The Clinical Observation Of Acupotomy Combined With Acupuncture In The Treatment Of Post-stroke Shoulder Pain

OBJECTIVE: To observe the clinical efficacy of acupotomy to treat post-storke shoulder pain,objectively evaluate acupotomy treatment in the prevention and insufficient in the clinical application of this disease,providing clinical evidence for acupotomy treatment of post-storke shoulder pain.METHODS: Choose from April 2021 to December 2021,from the Department of Endotheater,the second affiliated hospital of Tianjin University of Traditional Chinese Medicine,in accordance with the inclusion standards and agreed to participate in 63 patients with this trail,and the method of using a random number table.Patients were randomly divided into treatment group(acupotomy group)with 32 patients,and control group(acupuncture group)with 31 patients.Both the subjects were stroke routine basic treatment,such as nutrient nerve,control blood pressure,blood sugar,and regulate blood lipids,and regular stroke acupuncture treatment.In addition to the basic treatment,the control group use acupuncture treatment in acupoints,including Jianyu,Jianliao,Jiangzhen,Binao,Quchi,Waiguan,Hegu,1 time / day,6 times / week,2 weeks.The treatment group also take acupuncture treatment 5 times a week,with the same acupoints selected as above,and 1acupotomy treatment a week.The selected points were 5 common trigger points on the shoulder,the coracoid process,the greater tubercle of the humerus,the lesser tubercle of the humerus,and the intertuberous sulcus.Attachment to the distal bone of the deltoid muscle,acupotomy treatment 1time / week,acupuncture treatment 1 time / day,5 times / week,2weeks.After the end of this trail,the data of two groups were evaluated and statistically analyzed,compare the symptoms of the two groups between before treatment and after,including VAS scores,Fugl-Meyer motion function scores,Flexilevel scale of shoulder function scores,and Range of motion test,compared whether there are significant difference between two groups,observe and evaluate acupotomy treatment of the clinical curative effect of post-stroke shoulder pain.RESULT:(1)63 patients were finally included in this trial,and 61 were completed.There was no significant difference in the general conditions(sex,age,course of disease,stroke type)between the two groups(P>0.05),and there was no significant difference in the scores between the two groups before treatment(P>0.05).(2)VAS scores: After 14 days of treatment,the VAS scores of both groups were decreased,and the difference was statistically significant compared with that before treatment(P<0.05).After the first treatment,on the 7th day and on the 14 th day,the VAS scores of the two groups were compared,and the scores of the treatment group were lower than those of the control group,and the difference was statistically significant(P<0.05).(3)FMA score: After 14 days of treatment,the FMA scores of the two groups were increased,and the difference was statistically significant compared with that before treatment(P<0.05).After the first treatment and on the 7th day,there was no significant difference in the FMA scores between the two groups(P>0.05).Statistical significance(P<0.05).(4)FLEX-SF score: After 14 days of treatment,the FLEX-SF scores of the two groups were decreased,and the difference was statistically significant(P<0.05).After the first treatment,on the 7th day and on the 14 th day,there was no significant difference in the scores between the two groups(P>0.05).(5)ROM measurement results: After 14 days of treatment,the shoulder joint movement angles of the two groups were improved compared with those before treatment,and the difference was statistically significant(P<0.05).After the first treatment,on the 7th day,and on the 14 th day,compared between the two groups,the improvement of the shoulder joint movement angle in the treatment group was better than that in the control group,and the difference was statistically significant(P<0.05).(6)In the treatment group,1 case was cured,8 cases were markedly effective,20 cases were effective,and 2 cases were ineffective,with a total effective rate of 93.55%;in the control group,0 cases were cured,4 cases were markedly effective,20 cases were effective,and 6 cases were ineffective.80%.There was statistical significance in the comparison of curative effect between the two groups(P<0.05).CONCLUSION: Acupotomy combined with acupuncture and acupuncture have curative effects on PSSP,and acupotomy combined with acupuncture is more effective than acupuncture.