| Shoulder and back soft tissue injuries belongs to chronic soft tissue injury of all body, it is a familiar clinical disease. Chronic soft tissue injuries is divided into two types by TCM, one is called cold type which hurt by cold evil and one is called congestion type which Qi and blood are obstructed.This paper will study of congestion type of shoulder and back soft tissue injuries. The disease we find that more is due to shoulder muscle group long-term by force that not balance, The muscles of the back is elongated by force, the muscle of chest passive contractions, around that muscles, blood vessels, nerve extrusion and traction are caused. So further constitute a circulatory disturbance. The formation of chronic soft tissue injuries is a long time accumulated. Its clinical manifestations are shoulder and back swelling pain and activity limitation. Shoulder and back soft tissue injuries has a bad effect on people’s quality of life and work efficiency. Bloodletting therapy is one kind of acupuncture methods, that is what in 《The Yellow Emperor Internal Classic》 called collateral puncture, namely needles piercing the body of superficial blood vessels, releasing the right amount of blood, and quickly eliminate body stasis, it can promote Qi and blood circulation and makes removing blood stasis to produce new. Can bloodletting therapy and the chinese traditional therapy--tuina which can release the muscles loose adhesive tissue interact each other more effectively to treat that diseases and relieve patient suffering, there is substantial research value.ObjectiveThis subject research for the effection of bloodletting therapy in the treatment of congestion type of shoulder and back soft tissue injuries, divide patients into two groups consisting of treatment group and control group randomly, treatment group will used traditional massage therapy and bloodletting therapy, control group used traditional massage, and after treatment, we will observe the effect of two group, then analysis and evaluate the clinical effection of bloodletting therapy in the treatment of congestion type of shoulder and back soft tissue injuries, to provides a more simple more effective clinical method on congestion type of shoulder and back soft tissue injuries’s treatment, In order to supply the basis for the theory and practice for application of clinical comprehensive therapy better.MethodsDuring February 2014 to January 2015, I selected 60 cases conform to this standard in the first affiliated hospital of Guangzhou University of traditional Chinese medicine massage section. Randomized controlled study of this research method, which meet the criteria for 60 patients with congestion type of shoulder and back soft tissue injuries were randomly assigned to treatment group and control group, two groups’s number are equal, each for 30 cases.Respectively, using bloodletting therapy and traditional massage in treatment group and only using traditional massage therapy in the control group. Both groups for 3 courses of treatment, every other day has one treatment, 3 times treatment consists 1 course. International Visual analogue pain score (Visual analogue Scale, VAS method) and the 2002 i guidelines for clinical research of new traditional Chinese medicine (trial))) soft tissue injury symptom rating scale for the evaluation of curative effect criteria will be adopted, objectively record data for each case before and after the treatment. All data input and analysis will be done by SPSS19.0 data statistical software packages.Results1. It is statistical significance (P<0.05)that compared the treatment group with the control group in the general clinical efficacy, the treatment group is 93.33%, control group is 83.33%, indicates that the two treatments have achieved good results, and total effective rate in the treatment group is more higher than the control group, indicating treatment group has much advantages.2. before receiving treatment symptoms classification of soft tissue injuries scores of the treatment group and the control group was not statistically significant (P>0.05), no obvious differences, both groups were comparable; after treating, the outcome of the two groups was statistically significant (P<0.05) in comparison, and marks were evidently lower in the treatment group than the other group, showed that therapeutic effect of treatment group was much effective than control group. Before and after treatment, the scores of treatment group and control group were generally decreased, it is statistical significance in comparison(P<0.05), there are evident discrepancy, indicate that the efficacy of both treatments were good.3. In the VAS, before receiving treatment, the scores of both was not statistically significant (P>0.05), it is comparable. Scores of both was statistically significant after treating(P<0.05), and the scores of treatment group was lower than the control one, shows therapeutic efficacy is better.ConelusionBoth traditional massage combined with bloodletting therapy and just traditional massage therapy can make the scores of soft tissue injury symptom rating scale and the scores of VAS obviously reduced. That means two treatments have a good effect for treating congestion type of shoulder and back soft tissue injuries, but the total efficiency of treatment group overtop the control group, so traditional massage combined with bloodletting therapy is more effective comparing with only traditional massage therapy. |
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