肌骨超声引导下阿是穴斜刺联合注射疗法治疗NeerⅠ-Ⅱ期肩袖损伤的临床观察OA

Objective To observe the clinical efficacy of musculoskeletal ultrasound-guided oblique needling at Ashi points combined with injection therapy in the treatment of Neer stage Ⅰ-Ⅱ rotator cuff injuries.Methods One hundred patients definitively diagnosed with rotator cuff injury and admitted to the Rehabilitation Medicine Department of Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine between January and September 2023 were selected as the study subjects.Patients were randomly divided into an observation group and a control group using a random number table,with 50 cases in each group.The observation group received musculoskeletal ultrasound-guided oblique needling at Ashi points combined with injection therapy,while the control group received conventional shoulder joint injection therapy.After 2 weeks of treatment,the clinical efficacy was evaluated in both groups.Changes in the Visual Analogue Scale(VAS)score for pain,shoulder joint range of motion(ROM),and the Disability of the Arm,Shoulder and Hand(DASH)questionnaire score,as well as serum levels of interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α),were observed before and after treatment.Three months after treatment,the recurrence rate and disease progression rate were compared between the two groups.Results(1)During the study,5 patients were lost to follow-up in the observation group and 5 in the control group.Finally,45 cases in each group were included in the efficacy statistics.(2)After treatment,the VAS and DASH scores of patients in both groups showed significant improvement(P＜0.05),and the improvement in the observation group was significantly superior to that in the control group,with a statistically significant difference(P＜0.05).(3)After treatment,the forward flexion and extension ROM of patients in both groups showed significant improvement(P＜0.05),and the improvement in the observation group was significantly superior to that in the control group,with a statistically significant difference(P＜0.05).(4)After treatment,the serum IL-6 and TNF-α levels of patients in both groups showed significant improvement(P＜0.05),and the improvement in the observation group was significantly superior to that in the control group,with a statistically significant difference(P＜0.05).(5)The total effective rate was 86.67%(39/45)in the observation group and 75.56%(34/45)in the control group.The efficacy of the observation group was superior to that of the control group,with a statistically significant difference(P＜0.05).(6)Within 3 months after treatment,the recurrence rate was 5.13%(2/39)in the observation group and 26.47%(9/34)in the control group.The disease progression rate was 2.22%(1/45)in the observation group and 20.00%(9/45)in the control group.Both the recurrence rate and progression rate in the observation group were significantly lower than those in the control group,with statistically significant differences(P＜0.05).Conclusion Musculoskeletal ultrasound-guided oblique needling at Ashi points combined with injection therapy for Neer stage Ⅰ-Ⅱ rotator cuff injuries can significantly alleviate patients'pain symptoms,effectively improve shoulder joint function,and markedly reduce the recurrence and progression rates,demonstrating significant therapeutic efficacy.