Analysis Of Chaihu Guizhi Decoction In Neck And Shoulder Myofascial Pain Syndrome Clinical Efficacy

Objective:In this subject,the analysis and evaluation of Chaihu Guizhi Decoction’s clinical efficacy in the treatment of Neck-shoulder myofascial pain syndrome were studied to provide a clinical basis and ideas for the treatment of this disease.Method:70 patients,with neck-shoulder myofascial pain syndrome who visited the outpatient service from January 2021 to December 2021 at Zhangzhou Traditional Chinese Medicine Hospital affiliated to Fujian University of Traditional Chinese Medicine and qualified the criteria of this study,were selected and then divided into two groups equally using a random number table: the control group was treated with acupuncture + health educational treatment and the experimental group was treated with acupuncture + health educational treatment +oral Chaihu Guizhi Decoction.Patients in both groups were treated for 2 weeks.The McGill Pain Questionnaire and Chronic Soft Tissue Injury Rating Scale were evaluated for patients before treatment,after 1 week of treatment and after 2 weeks of treatment.The efficacy evaluation for patients was performed after 2 weeks of treatment.The collected data was analyzed statistically by SPSS 23.0 statistical software.Results:1.Comparison of general conditions: the patient’s age,sex,and course of disease were compared before treatment.The results showed that the differences were not statistically significant(P > 0.05)with comparability.2.Comparison of the qualification grades of McGill Pain Questionnaire: the difference between the qualification grades of McGill pain questionnaire in the two groups before treatment was not statistically significant(P>0.05)with comparability.The difference between the two groups was statistically significant(P < 0.05)after 1 week and 2 weeks of treatment.The intra-group comparison of quantitative McGill pain grade after 1 week and 2weeks of treatment were statistically significant(P < 0.05).The comparison of the trend of McGill pain grades after treatment in two groups presented the difference,which has statistically significant.(P < 0.05).3.Chronic soft tissue injury grading table: the difference of chronic soft tissue injury grading before treatment between the two groups was not statistically significant(P>0.05)with comparability.The difference of intra-group comparison of chronic soft tissue injury grade was statistically significant after 1 week and 2 weeks of treatment(P < 0.05),and with the same course of treatment,the difference of inter-group comparison of chronic soft tissue injury grade was statistically significant(P < 0.05).4.Overall efficacy evaluation: the control group has 9 cured patients with a ratio of cured 25.71%,13 patients who have a better development with a ratio of 37.14% and 13 untreated patients with a ratio of 37.14%.The experimental group has 15 cured patients with a ratio of 42.86%,17 improved patients with a ratio of 48.57% and 3 untreated patients with a ratio of 8.6%,suggesting that the comparison of the overall efficacy evaluation of the two groups was statistically different(P<0.05).5.The observation of safety index: no significant abnormalities were presented in the electrocardiogram,liver and kidney function,stool and urine routine test and blood routine test in both groups before and after treatment,suggesting that the study protocol has sound safety.Conclusion:The Chaihu Guizhi Decoction has better and sound efficacy in the treatment of Neck-shoulder myofascial pain syndrome and relief of Neck-shoulder chronic soft tissue injury than acupuncture treatment alone,and the therapeutic effect becomes better as the course of treatment is prolonged.