| Background:This disease which western medicine known as the "frozen shoulder", Chinese medicine called "leakage shoulder wind","frozen shoulder" is caused by the ligament, joint capsule, synovial tissue, muscle tissue and tendons around the patients’shoulder get a chronic aseptic inflammation. The inflammation is caused by a variety of reasons such as shoulder joint capsule and the surrounding soft tissue is damaged or degeneration. It main show as shoulder joint and the soft tissue around it feel pain and movement restricted. Radiographic examination shows no obvious except bone mass reduced. It is a common orthopaedic clinical disease. The electro-heating Bian-stone as a new treatment of frozen shoulder, have its own advantages and characteristics. Electro-heating Bian-stone(patent number:ZL00266752.5) is added an electric heating device, and the application of microcomputer feedback control temperature, makes the electro-heating Bian-stone can achieve the function of constant temperature and quantitative temperature adjustment. The emergence of this technology makes the temperature of iron therapy’s clinical application is more convenient and more easily accepted by patients.Objective:This topic compares and analyses the observed indicators of patients’between before and after treatment, researches Electro-heating Bian-stone therapy treatment wind cold dampness frozen shoulder’s short-term curative effect, scores clinical curative effect of patients before and after treatment. To evaluate the short-term clinical efficacy and safety, to discuss and summarize the characteristics of this treatment, to complete the efficacy and safety evaluation, laying the groundwork for the technology of clinical promotion.Methods:The materials of research is a total of35patients who have the wind cold dampness type of frozen shoulder and come to Second Department of bone and joint Wangjing Hospital of China Academy of Traditional during2013.06to2014.02.According to the solution use electro-heating Bian-stone to treat. Using the UCLA (University of California, Los Angeles) shoulder joint score sheet and visual analogue scale to score and compare. Choose i7type thermal meter (FLIR) to measure and compare the skin temperature. Assess its security. Summary of the clinical data and using spss18.0software for data statistics and analysis. Measurement data using paired sample t test, normal distribution of data to X±s said that the non-normal distribution of data, its natural logarithm normalized data analysis before the next step. P values less than0.05is statistically significant.Result: (1) UCLA score before treatment19.78±4.631(14to25) points after the completion of a course of UCLA score29.89±3.408(23to34) points, including four cases of excellent, good in25cases,5cases is acceptable, good rate of85.29%; completed a course of three months after the follow-up UCLA score31.78±3.383(26to34), of which5cases of excellent, good in26cases,3cases is acceptable, good rate of91.18%.Comparison the completion of the treatment with before the treatment UCLA shoulder score, through paired t test there was a significant difference (P all<0.01) and UCLA shoulder score is10.11points higher. Proved that by the warm iron after a course of therapy efficacy can achieve satisfactory results.Comparison after the completion of the treatment3month with before the treatment UCLA shoulder score, through paired t test there was a significant difference (P all<0.01) and UCLA shoulder score is12.00points higher. Proved that by the warm iron short-term efficacy can achieve satisfactory results.Comparison after the completion of the treatment3month with the completion of the treatment UCLA shoulder score, through paired t test there was a difference (P<0.05) in pain, muscle and total scores, satisfaction unchanged, Shoulder function, flexion function were not statistically significant (P>0.05),and UCLA shoulder score is1.89points higher. Proved that by the warm iron shoulder function, the efficacy of flexion function more stable. Suffering from shoulder pain, muscle strength in the short term after the completion of treatment is still improving, the overall degree of improvement is obvious.(2) Comparison the completion of the treatment with before the treatment VAS shoulder score, through paired t test there was a significant difference (P all<0.01) and VAS shoulder score is3.00points higher. Proved that by the warm iron after a course of therapy efficacy can achieve satisfactory results.Comparison after the completion of the treatment3month with before the treatment VAS shoulder score, through paired t test there was a significant difference (P all0.01) and VAS shoulder score is4.66points higher. Proved that by the warm iron short-term efficacy can achieve satisfactory results.Comparison after the completion of the treatment3month with the completion of the treatment VAS shoulder score, through paired t test there was a significant difference (P all <0.01) and VAS shoulder score is3.00points higher. Proved that by the warm iron in the short term after the completion of treatment is still improving.(3) The first treatment to eight treatments, each treatment and after10minutes after the end of treatment i7thermal image measuring instrument of the measured skin temperature stable, show no significant change in the effect of each treatment on the skin for at least there are some immediate changes in the stability of the temperature. At the same time, from the1st to complete a course of treatment after3months of follow-up of patients overall upward trend in skin temperature.The former1st and8th treatment skin temperature before treatment compared by paired t test, with a very significant difference (P<0.01), before the first treatment and eighth before treatment skin temperature of2.37degrees Celsius. After warm iron therapy proved by a significant increase in skin temperature.The comparison before the first treatment and complete a course of three months after the follow-up of skin temperature by paired t test, with a very significant difference (P<0.01), before the first treatment and complete a course of three months after the follow-up skin temperature increased by2.67degrees Celsius. Proved by the warm iron therapy can make short-term skin temperature has increased significantly.The study found that because of changes in the local infrared metabolism related, and studies have shown that skin microcirculation perfusion higher skin temperature region above the lower area of skin temperature and skin temperature obtained high formation closely associated with the skin microcirculation conclusions. Therefore, study patients with local skin temperature rises Stone-temperature electric iron therapy in patients after treatment to improve blood circulation, increase metabolism of substances have a certain relationship.(4) A total of34cases the effective shoulder coagulation disorder during and after treatment showed stable vital signs, adverse reactions did not occur after treatment.Conclusion:(1) Electro-heating Bian-stone treat wind cold type shoulder coagulation disorder has a good effect.(2) This therapy is particularly effective in improving suffering from shoulder pain.(3) After the therapy in patients with locally improved blood circulation, increase metabolism substances.(4) Electro-heating Bian-stone therapy is safety. |
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