Abstract:

Objective To observe the clinical efficacy of large manipulation release under brachial plexus anesthesia combined with small acupotomy on scapulohumeral periarthritis. Methods 120 patients were randomly divided into control group（60 cases）and observation group （60 cases）. The control group was treated with small acupotomy，and the observation group was treated with large manipulative release under brachial plexus anesthesia combined with small acupotomy for 2 weeks. Range of motion of shoulder joint and McGill pain scale were observed in the two groups. The clinical efficacy，safety and recurrence rate of the two groups were compared follow ⁃up. Results The total effective rate of the observation group was 98.3%（58/59），which was higher than that of the control group（80.7%，46/57）（P < 0.05）. The follow⁃up recurrence rate of the observation group was 1.7%（1/58）， lower than the control group's 28.3%（13/46）（P < 0.05）. The anterior flexion，posterior extension and abduction of upper limbs in the observation group were significantly improved compared with the control group（P < 0.05）. PPI，VAS and PRI scores in the observation group were significantly lower than those in the control group（P < 0.05）. Conclusion Large manipulation release under brachial plexus anesthesia combined with small acupotomy on scapulohumeral periarthritis is effective. 

Key words:

brachial plexus anesthesia under the release of large manipulation, small needle knife, scapulohumeral periarthritis