Application of Fully High-Frequency Ultrasound Guided “Hanpai Bone Injury” Triple Therapy in Patients with Scapulohumeral Periarthritis and the Effects on Syndrome Scores
To study the application of “Hanpai bone injury” triple therapy in patients with frozen shoulder and the influence on syndrome scores.Methods:A total of 120 cases of scapulohumeral periarthritis admitted to Wuhan Chinese Medicine Hospital from January 2018 to December 2018 were selected as research subjects,and they were divided into an observation group and a control group according to random number table,with 60 cases in each group.The control group was given local pain point block treatment+traditional manual therapy.The observation group was treated with “Hanpai bone injury” triple therapy.The effects of the 2 groups were evaluated after 4 weeks of treatment.The clinical efficacy of the 2 groups and the Constant-Murley shoulder function scores and TCM syndromes scores before and 4 weeks after treatment were compared.The incidence of perioperative complications was calculated.Results:There were significant differences in the efficacy grades between the 2 groups(P<0.05).The total effective rate of the observation group was higher than the control group(P<0.05).There was no difference in the Constant-Murley shoulder function score between the 2 groups before treatment.After treatment,the VAS score,primary syndrome and secondary syndrome scores decreased after treatment(P<0.05).The scores of the observation group were lower than the control group.ADL,ROM and MMT scores of the 2 groups increased significantly(P<0.05),and ADL,ROM and MMT scores of the observation group were higher than the control group(P<0.05).The observation group successfully completed the brachial plexus anesthesia,and one puncture was successful.No serious complications such as shoulder dislocation,sacral neck fracture,etc.occurred in both groups.There were 1 case of postoperative dizziness,1 case of blood pressure abnormal elevation and 1 case of numbness of the affected limbs in the observation group.There were 2 cases of blood pressure elevation in the control group.The differences were not statistically significant(P>0.05).Conclusion:The high-frequency ultrasound guided “Hanpai bone injury” triple therapy for the treatment of scapulohumeral periarthritis is safe,and it is more effective than local pain point block treatment+traditional manipulation.It improves the shoulder function and clinical symptoms of patients with scapulohumeral periarthritis more significantly,and it is worthy of clinical promotion.