Clinical Research On Periarthriris Humeroscapularis Treated By The Jiont Three Acupoints Of Shoulder Combined With Opposing Needling

Scapulohumeral periarthritis is a kind of common shoulder disease characterized by local pain,tissue adhesion and stiffness movement around the shoulder.It has increasingly af’fected the life quality of the middle-aged people in our country.In the current studies,both Western and Chinese medicine in the clinical practiee of this disease in China has shown that Acupuncture and Moxibustion,a traditional Chinese medicine treatment method has the advantages of better curative effect for scapulohumeral periarthritis.It is convenient and with no toxic and small side eff-ects,which has received the community’s lasting recognition and attention.However,in clinical practice,there is still improvements needed such as confusion in Acupuncture point selections,lacking the standardized operational guidance and other problems.Thus,it is necessary to return to the Huangdi Neijing also known as "The Yellow Emperor’s Classic of Internal Medicine",a medical classic of Chinese Medicine to find a new idea of standardizing Acupuncture point selection and open up a optimizing treatment scheme.ObjectiveThrough the comparison with Jin’s three needles treatment "Shoulder three" needle treatment(ipsilateral needling)as the control group,observe the "Ju Ci method(contralateral needling)combine with Shoulder three"treatment of the total clinical curative effect of periarthritis of shoulder.Preliminarily discuss the combination of Ju Ci method with Shoulder three as a characteristic treatment method in treating periarthritis of shoulder,looking into its clinical efficacy and timeliness of the such treatment.Evaluate its clinical value and significance,aim to provide evidence-based medicine for future clinical choice for more effective treatment of periarthritis.MethodsA total of 90 cases of patients diagnosed with periarthritis of shoulder from March 2018 to January 2019 were selected from the outpatient department of the acupuncture department and the acupuncture ward of the first affiliated hospital of guangzhou university of traditional Chinese medicine.Using the statistical Excel Rand()concise statistical analysis system,a simple randomization method was adopted to obtain the random number table.90 patients were randomly divided into the corresponding groups in the random number table according to the specific order of entry,and were divided into the Shoulder three needle group,the Ju Ci group and the combined acupuncture selection group,with 30 cases in each group.Three times a week,three times for a course of treatment,a total of two courses.The patients were followed up for one month after treatment.The differences of McGill pain scale and CMS score between the three groups before and after treatment and one month after treatment were compared,and the data were input to establish a database.Spss23.0 was used to conduct a detailed statistical analysis of the short-term clinical efficacy and long-term clinical efficacy of the three groups.Result1.A total of 90 cases were collected,30 cases in each group.Before treatment,there was no significant difference in the statistical data analysis of gender ratio,age distribution,disease severity,duration of onset,short-form McGill pain scale score,and Constant-Murley shoulder function score between the three groups(P>0.05).2.After treatment,3 patients(10.0%)were ineffective,9 patients(30.0%)were effective,11 patients(36.7%)were significantly effective,and 7 patients(23.3%)were cured,with a total effective rate of 90%.In juci group,there were 2 invalid patients(6.7%),8 effective patients(26.7%),12 significant patients(40.0%),and 8 cured patients(26.7%),with a total effective rate of 93.3%.In the comprehensive acupoint selection group,there were 1 invalid(3.3%),3 effective(10.0%),12 significant(40.0%),and 14 cured(46.7%),with a total effective rate of 96.7%.All three groups showed definite clinical efficacy.3.The Krsukal Wallis H inspection,there are differences between the three groups of total curative effect distribution(=6.679,P=0.035),further with the Nemenyi test are compared,and two comprehensive find group and shoulder there are differences between the three needle group,the giant thorn group curative effect(P<0.05),shoulder three needle stab and the giant group curative effect,no differences(P>0.05),suggesting comprehensive find better clinical curative effect in the shoulder,three needle group,the giant thorn group.4.Three methods of treatment in short form McGill pain rating scale feeling,emotion and PRI forward compared to no significant difference between groups(P>0.05),group within one period of treatment,two treatments,forward each time point compared all have significant differences,to show that the three groups to improve the feelings,emotions,and the quality of life of patients achieved the forward curative effect.5.There were differences in VAS and PPI of McGill pain scale between the three groups(P<0.05),and the efficacy of the three groups was in the order of comprehensive acupoint selection group,giant thorn group and three needle group.Before treatment,1 course,2 courses of treatment,and the comparison before and after each time point in the long term were all different in the three acupuncture points group,juqi group,and comprehensive acupoint selection group(P<0.05),indicating that the effect of the comprehensive acupoint selection group was significantly better than that of the three acupuncture points group and juci group in improving the pain and shoulder movement of patients.6.In terms of shoulder joint evaluation by the three treatment methods with Constant Murley Score,before treatment and in a course of treatment,the effect of juci group was as good as that of the three acupuncture points group(P>0.05),while the comprehensive acupoint selection group was superior to the three acupuncture points group(P<0.05)and the three acupuncture points group(P<0.05).There was no difference between the two treatment courses and the long-term comparison of the three groups(P>0.05),indicating that the pain score of CMS had tended to be stable during the two treatment courses.At the follow-up one month later and the follow-up month after the treatment,the scores of the three groups with Constant Murley Score for shoulder joint assessment were not significantly different from those after the treatment(P>0.05).ConclusionThree groups of treatment of periarthritis of shoulder patients with improved clinical symptoms have long term efficacy.In terms of the improvement of shoulder pain and activity function in periarthritis of shoulder,the combined treatment of Shoulder three and Ju Ci method is more effective than the simple treatment of Shoulder three acupuncture of shoulder and the treatment of periarthritis of shoulder with Ju Ci method,which is worth promoting in clinical practice.