Clinical Study Of Subacromial Bursitis With Blade Needle Based On The Theory Of "Myofascial Trigger Point"

Objective:To observe the clinical efficacy of blade needle inactivation of "myofascial trigger point" in the treatment of shoulder joint dysfunction caused by subacromial bursitis,summarize its clinical characteristics and advantages,and promote the application and promotion of blade needle treatment of subacromial bursitis under the guidance of"myofascial trigger point" theory.Methods:Seventy patients with subacromial bursitis who met the inclusion criteria were randomly divided into two groups by SPSS 26.0 software,including 35 cases in the treatment group and 35 cases in the control group.The treatment group referred to the "myofascial pain and dysfunction:trigger point manual" and "trigger point therapy" to select the corresponding myofascial trigger points at the supraspinatus,deltoid,infraspinatus,and small round muscle fibers,and were treated with blade needle inactivation of MTrPs,once a week,once for a course of treatment,a total of 3 courses of treatment;The control group according to the national colleges and universities of traditional Chinese medicine planning textbook(the eleventh edition)"acupuncture and moxibustion therapy" selected acupoints:shoulder,shoulder,shoulder,shoulder,Yanglingquan,Ashi point,Tiaokou through the mountain,Shu Yu,conventional acupuncture treatment,applying the method of flat reinforcing and flat reducing,once a day,stay needle 30 minutes,interval 15 minutes needle once,5 times for a course of treatment,a total of 3 courses of treatment.The pain visual analogue scale(VAS),shoulder range of motion(Melle)and activities of daily living(ADL)scores of the two groups before and after treatment were compared and analyzed,and the overall clinical efficacy and safety evaluation of the two groups were compared.Results:(1)Comparison of VAS scale results:before treatment,there was no statistical significance in the VAS scores between two groups(P>0.05).After treatment,the VAS scores of the blade needle group were lower than before treatment(P<0.05),the VAS scores of the conventional acupuncture group were lower after therapy compared to before treatment(P<0.05)the difference between the VAS scores of the two groups after treatment was statistically significant(P<0.05).(2)Results of the Melle scale:before treatment,there was no statistical significance in the Melle scores between two groups(P>0.05).after one course of treatment,the Melle scores of the blade needle group were significantly lower than those before treatment and were better than those of the conventional acupuncture group(P<0.05);after all courses of treatment,the differences between the Melle scores of the two groups compared with those before treatment were statistically significant(P<0.05).After treatment,there was statistical significance in the Melle scores between two groups(P<0.05)(3)Comparison of ADL scores between the two groups:The difference in ADL scores between the two groups before treatment was not statistically significant(P>0.05)the ADL scores of the two groups were higher after therapy compared to before treatment(P<0.05),but there was no statistical significance in the ADL scores of the two groups after treatment(P>0.05).(4)Comparison of the overall clinical efficacy of the two groups:After the treatment course,7 cases in the treatment group were cured,16 cases had positive results,9 cases were effective,and 2 cases had negative result,and the overall efficacy rate was 94.12%;3 cases in the control groupwere cured,11 cases had positive results,15 cases were effective,and 4 cases had negative result,with a total effective rate of 87.88%;after comparative analysis,the clinical efficacy of the two groups was statistically significantly different(P=3.034),and the effective rate of the treatment group was higher than that of the control group.was higher than that of the control group.Conclusion:(1)The efficacy of blade needle inactivating MTrPs therapy is better in improving shoulder pain,and its immediate efficacy in improvement of shoulder mobility is better than conventional acupuncture therapy.both treatments showed comparable improvement in daily mobility.(2)Inactivation of MTrPs with blade needle and conventional acupuncture therapy have significant efficacy in treating shoulder dysfunction caused by Subacromial bursitis,and inactivation of MTrPs with blade needle is better than that of conventional acupuncture therapy.