Clinical Observation On Treatment Of Acupotomy With Blood-Letting Therapy For Adhesive Capsulitis Of Shoulder Based On "Theory Of Organs Functioning Well When Unobstructed"

Objective Through the scale and muscle bone ultrasound,observe the clinical effect of "Theory of Organs Functioning Well When Unobstructed" guiding acupotomy combined with bloodletting in the treatment of adhesive capsulitis of shoulder(ACS),seek a more efficient treatment scheme for the treatment of ACS and provide clinical basis for the diversified treatment of traditional Chinese medicine.Methods66 patients with ACS who met the inclusion criteria were randomly divided into two groups.33 cases in the control group were acupotomy group and 33 cases in the treatment group were acupotomy combined with bloodletting group.They were treated once a week and four weeks as a course of treatment.Both groups were combined with routine acupuncture treatment and functional exercise.The thickness of coracohumeral ligament(CHL)on the healthy side and the affected side were measured by ultrasound.The pain visual analogue score(VAS),shoulder range of motion(ROM),activity of daily living score(ADL)and the thickness of CHL on the affected side were observed and recorded before and 1 day after the first treatment,and compared before and after treatment long head of biceps tendon(LHBT)with and without effusion.SPSS 25.0 software was used for statistical analysis of data.ResultsThere were 33 cases in the treatment group,and 32 cases were finally completed after being eliminated and dropped out;33 cases were included in the control group,and 31 cases were finally completed after being eliminated and dropped out.1.There were no significant differences in baseline data,CHL thickness before treatment,LHBT tendon effusion display rate,VAS score,ROM score and ADL score between the two groups(P>0.05).2.CHL thickness of the healthy side and the affected side before and after treatment: the CHL thickness of the affected side before treatment was thicker than that of the healthy side in both groups(P<0.01);After treatment,the thickness of CHL on the affected side was thicker than that on the healthy side in both groups(P<0.01);3.CHL thickness after treatment: CHL thickness in both groups was lower after treatment than before(P<0.01);The CHL thickness in the treatment group was lower than that in the control group(P<0.05).4.The rate of LHBT tendon effusion after treatment: the rate of LHBT tendon effusion after treatment in the treatment group was lower than that in the control group(P<0.05).5.VAS score after treatment: VAS score in both groups decreased after treatment compared with before treatment(P<0.01);The VAS score of the treatment group was lower than that of the control group(P<0.05).6.ROM score after treatment: ROM score of 2 groups after treatment was higher than that before treatment(P<0.01);The ROM score of the treatment group was higher than that of the control group(P<0.05).7.ADL score after treatment: AFTER treatment,ADL score of 2 groups was higher than that before treatment(P<0.01);The ADL score of the treatment group was higher than that of the control group(P<0.05).8.Clinical efficacy evaluation results: after treatment,the total effective rate of the treatment group was 100.00%,and that of the control group was 90.32%.There was significant difference between the two groups(P<0.05).Conclusions1.Acupotomy combined with bloodletting can effectively improve CHL thickening and LHBT tendon sheath effusion in ACS patients,and the effect is superior to acupotomy alone.2.Acupotomy combined with bloodletting can effectively improve the pain,shoulder mobility disorder and quality of life of ACS patients,and the effect is better than acupotomy alone.