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Acupotomology Combined with Intra-articular Injection of Sodium Hyaluronate in the Treatment of Capulohumeral Periarthritis: A Systematic Review and Meta-analysis

To systematically evaluate the safety and effectiveness of acupotomology united with hyaluronic acid injection in diagnosis and treatment of scapulohumeral periarthritis. All RCTs of acupotomology united with hyaluronic acid injection in diagnosis and treatment of scapulohumeral periarthritis since the establishment of databases (CNKI, VIP, PubMed, Web of Science, etc.) were searched by computer. 13 RCTs studies were included. Meta-analysis was performed with Revman 5.4 software, Egger and Begg tests were performed with R software. The clinical effective rate (OR=6.4, %CI [3.7,11.08], P<0.00001), VAS pain score(MD=-1.05, %CI [-1.16,-0.94], P<0.00001) and Constant- Murley shoulder function score(MD=13.42,% CI [9.3,17.54], P<0.00001) improvement in the trial group were superior to the control group, and the above results showed significant statistical differences;. The existing clinical studies have shown that acupotomology united with hyaluronic acid injection in diagnosis and treatment of scapulohumeral periarthritis is an effective and safe method, which can improve the clinical effectiveness, relieve the pain of the patient's shoulder and improve the function of the shoulder.