| ObjectiveThrough musculoskeletal ultrasonography and scale,the effect and clinical effect of "blood change pathogenic removing" collature-pricking and blood-letting therapy on acute subacromial bursitis(SAB)under the guidance of "Tong use as the guideline" were observed.MethodsSeventy-four patients with acute SAB who met the inclusion criteria were randomly divided into observation group("blood change pathogenic removing" collateral pricking and bloodlet therapy)and control group(acupuncture group),37 cases in each group.Two weeks was a course of treatment,and two courses of treatment were given to both groups.Before and after treatment,the measured values of Musculoskeletal ultrasonography(MSKUS)(the maximum depth of Subacromial-Subdeltoid Bursa),shoulder pain Visual Analog Scale(VAS)and shoulder joint score scale Constant-Murley(CMS)were collected and analyzed by SPSS25.0software.Results1、Total 74 patients were included in this study,including 5 cases in the observation group and5 cases in the control group.A total of 64 people completed the observation of this study,and the actual drop rate was 4.7%.2、The maximum depth of SA-SD effusion: the maximum depth of SA-SD effusion in the observation group and the control group after treatment was lower than that before treatment,and there was significant difference between the observation group and the control group.3、VAS: the VAS score of the observation group and the control group after treatment was lower than that before treatment,and there was significant difference between the two groups(P<0.05).4 、 CMS: The total score of CMS in the observation group and the control group after treatment was higher than that before treatment,and there was significant difference between the two groups(P<0.05).The total score of CMS in the observation group was higher than that in the control group.After treatment,the scores of daily life and shoulder range of motion in the observation group were significantly higher than those in the control group(P<0.05),while in the degree of pain and muscle strength,there was no significant difference between the two groups(P>0.05).5、The correlation between the depth of SA-SD effusion and the observed indexes: There was a significant negative correlation between shoulder range of motion and total CMS score,and a significant positive correlation between SA-AD effusion depth and VAS score.According to the results of PPS: VAS score,CMS total score and shoulder range of motion score were significantly correlated with SA-AD effusion depth.The results of FAS: total CMS score and shoulder range of motion score were significantly correlated with the depth of SA-AD effusion,while VAS score and pain degree were significantly correlated.6、Evaluation of curative effect: After treatment,3 cases in the observation group were cured,15 cases were significantly effective,13 cases were effective,1 case was ineffective,and the total effective rate was 96.87%in the control group,0 cases were cured,8 cases were significantly effective,22 cases were effective,2 cases were ineffective,and the total effective rate was 93.75% in the control group.The curative effect of the observation group was better than that of the control group(P<0.05).Conclusions1、The bloodletting therapy of "blood change pathogenic removing" under the guidance of "Tong use as the guideline" can reduce the synovial bursa effusion of shoulder joint in patients with acute SAB,and the effect is better than that of routine acupuncture.2、The bloodletting therapy of "blood change pathogenic removing" can not only relieve the pain of shoulder joint,but also improve daily life and range of motion of shoulder joint in patients with acute SAB,and the effect is better than that of routine acupuncture.3、Both bloodletting therapy and routine acupuncture can improve the muscle strength of patients with acute SAB,and the two effects are the same4、The higher the depth of SA-SD effusion,the lower the total CMS score and shoulder range of motion score,and the higher the VAS score. |
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