外展上举旋转推挤法治疗肩关节脱位的对照研究  

The Control Study of Treatment for Shoulder Joint Dislocation by Abduction, Lifting, Push and Squeeze

作　　者：陈巍[1] 李彬[1] 李宣隆 汪永泉[1] 吴滨[1] 

机构地区：[1]泸州市中医医院骨伤科,四川泸州646000

出　　处：《中国医药指南》2015年第18期1-2,共2页Guide of China Medicine

基　　金：四川省中医药管理局资助项目(课题编号:2010-50)

摘　　要：目的比较外展上举推挤法和手牵足蹬复位法治疗肩关节脱位的疗效,探索一种更加安全、有效的复位手法。方法 2011年7月至2014年7月,收治肩关节前脱位患者123例,年龄19-82岁,其中120例按随机数字表法分为A组（实验组60例）和B组（对照组60例）。实验组采用外展上举推挤复位法;对照组采用传统手牵足蹬复位法,余3例同时伴有其他部位损伤或特殊类型脱位而不能采用Hippocrates复位者为C组,直接采用外展上举推挤法。结果对照组60例成功复位56例,1例导致医源性外科颈骨折而最终改为手术治疗,3例复位不能而采用外展上举推挤法后成功复位;实验组共60例均完成良好复位。结论外展上举推挤法整复肩关节脱位成功率高,患者痛苦少,复位方法易掌握,尤其对Hippocrates法不能成功复位者仍能取得较好复位效果。Objective To compare the clinical effect between abduction, lifting, push and squeeze method and Hippocrates, explore a safer and more effective way of replacement for shoulder joint dislocation. Methods From July 2011 to July 2014, 123 patients with anterior dislocation of shoulder joint, ranging in age from 19 to 82.The patients were randomly divided into group A（treatment group, 60 cases） and group B（control group, 60 cases）. Treatment group were treated by abduction, lifting, push and squeeze. Control group were treated with Hippocrates. The other three cases with other injuries and special dislocation were put in group C, and they were treated by abduction, lifting, push and squeeze directly. Results 56 patients in control group got replacement.1 patient was operated because of latrogenic surgical neck of humerus. Three patients got replacement by abduction, lifting, push and squeeze after failing in reduction by Hippocrates. 60 patients in treatment group got replacement. Conclusion The method of abduction, lifting, push and squeeze has a high success rate of replacement for shoulder joint dislocation with less pain, and is easier to master, especially for the patient who can＇t get replacement by Hippocrates.

关 键 词：肩关节脱位 正骨手法 病历对照研究 

分 类 号：R681.7[医药卫生—骨科学]