Clinical Observation Of Xuefu Zhuyu Decoction Combined With Intra-Articular Injection Of Sodium Hyaluronate In Treating Rotator Cuff Injury Of Qi Stagnation And Blood Stasis Type

Objective By observing the improvement of the clinical symptoms,signs and quality of life of patients with Qi stagnation and blood stasis type rotator cuff injury by oral administration of Xuefu Zhuyu Decoction combined with sodium hyaluronate injection,explore the joint cavity injection of Xuefu Zhuyu Decoction combined with sodium hyaluronate Effectiveness of treatment of rotator cuff injury of qi stagnation and blood stasis.MethodFrom January 2020 to December 2021,60 patients with rotator cuff injury of Qi stagnation and blood stasis type who were in the Second Department of Orthopedics and Traumatology in our hospital,30 cases in each group,before treatment The age,gender,course of disease,VAS score and shoulder joint dysfunction index of the two groups of patients were analyzed in turn to eliminate differences.The control group was injected with sodium hyaluronate into the joint cavity once a week for a total of 2 weeks.In the observation group,combined with the injection of sodium hyaluronate into the joint cavity on the basis of oral Chinese medicine granules Xuefu Zhuyu Decoction,the same treatment was carried out for 14 days.After treatment,The overall clinical efficacy and clinical observation indexes of the two groups were statistically analyzed after the end of treatment,respectively,and the differences among the two groups were compared.Results1.There was no significant difference in age,gender,and course of disease between the two groups of patients before treatment(P?0.05),and they were comparable;2.Comparison of VAS pain scores: There was no significant difference in VAS scores of patients before treatment in the statistical analysis group(P?0.05),which was comparable;after treatment,the VAS scores of the two groups of patients were analyzed by variance analysis,indicating that the two groups of patients before and after treatment There are differences,and the difference between the observation group is more obvious;3.Shoulder range of motion: After treatment,the range of motion of shoulder joint abduction,external rotation,and flexion of the two groups of patients were better than those before treatment,so the difference was statistically significant(P<0.05);The improvement of joint abduction,external rotation and flexion range of motion was better than that of the control group,and the difference was statistically significant(P<0.05);4.Overall curative effect evaluation: using Constant-Murley shoulder function score scale(Constant-Murley score,CMS): After treatment,the CMS scores of the two groups were better than those before treatment,so the difference was statistically significant(P<0.05);After treatment,the CMS score of the observation group improved better than that of the control group,and the difference was statistically significant(P<0.05).5.Adverse reactions: The blood routine,biochemical and other laboratory indicators of the two groups of patients before and after treatment were compared,and the results showed no obvious changes.During the medication,there were no adverse reactions such as allergies and gastrointestinal reactions;Conclusion1.Chinese medicine granules Xuefu Zhuyu Decoction can improve the clinical symptoms and signs of rotator cuff injury of Qi stagnation and blood stasis type,and improve the quality of life of patients.2.Sodium hyaluronate injection in the joint cavity can improve the clinical symptoms and signs of rotator cuff injury of Qi stagnation and blood stasis.3.Chinese medicine granules Xuefu Zhuyu Decoction combined with sodium hyaluronate injection in the joint cavity can improve the clinical symptoms and signs of patients with rotator cuff injury of qi stagnation and blood stasis,improve the quality of life of patients,and have more significant curative effects,high safety,and no adverse effects Response,it is worth promoting and using.