静脉全麻下肩关节手法松解配合关节腔封闭治疗冻结期肩周炎的疗效研究
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摘要
目的研究静脉全麻下肩关节松解术合配关节腔封闭治疗冻结期肩周炎的疗效。方法 2015年12月—2017年10月接收60例冻结期肩周炎患者,随机分为实验组(30例)与对照组(30例),对照组仅接受传统康复理疗1周配合功能锻炼,实验组首先静脉全麻下肩关节手法松解配合关节腔封闭1次,然后配合功能锻炼1周,观察两组患者治疗后第1周、1个月、6个月时临床效果。结果实验组患者总治愈率为96.6%,明显高于对照组的(χ~2=31.093,P<0.05)。实验组患者术后肩关节疼痛(VAS)评分与肩关节Mallet评分均明显优于对照组(t=72.728、26.005,P<0.05)。结论静脉全麻下肩关节手法松解术治疗冻结期肩周炎可以显著缩短病程,迅速缓解肩关节疼痛,恢复肩关节功能。
Objective To study the curative effect of combined general anesthesia for shoulder joint lysis and joint cavity closure for frozen periarthritis. Methods From December 2015 to October 2017, 60 patients with frozen shoulder frozenness were randomly divided into experimental group(30 cases) and control group(30 cases). Control group: only received traditional rehabilitation therapy for 1 week with functional exercise. Experimental group: First, the general technique of scapular total anesthesia was used to loosen the joint and the joint cavity was closed once, and then functional exercise for 1 week. The clinical effects of the two groups were observed at the first week, one month and six months after treatment. Results The total cure rate of the experimental group was 96.6%, which was significantly higher than that of the control group(χ~2=31.093, P<0.05). The postoperative shoulder pain(VAS) score and the shoulder joint Mallet score were significantly better in the experimental group than in the control group(t=72.728,26.005,P<0.05).Conclusion The treatment of frozen shoulder scapulohumeral under total anesthesia can significantly shorten the course of disease, quickly relieve shoulder pain and restore shoulder function.
Objective To study the curative effect of combined general anesthesia for shoulder joint lysis and joint cavity closure for frozen periarthritis. Methods From December 2015 to October 2017, 60 patients with frozen shoulder frozenness were randomly divided into experimental group(30 cases) and control group(30 cases). Control group: only received traditional rehabilitation therapy for 1 week with functional exercise. Experimental group: First, the general technique of scapular total anesthesia was used to loosen the joint and the joint cavity was closed once, and then functional exercise for 1 week. The clinical effects of the two groups were observed at the first week, one month and six months after treatment. Results The total cure rate of the experimental group was 96.6%, which was significantly higher than that of the control group(χ~2=31.093, P<0.05). The postoperative shoulder pain(VAS) score and the shoulder joint Mallet score were significantly better in the experimental group than in the control group(t=72.728,26.005,P<0.05).Conclusion The treatment of frozen shoulder scapulohumeral under total anesthesia can significantly shorten the course of disease, quickly relieve shoulder pain and restore shoulder function.
引文
[1]林春霞.用臂丛麻醉下肩关节手法松解术配合个性化疗法治疗肩周炎的效果分析[J].当代医药论丛,2016,14(16):4-6.
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[5]李建平,钟小梅,张丽,等.肌间沟臂丛麻醉与静脉全身麻醉在肩周炎手法松解术中的应用效果比较[J].中国当代医药,2015,5(9):51-53.
[6]赖显金.臂丛神经麻醉下肩关节松解术治疗粘连性肩周炎的疗效观察[J].医学美学美容,2015,3(4中旬刊):32.
[7]李英博,赖显金.臂丛阻滞下肩关节松解术联合术后皮下恒速输入镇痛在治疗肩周炎中的应用[J].实用疼痛学杂志,2017,13(5):342-344.
[8]刘卫忠,谢宝林.臂丛麻醉下肩关节手法松解配合个性化治疗肩周炎的临床研究[J].医药前沿,2016,6(9):344-345.
[2]易倩.静脉麻醉下手法粘连松解术治疗肩周炎108例护理体会[J].医药与保健,2015,6(15):103.
[3]任红艳.麻醉下手法松解综合治疗重症冻结期肩周炎的疗效研究[J].检验医学与临床,2015,45(12):1796-1797.
[4]高光伍,朱洁,张慧敏,等.应用臂丛麻醉下肩关节手法松解联合个性化方案治疗肩周炎的临床观察[J].中国社区医师,2016,32(36):41-42.
[5]李建平,钟小梅,张丽,等.肌间沟臂丛麻醉与静脉全身麻醉在肩周炎手法松解术中的应用效果比较[J].中国当代医药,2015,5(9):51-53.
[6]赖显金.臂丛神经麻醉下肩关节松解术治疗粘连性肩周炎的疗效观察[J].医学美学美容,2015,3(4中旬刊):32.
[7]李英博,赖显金.臂丛阻滞下肩关节松解术联合术后皮下恒速输入镇痛在治疗肩周炎中的应用[J].实用疼痛学杂志,2017,13(5):342-344.
[8]刘卫忠,谢宝林.臂丛麻醉下肩关节手法松解配合个性化治疗肩周炎的临床研究[J].医药前沿,2016,6(9):344-345.