| ObjectiveBy collecting 63 cases of patients with wind-cold-damp frozen shoulder clinically relevant data,sorting out,counting,and analyzing patients who have adopted different treatment methods,objectively evaluating the clinical efficacy and recurrence rate of Sanbi Decoction combined with hydraulic expansion in the treatment of wind-cold-damp frozen shoulder,to evaluate its safety and provide a theoretical basis for the treatment of wind-cold-damp frozen shoulder with traditional Chinese medicine.MethodsAnalyzed retrospectively patients from May 2020 to July 2021 with wind-cold and damp frozen shoulder who were treated in the Outpatient Department of Orthopedics and Traumatology of Hubei Provincial Hospital of Traditional Chinese Medicine.68 patients met the inclusion criteria,and after 5 patients were excluded by the exclusion criteria,a total of 63 patients were enrolled in the study.In which,31 patients were treated with hydraulic expansion of the joint cavity.32 patients were treated with oral Sanbi Decoction,fumigation and washing combined with hydraulic expansion of joint cavity.Follow-ups were conducted through outpatient clinics,telephone calls,We Chat videos,etc.And collected the visual analogue scale（visual analogue scale,VAS）,Constant-Murley score（Constant-Murley score,CMS）and range of motion（range of motion,ROM）of the two groups of patients before and after treatment,1 month follow-up,2 months follow-up,and 6months follow-up,to evaluate clinical efficacy and recurrence rate.Results1.There was no statistical difference in the general data and the observation indicators before treatment among the two groups（P（29）0.05）,indicating comparability.2.Comparison of VAS scores: The VAS scores of the treatment group before and after treatment,1 month follow-up,2 months follow-up and 6 months follow-up were（6.12±0.59）points,（4.12±0.58）points,（3.19±0.61）points,（2.02±0.56）points and（2.61±0.51）points;the control group were（6.14±0.55）points,（4.64±0.60）points,（3.62±0.47）points,（3.06±0.52）points and（2.81±0.44）points.After treatment,1 month follow-up and 2 months follow-up,the VAS scores of the treatment group were outperformed those of the control group,and the difference was statistical（P（27）0.05）.There was no statistical difference in the VAS scores among the two groups during the 6 months follow-up（P（29）0.05）.3.Comparison of CMS scores: The CMS scores of the treatment group before and after treatment,1 month follow-up,2 months follow-up and 6 months follow-up were（45.31±4.95）points,（70.03±4.78）points,（80.84±4.98）points,（86.69±4.43）points and（77.06±8.75）points;the control group were（45.10±4.81）points,（62.84±4.26）points,（69.97±5.14）points,（74.81±4.27）points and（71.16±8.68）points.The CMS scores of the treatment group were outperformed those of the control group at each time point after treatment,and the difference was statistical（P（27）0.05）.4.Comparison of ROM: After treatment,1 month follow-up and2 months follow-up,the ROM of the treatment group was outperformed that of the control group,and the difference was statistical（P（27）0.05）.There was no statistical difference in ROM among the two groups during the 6 months follow-up（P（29）0.05）.5.Comparison of clinical efficacy:At the 6 months follow-up,the number of cured,markedly effective,effective and ineffective cases in the treatment group were 6 cases,14 cases,10 cases and2 cases;the control group were 3 cases,8 cases,15 cases and 5cases.According to Fisher’s exact test,there was no statistical difference in the total effective rate of the two groups（P（29）0.05）;according to Mann-Whitney U test,there was statistical difference in the clinical efficacy of the two groups（P（27）0.05）.6.Comparison of recurrence rates: At the 6 months follow-up,3 cases in the treatment group relapsed,and 9 cases in the control group relapsed,and the difference was statistical（P（27）0.05）.Conclusion1.Sanbi decoction orally,fumigation and washing combined with joint cavity hydraulic expansion to treat wind-cold-damp frozen shoulder can relieve pain faster in the early stage,significantly improve shoulder joint function,enhance its clinical efficacy,and lower the short-term recurrence rate.2.Sanbi Decoction orally,fumigation and washing combined with hydraulic expansion of joint cavity is equivalent to that of simple joint cavity hydraulic expansion in the mid-term clinical efficacy of treating wind-cold-damp frozen shoulder.Both can relieve shoulder joint pain and improve shoulder joint function and range of motion.3.Throughout the research process,Sanbi Decoction is safe and effective.It is worthy of clinical application for the treatment of wind-cold-damp frozen shoulder. |
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