Analysis of the efficacy of ultrasound guided brachial plexus anesthesia manipulation release combined with internal heat needles skeletal muscle attachment point release for frozen shoulder #br#
LI Jing1 HUANG Ying1 ZHOU Jianbin2 ZHU Tong1 LIN Jian1 TAO Gaojian1
1.Department of Pain Medicine, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical College, Jiangsu Province, Nanjing 210008, China;
2.Department of Pain, Nanjing Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210014, China
Abstract：Objective To investigate the clinical effect of ultrasound guided brachial plexus anesthesia manipulation release combined with internal heat needles skeletal muscle attachment point release for frozen shoulder. Methods A total of 62 patients diagnosed with frozen shoulder from January 2019 to June 2020 in the Department of Pain Medicine, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical College were selected as the research subjects. They were divided into group A and group B, according to the random number table method. Group A (30 cases) received ultrasound guided brachial plexus anesthesia manipulation release supplemented by oral non-steroidal drugs, and ordered shoulder joint exercise; on the basis of group A, group B (32 cases) underwent internal heat needles skeletal muscle attachment point release. Visual analogue scale (VAS) score and Constant-Murley shoulder function score were compared between two groups before and 7, 30, and 90 d after treatment; the clinical efficacy of two groups were compared, and the occurrence of adverse reactions during treatment was recorded. Results After treatment, VAS scores of both groups at each time point were significantly different from those before treatment, with statistical significance (P < 0.05); VAS scores in group B at each time point were lower than those in group A, with statistical significance (P < 0.05). After treatment, Constant-Murley shoulder function scores at each time point in both groups were significantly different from those before treatment, with statistical significance (P < 0.05); Constant-Murley shoulder function scores at each time point in group B were lower than those in group A, with statistical significance (P < 0.05). At 7, 30, and 90 days after treatment, there were statistical significance in good improment rate between two groups (P < 0.05). There were no complications such as nerve injury, local anesthetic poisoning, and injury of muscles and tendons around shoulder in both groups. Conclusion Ultrasound guided brachial plexus anesthesia manipulation release combined with internal heat needles skeletal muscle attachment point release is reliable and has the advantages of high safety, quick effect, lasting effect and few adverse reactions.
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