玻璃酸钠联合正清风痛宁治疗肩周炎的临床观察OA

Objective:To investigate the effect of sodium hyaluronate combined with Zhengqing Fengtongning on frozen shoulder.Methods:108 frozen shoulder patients from June 2024 to May 2025 were divided into Zhengqing Fengtongning group(n=36),sodium hyaluronate group(n=36)and combined treatment group(Zhengqing Fengtongning+sodium hyaluronate,n=36)according to random sampling method.The Zhengqing Fengtongning group received intramuscular injections of Zhengqing Fengtongning(50 mg),2%lidocaine(1 mL),and normal saline(2 mL)at acupoints on the affected side.The sodium hyaluronate group was treated with sodium hyaluronate injection 25 mg at the affected side ar-ticular cavity.The Zhengqing Fengtongning+sodium hyaluronate group was treated with the operation of Zhengqing Fengtongning group firstly,and then the sodium hyaluronate group.All three groups were treated once a week for 5 weeks.Visual analogue scale(VAS)scores,Constant-Murley scores,and Pittsburgh sleep quality index(PSQI)scores were used to evaluate the overall treatment efficacy.Results:Compared with before treatment,the VAS scores and PSQI scores of patients in all three groups decreased after treatment,whereas the Constant-Murley scores increased.Moreover,the improvement in scores among patients in the combined treatment group was significantly greater than that in the Zhengqing Fengtongning group and the sodium hyalu-ronate group,with statistically significant differences(P<0.01).In terms of overall treatment effectiveness rate,the clinical overall effectiveness rate in the combined treatment group was 97.22%,compared to 77.78%in the Zhengqing Fengtongning group and 72.22%in the sodium hyaluronate group.The overall effectiveness rate in the combined treat-ment group was significantly higher than those in the other two groups,with a statistically significant difference(P<0.05).Conclusion:The combination of sodium hyaluronate and Zhengqing Fengtongning can significantly improve the therapeutic effect of frozen shoulder,providing new ideas and methods for the clinical treatment of this disease.