative effect comparison.Results 1.Completion of cases in this study: 78 patients met the study criteria after screening according to the inclusion and exclusion criteria.During the process of this trial,1patient voluntarily withdrew from the trial,and 2 patients did not comply with the relevant regulations.After elimination,38 patients in the treatment group and 37 patients in the control group completed the experiment,respectively.2.The basic data of gender,disease location,age,and course of disease were compared between the two groups before treatment,There was no significant discrepancy（P > 0.05）,declarating that the basic information of the two groups were comparable;Comparison of CMS scores,p>0.05,the difference was not statistically significant,indicating that the two groups had similar conditions before treatment and were comparable.3.Comparison of pain improvement between the two groups: after completing the first and second courses of treatment,that is,after 2 weeks and 4 weeks,the VAS scores of all patients in the two groups were compared with those before treatment,p<0.05,indicating that the two groups.The efficacy of the treatment methods in improving the pain symptoms of subacromial bursitis is worthy of recognition.After 2 weeks and 4 weeks of treatment,the treatment group was compared with the control group,respectively,p=0.02,p=0.00,both <0.05,indicating that although both of them are effective in the treatment of subacromial bursitis,the treatment group has more advantages,and the short-term and long-term efficacy of the treatment group were stronger than those of the control group.4.Comparison of the improvement of shoulder joint function between the two groups: after completing the first and second courses of treatment,the CMS score between the two groups was compared with that before treatment,both p < 0.05,indicating that both centro-square needing and ordinary acupuncture can improve shoulder function.Joint function activities.After two weeks of treatment,compared with the control group,p <0.01,indicating that the treatment group has a significant short-term treatment effect compared with the control group,and the treatment group has an advantage.After 4 weeks of treatment,the comparison of the CMS scores between the two groups,p < 0.05,indicating that the long-term efficacy of the treatment group is still better than that of the control group.5.Overall efficacy evaluation: After the treatment,38 cases in the treatment group were cured,26 cases were cured,11 cases were improved,and 1 case was not cured,with a total effective rate of 97.37%;in the control group,17 cases were cured,16 cases were improved,and 4 cases were not cured.The total effective rate was 89.19%.Compared with the two groups,p<0.05,the difference was statistically significant,indicating that the overall curative effect of the treatment group was better than that of the control group.6.Safety evaluation: In the course of this study,one patient in the control group showed slight redness locally due to the proximity of Thermal Design Power irradiation to the skin during the treatment.After adjusting the distance of Thermal Design Power therapeutic instrument,the needle was kept,and finally the treatment was successfully completed.There were no adverse reactions such as needle fainting and needle breakage in the treatment group.This study confirmed that the therapy is safe,reliable and risk-free.Conclusion: When subacromial bursitis occurs,the quality of life is affected.centro-square needling mainly and ordinary acupuncture can improve the shoulder symptoms of subacromial bursitis and relieve the pain of patients.The effect is faster and better,so the method of raising and puncturing the upper acupoint is one of the more effective treatments for clinical treatment of subacromial bursitis,and it is worthy of clinical promotion. |
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